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--.(y CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: ~ ~ I"" ~ l..tr-o y PCN 0 " . ""~ . c.I ( ~ 1(" w z.'. 00 <<:) w 0 (c. 0 PROJECT# r\\MSP 6'"\-cz:!t;s;t \lO STATUS: Ape tf.cUE,l:> PROJECT NAME: U)A~,e.. (f\.P.ttJft.(,.lXV\Ul"'l PROJECT TYPE: IV\....J....L M.oO~J;:'"'tA;r'lDt\J ~,TL-fLA.v ADDRESS: ~';I I HbtH. Til.,A I~ ~ STATUS DATE: O~-2S.~t DESTRUCTION DATE: ,J o Miscellaneous G('Commercial o Residential D New ~ Addition 0 Renovation 0 Revision_ 1> ~ I ~ ~ \....0 T" INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) dN~ S If(...(.. r L.. - t hANl::> S c..AP t N'-- ~tl'" s"T12-t.t.c.. T"l ClU ~\A...I W 1. lot: (. 2. ~ c>F-~ 6 v(l.\I~ S~~ Cot\) S. fl.A.Ctlot'-l 1':>E 1",4,.1 Lot - ~ Cl t\I~ ~AAl>,fV c;.. ~'j) bUr.t.J.A-li-L Pc...AAJ ~ttV A c,...l. 4f2.e,.4..-S &\I{l..c) €. ~ .r H-Ocu ~ N 0- ?.t.o Po cs.E:b ~ I:> \ '- 'P a...t..J.c ~ A.1 C.r- PLS-ok+\p '3 .2, . ~ 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc