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DATE: C(/N:;, -~1 CITY OF BOYNTON BEACH PLANNING &WNING lor TITLE FORM PCN e>~.4!.. '-I-~- oS -,~ .000-=/0 PROJECT # t.JkJ~,o q~-ooc.. STATUS: Apl1to\J€.b- Ct:..... , PROJECT NAME:-1--o t:x:.L.c...~ U. ~At2...1:h, 4 ~ L STATUS DATE: 1(-- S'- t'l'f's PROJECT TYPE: h!8u S.'I rL PLAN DESTRUCTION DATE: A/ ADDRESS: ~ommercial 330f "-to '</ TIt- (/L o Miscellaneous INDEX OF DRAWINGS: SHEET # (ex: SheelA-I) 1. LJI ()~ 1\ 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. o Rcsidential o New o Addition o Renovation 0 Revision _ SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 2~t:> (2E\) P")"'-~Tk<<.f' l-I[-L.,..t~ 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc