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DATE: 10-/<.0 -~r PROJECT # (' 0 C{ '- I "( '7 0 PROJECT NAME: A &- At? <=- ~I t') l-t ~ ul'Ci-i / PROJECT TYPE: Cc>"'J::>lltOr-JA-L USE- CITY OF BOYNTON BEACH PLANNING & ZONING 2"- TITLE FORM PCN 06"-<-J.:'>"Lf{., D4--n- IJOo. O<j7D STATUS: ~4 f?r'.Lo IIU:> -CL-. STATUS DATE: 6)-1(. -('1'10 DESTRUCTION DATE: N1 ADDRESS: ?D-+Cj Oi-D Pi 'l-t~ \-\W.':l o Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) o Miscellaneous o Residential o New o Addition 0 Renovation 0 Revision SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) ~l~~ R4~ \ i.-ArJDS;C'-<t'€- 1)c<AII--I.[ ';t't-L-' "'" . .... SctUC(L LAr-J 4l1D 'DE-\A-tL~ f, l\J (.- AN(:> 1:>r2A"V."0-L p.. Q S-1G-1V-<c<rF [ q - [C{'(e <"T~ Pi-AN hMvDse-A(lL DCIAILS.l s.p~c-<;. <;'(){LV~j b-n-" 11-2.-L'-\<(&-07 \ . / ('At?> <;'II.-N- off- I - it - l <('Ie 20. S:\Planning\File fists.file procedures\Procedures\FILING PROCED-URES\p&z TITLE FORM.doc