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1.3 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: ---.:t -I 0 - oLoo"""1 PCN oR"'lf"'-l./-S-11~o1-ooo- oofo PROJECT # M (lis. P ool. - 0 r i' PROJECT NAME: UNITE}) L )A;j PROJECT TYPE: IV\. lIJo~ Vn"h.IF-l~no IV s;.'T'- ADDRESS: ~r.,OO1'/ArJ'nI.lM (S"'~l> ~ommercial D Residential D New STATUS: Afl(lI-o-..{e.D , STATUS DATE: 4-- 30 --'-.oc.>2.. fMJ{ DESTRUCTION DATE: ;.J D Miscellaneons D Addition D Renovation D Revision _ INDEX OF DRAWINGS SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. pz... ~""'.M"'''' 3 - ;lJJ - ,;u)O "l- 2. C o.J.s..s.p /V v- 0 ~ 12.... ,oAr. i= ( 3. 4. 5. 6. 7 8. 9. 10. II. 12. 13. 14. IS. 16. 17 18. 19. 20. S:IPlanninglFile lists.fiIe procedures\PrncedureslFIL1NG PROCEDURESlp&z TITLE FORM.doc