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DATE: "1-((-..:1001 CITY OF BOYNTON BEACH PLANNING & ZONING (Y TITLE FORM PCN 0 &--<+3- J..f $ -~~- 13 - ooG, -0010 PROJECT# mm~P 61-01'1 STATUS: fn/J.-o v€-1::> PROJECT NAME: i'uNI!l.o,o\(: {NIIE-'i,.TI'Y\f.NT..s. PROJECT TYPE: M.l'.lo/t. Yn01:>lFICA'T"(O.J SITL ~4tU STATUS DATE: D~- ~~. -L003 DESTRUCTION DATE: Ai ADDRESS: Olo'f.-d-.-IO ~E.. /2..ffiAvE- Q"tommercial o Miscellaneous o Residential Ea'Revision S:.\ n RAN C~ o New o Addition 0 Renovation INDEX OF DRAWINGS: SHEET # SHEET TITLE (pLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. 1:>t1 - \ 2. 3. 4. 5. 6. 7. 8. 9. lO. I], 12. 13. 14. 15. 16. 17. 18. 19. pz-- s'.A""-P O~ -t"t-.uo3 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc