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PLANS (TRB)
CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 4~ ~,!.~Y PCN O,t. 43-'/J':- 17 - 00 - poc./- cJd(, d STATUS: Apf.1tlc>c1l. b - TtetfJ , PROJECT # 5Pvtl l"' ~, PROJECT NAME: tLl-Ac..f- Sl-l-oPI7~~ o\=. t50j.&JTli.J STATUS DATE: of',17-/?f''1 PROJECT TYPE:~\TL. fl.-AN r\1 e.l>Ll=1 cA.."'Mol\.J DESTRUCTION DATE: tV ADDRESS: 22.-(2- N (!..b,..J~~ tf-v€- ~ommercial 0 Residential ~w o Miscellaneous o Addition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. l-<<Clf"r 2. \- b "*-3 3. L,4l4r-L. 4. l,4 2.-F 2..- 5. St'I- SoP to 6. SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) _&VI#..Jfr- ANt:> ~IIAG-L !.iJA-1""EL S~~'te:tl1 \.-A ""t)SC.A II, ~ c.- \l.. S I"'t"~ f>tA-~..s 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