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CITY OF BOYNTON BEACH PLANNING & ZONING df TITLE FORM DATE: P -J'~7 PCN (}!-t/3-~-Lo-"2.. -()OL .0/30 PROJECT # jl}JflM 1./-003 STATUS: .b~VcD -cc- PROJECT NAME: r(1l>6-f~ 11.1."'''A~Nrr- STATUS DATE: //-0 t./--('?1 J/ PROJECT TYPE: J1Yt..1O/l- J,lL &AJ /l!"Z>rFtCI'4-f7()# DESTRUCTION DATE: ;V ADDRESS: ~ t/-o t3 INO(/Ji/l./I1-L AvL 0 Miscellaneous o Commercial o Residential o New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) ;;AUJ/J... F~Etl4r7o.u 20. S:IPlanninglFile lists.fiIe procedureslProcedureslFILING PROCEDURESlp&z TITLE FORM.doc