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CITY OF BOYNTON BEACH PLANNING & ZONING IV TITLE FORM DATE: "'f-Il-..t.ool PROJECT # 1\lIAJS P 02-0\,-\- PROJECT NAME:_l'Y\v R.A,J 0 ~""';I PROJECT TYPE: Nt::.W ~ In.. fLAN ADDRESS: 1'-/-2..0 N 1=E-~l- \-h()~ D Commercial [3'Residential G'New PCN 6 <(-4--"3. <+5"- 22-- t+\ - "'0 2.--0 00 <l STATUS: -lfJ peo v ED - c:c- STATUS DATE: 10-,5 -.too~ DESTRUCTION DATE: tJ D Miscellaneous D Addition D Renovation D Revision INDEX OF DR.\ WINGS: SHEET # SHEET TITLE (pLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) j:> 2- s:rlrltl P q -.;!. <l,; - ~cro "1.- 20. S:IPlanninglFile lists.fiIe procedureslProcedureslFlLING PROCEDURESlp&z TITLE FORM.doc