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.J--S CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 3-+ krv r PCN b~- C+~ -~~ - L9.- u -000 -0030 PROJECT # nt~::. I' 0,-\,01. if PROJECT NAME:,At<.&f-S PROJECT TYPE: M,~ooL (\tot::. C;:,d ft.-AN ADDRESS: 1.;1.4-0 OCb t:?:.o'l-.n-tlN /(l> ~mmercial D Residential D New STATUS: A-PP/2.0V~b , STATUS DATE: C>.. _0(" -..u,oi DESTRUCTION DATE: 'f'-l D Addition D Miscellaneous D Renovation ~evision_ h.A""l;:>Se,Ad'L It-cb INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) I.-~ o'F~ t>"2-- S-.-AfV\.P (., - 2- S. 2..01> 'f 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. IS. 16. 17. 18. 19. 20. S:\PlanninglFile lists.file procednreslProcedureslFILING PROCEDURESlp&z TITLE FORM.doc