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DATE: Cf-II'.,(,oo1 CITY OF BOYNTON BEACH PLANNING & ZONING 16> TITLE FORM PCN C><(:- L/3 -lf~- 2..2--4-' . ooz... 000e) PROJECT # f\l\msp c>:,- 1zS' STATUS: itPP~VLD I PROJECT NAME:j^I\vf2AtJo '"BAj PROJECT TYPE: MINoa.. W\Ol':>\F\<.A"TlDN ~I'L fl~ STATUS DATE: 0 1-0 ~ ..too"" DESTRUCTION DATE: ,J ADDRESS: 1'-+2.0 10 ~L- tfw~ o Commercial c.1 Residential 0 New INDEX OF DRAWINGS: SHEET # (ex: SheelA-I) I. S(J loF I 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. o Miscellaneous ~ Addition 0 Renovation 0 Revision_ SfI "boW (3ol'-ht>Jcu SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) S,-r~ ft..AI\J ~H<>uJltJ&- Te./'VC-E. ~<A-r<oN.s 20. S:IPlanninglFile lists.fiIe procedureslProcedureslFILlNG PROCEDURESlp&z TITLE FORM.doc