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DATE: If}- ~J--02,~C''l PROJECT # M ffN /' C; d - Dr;,y PROJECT NAME: /!ilfJ ii'l2,J Rl/lvl PROJECT TYPE: I1mEAlDrllfPT (0 -J", ADDRESS: /-1.5' &UTOL LIv' o Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 12. 13. 14. IS. 16. 17. 18. 19. CITY OF BOYNTON BEACH PLANNING & ZONING c:{J3 TITLE FORM PCN STATUS: ;/t1/~II( D - 114/1/ STATUS DATE: cHI- .1./ - /'1'12 DESTRUCTION DATE: 11/ o Miscellaneous ~esidential ~ddition 0 Renovation Go <-FC';:Jr2r 6.r'lt2AU- o New o Revision_ SHEET TITLE (PLEASE PRINT LEGIBL Yl (ex: Floor Plan) ((; TE h4<l.J ,JfWtl/fA '6- /liD o/Flr flno"j 20. S:IPlanninglFile Iists.fiIe procedureslProcedureslFILlNG PROCEDURESlp&z TITLE FORM.doc