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DATE: 1. /D -~d 7 PROJECT # MrnSp 6</.",\ PROJECT NAME: ~ E..'f-rc..1.- PROJECT TYPE: ft\1 kIna.. (no?:>,!" .rLnol'J C1n:..ft..a..v ADDRESS: ~Il( LV OC-E.A->..J AvE- 8'Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) I. T-I 2. A- ( 3. 4- 2...- ( 4. A- '0 II. 12. 13. 14. 15. 16. 17. 18. 19. CITY OF BOYNTON BEACH PLANNING & ZONING IS" TITLE FORM PCN o~'43-4 S...2-1r.. 00"000- 3o~", STATUS: ~!t(Jftlo\Jl.-b STATUS DATE: "1.. 0 '1'~oo't DESTRUCTION DATE: f,/ o Miscellaneous D Residential 0' Addition D Renovation D Revision_ A 1V'fUINA lE4"'P""5...r CA('JrN...r DNew iD<J" SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) Cove:.e.- J~H .- S,.~ P'-AIJ aa"" ~o LoJb Pt.A,v \';;u.Je.l2.....- tl...E-V A'\I.o rJ W-p.~TEl2- L-EA S L ~ <'fL, ~"T7'.\1- 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc