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cfS- CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: .3.~- ~ PCN Oy..j.J. <lI- -30 -0(_ cJO'(-OCl/O PROJECT # tn IIfSf' ,,<{ _ 0,,/ 0 PROJECT NAME:p P ,4mc. c.o PROJECT TYPE: tn (wort... /11.. 0 S (T E.- f'L,4.v STATUS: A",p.e.t. v' L \) STATUS DATE: ~,;k - 4Jo'd DESTRUCTION DATE: tv' ADDRESS: ,-3.s{b W '8oij.,J~A..) R~( ,f]LV o Miscellaneous ~ommercial o Residential o New o Addition 0 Renovation [3"Revision R<<.(wll."'.....v- INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) I-",~\ SHEET TITLE <PLEASE PRINT LEGIBLY) (ex: Floor Plan) ~'I,.,.,..c.-€.. A ~ rT'L 'D,t,4;., NA-(r.L i-~AJ {J'L S-rA1t\ P ~"L7.c,<f 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. IS. 16. 17. 18. 19. 20. S:\PlanningIFile lists.fiIe procedureslProcedureslFlLlNG PROCEDURESlp&z TITLE FORM.doc