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CITY OF BOYNTON BEACH PLANNING AND ZONING o<.f TITLE FORM DATE -+"I~ .ol,ooCp PROJECT NAME <;.,Jo.si::()d ~ PROJECT TYPE: CCf-lbIT](,tJAL U.tC-. PCN 01\... '\-:1....<" <J C;:.. 60 -oc'o -/<)'-10 STATUS: A p(Ji2.0u~ ( STATUS DATE: Io-I~ --{'t "15 PROJECT # OocU q:5" -00,+ DESTRUCTION DATE: 1./ ADDRESS 3 ~oa S s,€ ~.sl BWD o Commercial o Residential o New o Miscellaneons ~ddition 0 Renovation 0 Revision e t-AS;,t Q."" '''f\ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. A- - ,). , 11-'-1 SHEET TITLE <PLEASE PRINT LEGmL Y) (ex: Floor Plan) fLE.VA--TlcNS... (i..(H..oQ. .{U{E:u()LL k\13~Mj t;:.L.~VA-n.I\H" (!OL-o{L.l:r l-4$iJIIL~ 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. S:\Development\P&Z\P & Z Title Form for outsoureing.doc