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/I CITY OF BOYNTON BEACH PLANNING & ZONING DATE: ~"'1- 2..007 TITLE FORM PCN O!-1..j3-'-I,J-01-:2/- d02-0j.3o STATUS: Jnt-o'" L4i PROJECT # N kJ-S P 0 3 - 0 I <f PROJECT NAMEd NTCUTATL ~tr..rvUf\FTE.R.r PROJECT TYPE: ~ In:...- fLA-,J ADDRESS: 130 CO/rlIt1El2C-E.. F:D STATUS DATE: (6 -'\. luo.,3 DESTRUCTION DATE: j/ o Miscellaneous c:::r'Commercial o Residential o New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. '-[ObF/O P2- ~D 9-'1-,z,.o<>-3 2. 3, 4. 5. 6, 7. 8. 9, 10. II. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:IPlanninglFile Iists')ile procedureslProcedureslFILlNG PROCEDURESlp&z TITLE FORM.doc