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PLANS DATE: /J, 3. ~o7 PROJECT # (!OtlS 9~,o()G, PROJECT NAME:JEAIll ,4urtJ ~1Vr:e& PROJECT TYPE: abA/./) tlloAl AL <<oJ e.- ADDRESS: ioS- AI ~A.)6-lLcS..r AvL-- INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) t3oVCL. -JrfErr Sf"'-€' ~ ...G T e.. /)E::r R (1-5 ttJA-rC~ S 'fJr&t CuA-"("C.L be/Ill U Jcr.vcrL UrAIl..! ~IIttVCr , o(A))/AlCr, UAtMJ.~~ " J1}fI.Ib4~i> ))cTI4IL..( , IfN i>ScI/JfE. 174M' --Gllc JIIIlJI~ i1Lo r /Jl-f'M/ Fl.-~ 1'L.;fw' /11,4 rc:It../l4 L- ..Jc.H-E-C> (/U -- ~ . , opo v t'LV (. l' ;;,00 .s II~II L.-'f ...... ~~lnerciai 1. I uF-f I 2. f op ~ 3. 2CJFPr 4. ..30,::.1 5. 4.:,P- ~ 6. S.F V 7. ~ 0':: ~ 8. 7.> ,:z-y 9. K-aJZf' 10. t cJp. I 11. /0 PI . 12. A-.r 13. ;:1-2- 14. (11.-( 15. t" .1 , 16. 17. 18. 19. 2-4 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN of. 43 -If.J~ /1- OJ: 0/7- 002..0 STATUS: AI'r'4VLi> , STATUS DATE: 01-10 -11 ?S DESTRUCTION DATE: tt/ o Miscellaneous o Residential ~ o Addition 0 Renovation 0 Revision 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc