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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: et. IN -<..001 PCN o~...;.f.3. <1.1: I/-.l../- ()O/-()QO 0 . PROJECT # I71tf1.Jr' O/-or/ STATUS: ;fl'fJ,e()'IE...'J:> PROJECT NAME: J3oe~ATI1 f1nEt.E.4/1.. PI/I)) STATUS DATE: /(-~o .~/ PROJECT TYPE: /1trlotL I1IGb/PICAT/oAl DESTRUCTION DATE: p' ADDRESS: D Miscellaneous D Commercial ~sidential DNew D Addition D Renovation D Revision _ INDEX OF DRAWINGS SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-]) (ex: Floor Plan) I. JMs~ Pt.,4t--1 _f<..all iI-II-ol E,..T12.j -S/Cr-N 2. 3. 4. 5. 6. 7 8. 9. 10. II. ]2. t3. 14. 15. 16. ]7 ]8. 19. 20. S:IPlanninglFile Iists.fiIe procednreslProcedureslFlLlNG PROCEDURES\p&z TITLE FORM. doc