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I~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: ~-I 2- -,",,-001 PCN 08"-.43 - LlS- l'a -((. -00/- OoelO PROJECT # l\)lVs' P q 5 - oo~ PROJECT NAME: SAuSALI'O b-I2-<>IIE-S PROJECT TYPE: ~ I rL flAIJ STATUS: Af'PtlovEb , STATUS DATE: Dc.. -13 -1'1'~ DESTRUCTION DATE: /II ADDRESS: )..Au..J I!..i:-,,-,>CE.. to:, o Miscellaneous D Commercial [J'R'esidential ~w o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. 15. 16. 17 18. 19. 20. S:IPlanninglFile Iists.fiIe procedureslProcedureslFILING PROCEDURESlp&z TITLE FORM.doc