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CITY OF BOYNTON BEACH PLANNING & ZONING dS TITLE FORM DATE: 11- 2-0- 2..oc, PCN 6&-i..f3' *<0 - oS. o~...u()O -701/ PROJECT # _LvACL 02- -()(j"2.- STATUS: A (J(Juv6j/ { PROJECT NAME:... <:~l-n"f\ CO}')b-e...~S;'<;. ~P.s..I(kiVTI AL STATUS DATE: Ol- ~- 2"0'3 PROJECT TYPE: ha-Nb ~S.c ~\ib \ ec2...IN((\Jc.r- DESTRUCTION DATE: ,..; ADDRESS: ~ III" 0 Miscellanenu' o Commercial ~esidential 0 New 0 Addition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. JoF-l SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) "Pe>c.. -:r/l..oP~" f' t2..A-l S Ee..... I A~ ~p Sul'\J~ j OF --PtU>Pc-~Tj l- D?r Leo I o ~ - 01. - 2- 00 '"}.../ SCANNED APR 1 5 2008 MMA(~IN(" , ,;.g" ~ 14. 15. 16. 17. 18. 19. 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc