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PLANS DATE: Co 25 '~c>-r CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN D 6- - t.f 3- tf ~...:( r -32 - 004 - oe02.0 I STATUS: A pPll()\) f:..D PROJECT # 2 N C- ...) 0 3 . O~ '2.- PROJECT NAME: Sc-H-~Ae.S PROJECT TYPE: Zot--H IV t- Cob,G 'V;+e..IANc..E- STATUS DATE: ~-(S" ~ ~trrJ3 DESTRUCTION DATE: ~ ADDRESS: q~ tf 10 nbE.ML ~ lV.j D Miscellaneous INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) ~uUQA.e-~ ~ ~ (;. p~ ~vl4t '-~ ~t'tL (1"'-.410 At4'r/ '1:>E.-,A-1 t- S H-.,ct" \ o Commercial 19. o Residential DNew o Addition 0 Renovation D Revision P 2- oS. TAw. P 2. -'f - Loo ~ 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc