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olS CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: _11- 2.0- ~l PCN o~- - If ~ - LIe". (: lj - (7 - 000 - 0l{<{-O PROJECT# --?l1l.1E:.--L D2..-0U\ STATUS: A {JP&yJ f- b PROJECT NAME: c..K~ STATUS DATE: 0 s-. ';>"1 - ;loo L PROJECT TYPE: AtJt0E-LAllnN f ADDRESS: 1\Jf.A DESTRUCTION DATE: rJ o Miscellaneous dCommercial o Residential o New o Addition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 'M..A" o~ ~"lV~Lj cSULV(..::J SCANNED APR 1 5 200R IMAGING (c~IS"' 2..0-0 ( 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc