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DATE: --=I~ 12 - ..:t.oo 1 Ic.f CITY OF BOYNTON BEACH PLANNING & WNING TITLE FORM PCN oJ'. '-19. 4S~I7- tJO. (Jo'f- t7r17d STATUS: ,4,o,o~IILD STATUS DATE: 3.~.fl. 11'1.3 DESTRUCTION DATE: ,~ . PROJECT # Cou.l 1"\'\3 PROJECT NAME:fi I-I-Q ~o,\ c..J..L. PROJECT TYPE: G,~blT'lIl~A:1.. UtE.. ADDRESS: ~1,r IV r!o,J~e.s.s Avt.- ~ommercial 0 Residential ~ew o MiliCellaneous o Addition 0 Renovation 0 Revision INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Ploo) Cc-.JtrLPr I-CJ.. Pl.-A.":> Il..rIH:1-rltJ c,- 1:>1<:'17>. II.. .r 1~lf..FI9' 12.!VlaEJ:> (2. 3o-('l'l~ R.E'J.S.~'l> II.- ~'" -1't'l3 20. S:lPlooologIFilelistli.file pro..dur..lPro.....r..\FILING PROCEDURESlp&z TITLE FORM.do.