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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 1- jo- ~o '1 PROJECT # JlrE-'f.. (;.J ,..00 1 PROJECT NAME: {! I)t-- i j.J t312A-R. 'j PROJECT TYPE: tie I~I--r CU.GI'T7o,t/ , ADDRESS: c.io r-- J' ..f iA-c.fLC-f T 6/.-11 D PCN ~ r- '-13 - ~o/ J" - u 5"- 0 I' - 0 0/0 STATUS: IffJ;J~ULb _ c c....- STATUS DATE: I~ -It, -~oo 3 DESTRUCTION DATE: ;t/ D Miscellaneous D Commercial D Residential o New D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. It) t;S I 2. Aoo (, ( SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) S,TlIZAN" ~~TI"''- Et-E-li4noNS If (( 3. 4. 5. 6. 7. 8. 9. ]0. II. 12. 13. ]4. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc