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PLANS ~~~~~ ~~ CITY OF BOYNTON BEACH PLANNING & ZONING 23 PROJECT # S. l' l '1 j; ~ ---DB Ui_<~(2_\~...-\--ri'-.;~ CT,;~ - PROJECT NAME: \AP-C- LuAf.C~\1 ot.( "<' ~ PROJECT TYPE: N Fe \AJ (, \ ;- ( fi. Ar\J TITLE FORM PCN c l' ,tj rei): j(P ,,?j:. iCi- (-lIfe STATUS: *ff'cv~i> DATE: Ie ... /1 j(>c' 7 \. fl'-'\i~ STATUS DATE: G &-'-11-1 H'} DESTRUCTION DATE: tvl ADDRESS: (teo (( I II'! "''''- \,.(\'L1A L 1 {JA~! o Miscellaneous O.Commercial o Residential Gi'/ew o Addition 0 Renovation 0 Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) S(r~/UI,J - fll'l'/2.rJrLD 17. 18. 19. 20. S:\Planning\File Iists.fiIe procednres\Procednres\FILlNG PROCEDURES\p&z TITLE FORM.doc