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DATE: %"- 22._ ~crl PROJECT # nAW\s.p 03-C)\~ PROJECT NAME: <S;.'('r\--fL..~ PROJECT TYPE: M'U:.L y)\Oi:>lr-\C4-'t"(~ ~Tf PI..,,4.I\J CITY OF BOYNTON BEACH PLANNING & ZONING tY TITLE FORM PCN 0&--<13-1-$- 2_c=r...1t~O()S-dOl~ STATUS: Aw/-tJ"~ STATUS DATE: l>?> -L',-<..cro~ DESTRUCTION DATE: N' ADDRESS: IS40 ~cv ~n+- ~-r D Residential o Miscellaneous D Renovation 0' Revision ~ lrL ('"Ao>J h~A- ~mmercial o New D Addition INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) (1o\Sc.a- S. HGc...- GE ~ i:.AA l- f'J (),.. '- So ~ lIT PL-A-I\I =F t..t2- ft. ArJ fLr2- f; Nl.~~ fc...4N pz-.s.. c;A-w\.,o ~-~ - ~~ 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc