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PLANS
q;? CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: f-ol/l-' ~ PROJECT # /I1/J1J ~ 0 '-1-101.. t/ PROJECT NAME: Jr /lfJel('J' PROJECT TYPE: df/A!o!l. /l1Ol)IFIC4r~.,,) 0r<€. ~ PCN tlf.~3, "/{. R:J_ CJJ~ (JOb - 01,)'70 ~~~~Vcf.P I STATUS: STATUS DATE: /.1,7'o4n.y , DESTRUCTION DATE: /I/' ADDRESS: t 1/3 /lJe- ~r# ~C- D Commercial D Residential DNew D Miscellaneous D Addition D Renovation 0Revision/~~ ~V/t.I '" I//' INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1,- ~o;:::J Pl- SrA-dff/ I.!. 3~~~ 2. 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