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PLANS
PROJECT # /ll/Mt2 t:Jr}- C17~ PROJECT NAME: 02100 fI/c../f K,lJ?-E ,;(i PROJECT TYPE: /Il/NOK !I1oofPfCl'fno)/ J:re: ~,v DATE: ADDRESS: CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM t -rf- o<orJ7 , PCN Ot'. +? - 4.['/(. - tJtl- (JOb - 30<1/ STATUS: ,4-/fJiloV&-.r) , STATUS DATE: /.1 ."go - 0<.00 0 DESTRUCTION DATE: IV 021(JO H/rr-H ;:::fD6E ED o Miscellaneous ~novation 0 Revision ~mmercial o Residential o New o Addition INDEX OF DRAWINGS, SHEET # (ex: Sheet A-I) L /O( 2. +<1 3. 4. 5. 6. 7 8. 9. 10. 11 12. 13. 14. 15. 16. 17 18. 19 SHEET TITLE (pLEASE PRINT LEGIBLY) (ex: Floor Plan) J In. t1...4J1/ 126m/MIlIv- LvIJ-U_ !ECrtcuw 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc