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CITY OF BOYNTON BEACH PLANNING & ZONING o?y TITLE FORM DATE: 1(- .r;. ,( 00 7 PCN Or-13- LfJ. 31-17- tJO.l- <<)00 PROJECT # ('off.! o/-oc/l STATUS: ,fh?~lILD I STATUS DATE: tJ.)-oS '~2... DESTRUCTION DATE: N PROJECT NAME: fI~o~U!>t</~T /JLA2./f PROJECT TYPE: (1" tV ~ n oAJ/rL t;.J i: ADDRESS: If. 0 ( .{' (!(}IV~&.rS livE- o Miscellaneous [d"Commercial o Residential [3-New o Addition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) &;UJIZ- J I~ pt--,A-II/ 20. S:IPlanninglFile Iists.fiIe procednreslProcedureslF1L1NG PROCEDURESlp&z TITLE FORM.doc