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~j,f~~E '/' .. . /'" .)..' / J , ..' y..);. '-- ./ DATE: c>~-oS ~oo '1 }f CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN Of' tf'3 -LIS"' 33 - 00- Dol) -/ol( STATUS: ~LvIl~J;:. I STATUS DATE: ,,~..2.I...too/ ft.A,) DESTRUCTION DATE: tI PROJECT # I'I\IVI.1:P C>l-OO<+ PROJECT NAME: M61I~1L. PROJECT TYPE: .M..JolL nt-'DIFICA-Tlo", S'TL o Miscellaneous 1<'01 .s 'F~"'IUU.'- lAlIJ.'1 ADDRESS: ~mmercial o Addition 0 Renovation 0 Revision _ D Residential DNew INDEX OF DRAWINGS: SHEET # SHEE~ TITLE (PLEASE PRINT LEGmLY) (ex: Sheet A-I) (ex: Floor Plan) I. l-tl..l='-4'I z. 3. 4. 5. 6. 7. 8. 9. 10. II. 11. " 13. 14. 15. 16. 17. 18. 19. P2- s'rAMP 02...tP-~1X>1 ZOo S:\PlannlnglFlIe IIsts.m. proeedures\ProeedureslFlLING PROCEDURESlp&. TITLE FORM.doe