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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: (, - (Nt. 01..00 1 PROJECT # HI fll.J {:J 0:2 - 0 ,,-/ PROJECT NAME: ,8A-f'S IE#! Pt.€. PROJECT TYPE: f/1rtVoR.. /lJoDIF/Cfl-r1orJ J7l. ~N' PCN O~- -</-3 - <lJ~ 3 3 - 00 - ()Oo- /~ '10 STATUS: Af1f'~ vc: ,~ r STATUS DATE: o~ -1(' ~oocL DESTRUCTION DATE: ,rL./ ADDRESS: ~f it / fl7f AvE:. , o Miscellaneous o Commercial o Residential o New o Addition [31ienovation 0 Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. S{J(o~L SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) f2.E.V 2-- ~ 1 _0'2- G- t:>D "BASKETeAt-L. 1- Vot.t.l J6'AL(.. (Clc)tLrJ ) ./ 2. 3. CP2- S. rAV\'\ P .3 ~ (. .:Lo-v 2..) 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc