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PLANS DATE: 3 ""';1- Ol.uz; y ~(, CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN iwuOt.l ~ PROJECT # ,4-AJE-'I-- 6 ~, () 03 PROJECT NAME: (; ClI-FSrrlEM1 6MbbA.)(' PROJECT TYPE: ANe.'l-A Tl () tJ . ADDRESS: STATUS: lA6Le'D - CC-- STATUS DATE: If. -<I'~c( DESTRUCTION DATE: N o Miscellaneous o Commercial o New INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1.ot: 2-- 2. O~ 2- 3. Sf-I 4. C t1 r \ s. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ~esidential o Addition 0 Renovation 0 Revision _ SHEET TITLE (PLEASE PRINT LEGffiL Y) (ex: Floor Plan) ~C>IJ.N l>~ prtJ7:> 10 p~ ~ () (l.iI ~ I( 2 - -tc.. - ..ux.<-\ 2-- 1-<0 ..... ~.., " L' ~A-s.~ ('t..A-rJ L-lV \ '- w.~rB-lZ- (/L..A-IV .s.Cl-L ~ -.L&(-o,\ 20. S:\Planning\File lists.me procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc