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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: V(..R5...u,07 PCN c?J- -'/.3- "I~-:..2/- tJ60 -co - .30.20 PROJECT # IV! fir s,o 0 (- 0 3cf STATUS: 14- ff~" Lt:::. F!f,..\ COAl.r me~\C.AL I PROJECT NAME\2u~T G-- JoA... ~I2K{/IJ &- her J STATUS DATE: 6 S. ~ 1- ..:un, , PROJECT TYPE: lYt'l'Jol2.. \'V\O~\FlC.A-no0 SIlL PLA,v DESTRUCTION DATE: ",1 ADDRESS: l Soo l-+\(r\.\ R\."t:\(,..E- K..:b ~ommercial o Miscellaneous o Residential o Addition 0 Renovation [f}'!{evision o New INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) bEt'll ot...l":no t-..) <; \TL ft...AN ~ IrE- Pi-A.".) l. I 2. -3 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. f 2- S. TMt\.f1 s- - I c.. - ~OO( 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc