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cY3 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN O~. '-t:). '-1-(..- 0'+ - 0<./ - 00'!-6020 DATE: 10- ~o ~)c'1 PROJECT # In r\'\ S. (' Cj 1- DOS STATUS: Appt?..ovU:::> , PROJECTNAME:_~f>c4cS ~L-K STATUS DATE: 12-12--(~CI( \ PROJECT TYPE:tr!,I\.)oR.. m"DIFICAlloN Sill f;.A",1 DESTRUCTION DATE: N ADDRESS: 3{,~2- ~ SEAc(lEs.-r OL-V.l:> D Commercial D Miscellaneous D Residential DNew D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) c.LC-VA-noN S:f\-O<0l~(r Vlt"t:::,d:::lCA-l(O.'-J~ ~ ___ (\. I{ =+-mIL L\.-f' vA-lI eNS. Ol.-D 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc