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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING c:<S TITLE FORM PROJECT # L- VA R..... 03.- be"; PCN 08;.4-3- "f 5- 31-~ ,.()ni- Oc:rtl , STATUS: -A. p(JI!{).,'/ f-S::> DATE: /I-/j .J{oo1 PROJECT NAME: (" 2:>c ~rz-A 0 () STATUS DATE: O"i- 0 ~.. ~-v_?, PROJECT TYPE: ~4~t> Us.t: h'\'=-IU\~:"M~\J-r c, QC2v"-,,u(,-DESTRUCTION DATE: 'tJ ADDRESS: LOUt0rl2-j LAKL~\1- D Commercial ~esidential ~ew D Miscellaneous D Addition D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 11AAS. \"E-12- 'De.VfL.oft'\'\.fN' fL-A-N ~~ 23-0---3 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc