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REVISIONS
CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: '1 - t.o - Z-t;n:. cy PCN PROJECT # PHASoE 4- STATUS: "'REV t~(ON So PROJECT NAME:-':pQ.t-,)AISSA-I\JC.E:.. ~tl'ltll\...,vs STATUS DATE: o'{-- 30- ~'f DESTRUCTION DATE: )J' PROJECT TYPE: _h.A~OSCA"I"'v- ADDRESS: o Miscellaneous o Commercial o Residential o New o Addition 0 Renovation 0 Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. J..I,,~C. 2. L. 2-cJ~ l, 3. L!>..-: f. 4. L'-4 oP <. 5. l5" .~ f. 6. l (,~ \., SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) ~ASi... L.\- t.ovEi.. SM-LE.r -y1L.....~ ~c.-o LAI.JP~c.A"'E- (t-A-,..J "L~IA I3EL.LA- l4tv'DSc..4"'~ fc,,4.tJ l.-Alo(L PL.A-~t./U"" P 1..4,.) Ct..AI('~.t )" (, ., ) \1.1 PIC A- L lA IV IT" S \ LA""OSc,.4-fO E.. OarA-I t..S 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc