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CITY OF BOYNTON BEACH PLANNING & WNING 33 TITLE FORM DATE: to> -..:lo -~"<f1 PCN Ol-.t.j - '-I-~~/:2 -Ie. - ODD -1/00 PROJECT # '" pm b 1>0 - 0 oS'" PROJECT NAME: Lw.)(U!./.xJ: (J4.a PROJECT TYPE: WIA'-n=~ t'...w (n"rI.<=.rA-\lo('l STATUS: AfJf14vL/) STATUS DATE: 0'/- f9~.J?.Qo c1 DESTRUCTION DATE: ~ ADDRESS: lkt>~ fV'.A.~~T" L/-J o Commercial ~idential 0 New o Miscellaneous o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGmL Y) (ex: Sheet A-I) (ex: Floor PIID) p 2.. 'S. i)I\--W\ f '1 - l.. ~ - .;Loo cJ Pu M € l\ \ ~ \ T (. P <.AN tt:lo.lUf" f'I t-l te- P*A.U \II .s:. T"€- fvM.; - ORIC...LAJA.I_ 20. S:\PllnninglFilelista.flle procedar..\Proeedur..\FILING PROCEDURES\p&z TITLE FORM.doe