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12e. F Il-~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: -A- 1. ~'t PROJECT # Nwsf 0 lo - 0 \ Y PROJECT NAME:J<e b Loe~r~ PROJECT TYPE: _Ni::.t.u <; (T~ fLA-tV ADDRESS: ~~~ (Et..1t:1.IL OaT ~mmercial D Residential ~ PCN 0 &--. 4 ~,c..( S ... 2-0 - z.~ - 00:>.. ()O Zo STATUS: Apluv€J::> _C-L STATUS DATE: /0 - 3. l-trbCo DESTRUCTION DATE: N Lr 3 D Miscellaneous D Addition D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. ./",::.-( SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) &'l-o~ ~~e(.L t I\.,) V- 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc