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o?~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 3.11- c2trPY PROJECT # t1/1It.{f!J tJ'f-/.:l.c" PROJECT NAME: (1ArI'l~LIfAIC.A ~ PROJECT TYPE: ()1n.Jd.e /liD?::> JrL. /t,tV ADDRESS: ff'J' W &cfl\.JTZllI.I ~fi ~'-VD PCN 01- 4.3, W~-02o-d?r- oo9-oLCJ,co STATUS: A~ STATUS DATE: /")'-/3-~oC)</ DESTRUCTION DATE: /V o Commercial c:!I1fesidential o New o Miscellaneous o Addition GrRenovation 0 Revision _ /JIaut d! Ptl r I ("-'tI" INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGffiL Y) (ex: Sheet A-I) (ex: Floor Plan) 1. In=- I 12-.1T1t-ffl. P /.l- ~ . ~y ...J-~ 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:IPlanninglFile lists.fIIe procednreslProcedures\FILING PROCEDURES\p&z TITLE FORM.doc