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CITY OF BOYNTON BEACH PLANNING & ZONING <<'3 TITLE FORM DATE: j(. ,0{',2<"('7 PCN PROJECT # ~\ 1\\ ~ (-' C(:2 (..:c_ 'j PROJECT NAME: /I"'/vTE/2J K.tv PROJECT TYPE: /Jh/o~ ()lob,nCAT/oN j,rt /fA,v' ADDRESS: - /~~ r b / (G i {tJ,iVlMID&-i= L../v ) '- ~Sidential STATUS: Ai'!' .&i/ a / STATUS DATE: cd, xc, .t'i?2- DESTRUCTION DATE: D Commercial DNew D Addition D Miscellaneous D Renovation ~evision Eve I)"=N~ ii If 0 INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) Ji rt A4tL/ '..iHOtLf/LIC'- ;110 t~FIOI T/orl/.{ 15. 16. 17. 18. 19. 20. S:IPlanninglFile Iists.file procednreslProcednreslFILlNG PROCEDURESlp&z TITLE FORM.doc