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PLANS
/ ,/' DATE: /&1 ~ '1 . PROJECT # , ezk 4'-TL- /7-U-<--/;&.a~:f7 ~y- (,da.. ?U'-~.-,{~rv'.J CITY OF BOYNTON BEACH PLANNING & ZONING 2.3 TITLE FORM ~O""l I(;/j PCN STATUS: IlPfJ~VL() PROJECT NAME: bYIVTVIJ Ci/J1/J1EO?E t'hu r~/c- STATUS DATE: d<<-o0~-/?72- DESTRUCTION DATE: IV PROJECT TYPE: ).>41../",\ (11Ft:- f'ItAN6-iiJ' ADDRESS: ~rnrnercial o Residential o Miscellaneons o Addition 0 Renovation ld'Revision _ o New INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. ~f-I 2.~ 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. i-..AtfD s. cAPe., PI ~ _1e.l2...lG-Ano.v PL.N\J 20. S:\Planning\File lists. file procednres\Procednres\F1LING PROCEDURES\p&z TITLE FORM.doc