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DATE: 1-1'1- .,:(001 PROJECT # ~.s.f'/It qS-OOt'CCOLoI2..<:'~V STATUS: PROJECT NAME:_~WlA-lJo~ ~M.oIJ! ~LL PROJECT TYPE: Jv1~TE.C:!.. rl,.A..l mODIFlCA-rtofJ (~o I CotJ~ AvE- INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) -:::-t-t.o...., 1..L..a\JAiloN iZE-~ EL.E:-UA-T1oN Rlc_wr EL..€-vA-llo tJ L-c.F-r E.L!!...\JA-rtofJ ADDRESS: ~ommerCial 1. 0\ 2. 01 3. 02- 4. 02- 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN O'6'.<-I-.~-4~-I"l_14-Coo-oo'f-e;, tr-fPlUv D:> STATUS DATE: 01 -(b-( '\~(,. DESTRUCTION DATE: tV o Miscellaneous o Residential o New o Addition o Renovation o Revision 20. S:IPlanninglFile lists.fiIe procednreslProcednres\FlLING PROCEDURESlp&z TITLE FORM.doc