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PLANS
CITY OF BOYNTON BEACH PLANNING & WNING TITLE FORM DATE: 4- ~~ 0rv ~ PROJECT # ~s f t1'\ 0 &--- 00 ~ PROJECT NAME: ..s-UtvS ttlN €.. ~\lA-~ L PROJECT TYPE: jY\A~~ ~rrL.. (LA-I\,) fh,:c PCN Cl-. 1/3. c.{.J.. 33. () () - ()(}(J - /0/0 STATUS: !l;;;;eovLi::,.. c c..- STATUS DATE: .~ -( SI. ~ r DESTRUCTION DATE: fi/ ADDRESS: ~mmerCial ~ I C kJOVL-8t<.ICrl;+1 Kl:> D Miscellaneous D Residential D Addition ~enovation D Revision_ A-bb uJl..,vE-!;.U\ RG.sTJ'c"I.~A"i, A- bt:> ~A-V'<' SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) DNew INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1~ .p- , C-ot..otQ... E~vknov P2---- S,A-nt-P ...2.. -Ce - ~ f" 2. \-3fQ~~1 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File lists.fIle procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc