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AS-BUILT CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 1 ~ l U - u- ~ PROJECT # ~A-Sz- 3 PCN STATUS: A-S.9IHL"I PROJECT NAME: ~aN~\ S~~~ L ~ W\MClNS PROJECT TYPE: A~.~t.('LT ~A...,r1)Sc~..,o{tU c- STATUS DATE: 0'(-1 t - 2.<nJ 7 DESTRUCTION DATE: rv ADDRESS: D Miscellaneous D Commercial D Residential DNew D Addition D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) Cc\)Et2- <;' I+'E. "1 l~,...t)Sc..A"L- fl.-A,.,,) kA" DoSe"", t' e... 1LA-,.,,) lAvnsc:..At'L t)E..rAIl_ 'sMEEr- 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc