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PLANS (CC APPVL) ?{ CITY OF BOYNTON BEACH PLANNING & ZONING DATE: t,,.,iJ,rL()oY PROJECT # fI1 S~ 11/ ~ A' ' c () ~ TITLE FORM PCN IJf- 1/3,41.. - ~'I- 3';.. Oo( - t;rJrJo STATUS: ApfJItoVl.-1:> -ce.- I PROJECT NAME: .!>AI{o-rA /...o,::-r.s STATUS DATE: /-~ /- 20'03 PROJECT TYPE: tJf.Afill J,ll- A..A-IV IIIobli=-/lt4r1oJV' DESTRUCTION DATE: ;V ADDRESS: dOlo --J FE-be-eA.1.- J./wC( -J D Commercial ~Residential GrNew D Miscellaneous D Addition D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1- 1'-1 C'F It.! (J2-.J rAl1Ip /2-17- ~2-- 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc