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c!r3 CITY OF BOYNTON BEACH PLANNING & WNING TITLE FORM DATE: c. - \"(- 2-D"7 PCN tlf- 43 _ c/f....:J.2~ os- 00'1' ~o2.o PROJECT # 1\l1V 5;. f' 0 z. - 0 2..3 PROJECT NAME:JArrlPTbfJ G,vl2-r- PROJECT TYPE: g I'1i. fl.,4-rJ STATUS: :Dlw,~.bU4b B.,~(') STATUS DATE: /-ol.l-.2oCJ.3 DESTRUCTION DATE: J./ ADDRESS: c::;r(~idential D Miscellaneous D Commercial ~ew o Addition 0 Renovation 0 Revision INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sbeet A-I) (e.: Floor Plan) I. JoF\ C6....c..~9nlA-l- ~fl (.,-1/(-0.... 1. 1-.;l..~.I"~ J. Jof I P2... 'S.-rAWI-C> 1-\<'\'-.2..0,,3 2",;:::. ee..v Qt;III.!..;;.J:> C-H_oL clA..VkllatJ 4. 5. 6. 7. 8. 9. 10. II. 11. IJ. 14. 15. 16. 17 18. 19. 10. S:\PlanninelFilelim.llIe procedIJr..\Procedur..\FILlNG PROCEDURES\p&z TITLE FORM.doc