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PROJECT # -.HTE-'I-- 63- 00'2- PROJECT NAME:J'Y\A_l2..ov A -Ke.S.iDEAlCLS PROJECT TYPE: HE-lf...Wr E~c.-E.(?noN ADDRESS: 1'-\~ k)f- \~'r Avl.- DATE: l-~$ -~o '/ D Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 19. CITY OF BOYNTON BEACH PLANNING & ZONING IY TITLE FORM PCN b~- '+ 3_~.IO :t 1- 0 1_ 000- 6370 STATUS: rI(1P~V~D _W::- r STATUS DATE: 64- Ir-~o~3 DESTRUCTION DATE: t../ ~idential o Miscellaneous o Addition D Renovation ~evision _ o New SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) E'L.e-tJATlo~ - A 1)1:) ~ct:- PlAN t2EVl.1E Bu:l(..... Eu=.v'AT(C)1\J 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc