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PLANS PLANS/OVERSIZED DOCUMENTS CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 2---I-..i.Po'l PCN O!-Jt3.cj.r-.:u- -30.()o/_d.J./rJ PROJECT # ~ 0(,( ~ I 'n Y STATUS: 1f1,cJt.ldVE..b t PROJECT NAME:~r=.'Srl.lCJ(1 ;-fLleJ:>(1.IC~e:N STATUS DATE: 1/-/S"./9,f"" PROJECT TYPE: ~6\')1:>iT(orJAL U.tL DESTRUCTION DATE: tV' ADDRESS: _I ~ I E.. lSc>"'~ ~.4C-t\ t3U1b D Miscellaneous ~mmercial D Residential DNew D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) S'.JI2..VEj O'F racfetA-=.j "1- 15'-g'Y 0h.?'f) 20. \\CH\MAIMSHRDA T A\Development\Permit Application Group\TITLE FORM.doc.6/12/01