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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING DATE: 1~ ?>t ~~O"'., TITLE FORM PCN or- ~3- ~~ 01-- :3.z~ oc:Y,ooov PROJECT # Mm~p 0 3 -of '{ STATUS: AfJfk30 I/UJ . PROJECT NAME:-.J).4Ke;rA- Lo~,.$ STATUS DATE: 0,"-03, LDa,3 PROJECT TYPE: WI/NolL I(nODt+=-~ c.,A-r( oN s: lIe (l,A./V DESTRUCTION DATE: 1J ADDRESS: ,~(b ~ FE l>€--AA <- l...(..w.j D Commercial GrResidential o New D Miscellaneous D Addition D Renovation c;rRevision LcJA I..L INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. 10':; ( 2. --,A::.L- SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) Ifv\.A () 0 F J () (2.\1 f;j b""co((LAT\V L fRH)A-!-j WAU- 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. ]4. 15. ]6. 17. ]8. ]9. 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc