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DATE: 3- (.,. ~ool PROJECT # J!"AN~ PROJECipt.MFrfl-ri:.l_ ~AU_ s",TA-Tlo/'-> PROJECT TYPE~oPo~El:> 10 -.."l.'\-l"l ~y ADDRESS: /2- CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN STATUS: STATUS DATE: lo...:! '\ -1'1 tf" DESTRUCTION DATE: ;J o Miscellaneous G1Commercial INDEX OF DRAWINGS: SHEET # <ex: Sheet A-I) t. 1...-\..2ol"t.. o Residential ~ew o Addition 0 Renovation 0 Revision _ SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) j..A-Nb seA-Pc IV&- (6-0I-"-1'1.rr' --:p(2..0 f 0 So <OJ) ~EH R 1> , 20. S:IPlanoioglFile lists.fiIe procedureslProcedureslFILING PROCEDURESlp&z TITLE FORM. doc