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DATE: 2-;1- ~7 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN 08'.'-t3.4S.I'-Ot.l- 000- 3>04/ PROJECT # N\JV\S.p 00- cr.! STATUS: A- P fJR..o \J €.. D PROJECT NAME: 2"{00 t4\C.\\- R\DC.E- 121::> STATUS DATE: [(-;2..1- UJao PROJECT TYPE: ~I r-Jol.. \V\ot:)lFIC.~TlotV ~tTf. ~DESTRUCTION DATE: "J ADDRESS: 2"l()c) t\- \c..~ ~ c:>c;E.. e-h 0 Miscellaneous ~ommercial 0 Residential ~w 0 Addition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) _p'2- 'S" rr\:>)l (> f o. ~ I - 00 20. \\CH\MAIN\SHRDA T A \Development\Permit Application Group\TlTLE FORM.doc.6112101