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PROJECT # ll{ Ill!;, j'Y '12- 00 7 STATUS: PROJECT NAME: CiJA10jUVl1 rAt<k STATUS DATE: 02.-0li--('{'IL- { ., ./J PROJECT TYPE: \~" J 0.<2- Vl-lo'<:>i l=-ClL.',,",T' u,0 \(Tl Vt.A-N DESTRUCTION DATE: DATE: /D - ,2'1- J{cc ( , ADDRESS: ~ 01 '-\-9 ~ommercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 17. 18. 19. 23 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN ,A ffullcb /\/ D Residential [] New D Addition D Miscellaneous D Renovation [3'iievision 4cc.c-,,~A,s..LC \FL.",- \:L2v SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) S,-rL PI..,4N' 'ho;.VE-LoP"'-CNT fl..A-N -fA-\) {NCr- A!..Nr. hI>' lN~~ bL~lL..S. S. r'rt.. (J LA-'V k.c .. /.i "\ . 20. S:\Planning\File lists.file procednres\Procednres\FILING PROCEDURES\p&z TITLE FORM.doc