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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: ~ -;{-.:lo<,'l PCN ok'-<-1 3. LfS'..l..(~ 07- 001 - po & 4p(?UVE-i:> I STATUS: PROJECT # h1.s.~M 0(-02..\ PROJECT NAME~/2.~r 13,4PTI's r C~(}~ PROJECT TYPE: W\p.:;ra/2. s""rL ~l.J4.rJ MO'bI+-<U"lcJ ADDRESS: 30t 1\1 $.i:M (H.T ~(...~l> STATUS DATE: o .~-.:H- .:loo 2.. DESTRUCTION DATE: .Y' D Miscellaneous D Commercial D Resideutial DNew D Addition D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. \-lloF 1\ P 2- s.. T.A--m- P 3..:u. - o:L 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. 20. \\CH\MAIN\SHRDA T A \Development\Permit Application Group\TITLE FORM.doc.6/12/0l