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PLANS
& CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: bft!..:J.o - ~ ~ PCN Pt- tf.J~ ~.{,.J 2 ~ ol.{ -/3c/-()()(}o PROJECT # ~Il\.s. f 0 ~ - Q I c.. STATUS: A/1t.J~II~'l:::;:;. PROJECT NAME: l3~rolJ &ACH a/I.K.ta- CbvrClZ.- PROJECT TYPE: /fln/ce.. /Jt Dl;),!=-tG417o,v J,rt.. /f,41\1 STATUS DATE: ()'f~ 0,/- ~..3 DESTRUCTION DATE: # ADDRESS: o?J1J tu t<JoOL-d,eftrlfT i?t,J D Commercial D Residential DNew D Miscellaneous D Addition D Renovation @Revision_ ~O(,.U INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1__ 10 elF- (0 P 1- SoT At\l " L{ - 0<-\ - 2-0 0 ~ 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc