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DATE: J{- (- Un r 2' CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN (J~If;"I{~rllr,./3, ()o, ,OfJIO STATUS: 4fJltlJl/eb ( PROJECT # ~rY\ So P o~ -CUI PROJECT NAME: JAl\> ~ f(2.0p~(l..n LS. PROJECT TYPE: _~INoi- ",-ob ~ IrE.- ({.4fV ADDRESS: c10i Je /2-71f rll/L- . GCommercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. EL.E-V I 2. -c>p \ 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. STATUS DATE: ~02~o~, 47;V- DESTRUCTION DATE: N o Miscellaneous o Residential o New o Addition 0 Renovation 0 Revision _ SHEET TITLE (PLEASE PRINT LEGffiL 1') (ex: Floor Plan) tLevATloMS SIn.... (?(...A-1.) .9-\1-()W t^-l <.r-- f}1ob I R CATtclNS 12- 5l~p \- ~Cl .- ~<.( 20. S:\Planning\File lists.fIle procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc