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PLANS DATE: 10-(0' 2.00, CITY OF BOYNTON BEACH PLANNING & ZONING 2.'- TITLE FORM PCN 01.4.... q.S'- 32- 0'4-/2.."- 0000 PROJECT # MMS, P o?> -o;'-L- STATUS: dPflZov EX> . PROJECT NAMEg=itU"T ~l.I~EI2.1V -""B4tJr.( STATUS DATE: O'H2.- .l.oo~ PROJECT TYPE: ~1I"oo2. !nohIFicAno";> ~rn_ ~ DESTRUCTION DATE: IV' ADDRESS: (110 tv t.<JC>t>(..~R..I6Mr .Rp 0 Miscellaneous INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: SheelA-I) (ex: Floor Plan) $;,. ,)14) € J S \to..." IV c- t-.>CA-TlOoJ C "1..00>112.. FI't",l)e.e..Nc:.- ~. <: ~ II @Commercial D Resideutial o New o Addition D Renovation [i Revision "'-1'-i'J 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc