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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: --.J - (<0 - z..ov1 PROJECT # It-tAS ~ \ AND 2- PCN STATUS: _ReC.T\FIt."C> PROJECT NAME:'l?~tJ"'\"s*tVcE.. (!./),^Wl4~~ STATUS DATE: o2.-oc!..-l-c/OV PROJECT TYPE: j....A-t..Il:>.seA-l)ttvCr- DESTRUCTION DATE: ,.; ADDRESS: D Miscellaneous D Commercial D Residential DNew D Addition D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1. ),,1 o~ ~ 2. L 2.. of <i'" 3. 1.. ~ ,,~ r 4. .L~ o~ r 5. 1...'5 c)F t' 6. L.(, o~ i' 7. '- '1 Q\= Y' 8. k~c>Fi' 9. 10. 11. 12. 13. 14. 15. 16. 17. Co" e..a... oS J+$ €.-l J...A t-I t)~" &. " t,.4. fV .\ " " " \" \I LA I( l... f l.A t>.J T" ll..J c.,- l" c...,4 f-l T"I ,'C'" L fAt..) l"T'S \ "'bE.T A I L..$ S \'oIL r 18. 19. 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc