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PLANS
-.<6 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 3-.5- ~Y PCN () 'is . t3- L/ ~ ~ 33' _to - QeJe) -Oo( D STATUS: /r~P/.()v[.:b ~~TATUS DATE: PROJECT # rnm.r (J 0 <1- 00 y PROJECT NAME: 131Z71f6IT)4- UCtlI' t1.eP{.IUCr- PROJECT TYPE: _1'\I.<f\Jol2.. r1\.oC> ~ (rt.- H.4N ~f!A.qLS..t1 J1.';,~ ADDRESS: ~lr(<;; s;. \ ~f~tlAL- 9 ~ommercial 0 Residential 0 New DESTRUCTION DATE: & -j. ~'1 ,J o Miscellaneous o Addition o Renovation G1levision _ 'VA.a.\OI.U> S l ~< ft.A-N Cll-~ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1. <-::,(J t. I f2- s',MtLP 1- 3'" - 2-o-t>'t 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. IS. 16. 17. 18. 19. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc