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DATE: j- ']'Qoo7 PROJECT # hi rnsl' dJ- 100 PROJECT NAME: ~tf!.J11 E".f Ii1A-LI{(f PROJECT TYPE: /ilIfJ612.. /I1OI>,FfClI-noN !,rL CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN Ot-~-<lJ-;: -<.1-/3 ~ OIZ-OI'lo STATUS: AJ?~eov~';b STATUS DATE: /6 -13 ~ ~oo ~ !t,A/ DESTRUCTION DATE: I\/' ADDRESS: /q-/ to tooot...tlI2J~T ,eb ~ommercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) D Miscellaneous D Residential DNew D Addition D Renovation ~evision _ /!IUP/tt!G- SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) . BOIJI<Il:>A-LZy Jvtellt.1 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEo.URES\p&z TITLE FORM.doc