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PLANS
DATE: Ie - It) -.;tOOI CITY OF BOYNTON BEACH PLANNING & ZONING 22... TITLE FORM PCN (') I< - 't '6 - '-I 5 -[ c/_ {~- 601- 0000 PROJECT# S.i3m.p q/.e-Oc:> \ STATUS:~PP~v<:b 'J'(I PROJECTNAME;-r-so'ft0To~'3,,,v~GNI~ STATUS DATE: 5:-11-1111 PROJECT TYPE: ~1,(.q,'D1l1J1IOrJ /li\.4-S.TcR- fL-A,J DESTRUCTION DATE: tJ ~ommercial ADDRESS: ")25 10 LorJr,-ffc.s. .Av s- D Miscellaneous o Residential [2(New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) ?'R-'b 12-<=-0,<; LU 2-fIj ,::,. Q.c. \J \ ~ '-'-- P2- .t~p /l-2J.--l"t"(Ce(,,&U: Ji{.t0>.) " C' Cl.::l'\.~l"{C(l" , 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TlTLE FORM.doc