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33 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 1- t. .d~(JO r PCN o!-. ~3, <f~ - o~- 33 .ooo~ occ>o PROJECT # /i1IhS// O,f"-o027 STATUS: /tJ#/bJtlt:.b PROJECT NAME: &'IFt<ON"- STATUS DATE: o~~.QJ./. .~~ PROJECT TYPE: 1fI,1J00000!llO'OIPlCA/(ON 0rL ~;./ DESTRUCTION DATE: ~ D Commercial '=> A-J;:-(2..0~\ ""'DeL ~esidential D Miscellaneous ADDRESS: [3'N ew D Addition D Renovation c;rR.evision _ ..Ea lIA-rro^J.I ".:fA) b ~ok>~~ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. Sift E- T" '{ 2. $l4-~U- I SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) C ~~ P.>I-b lr- 311"< - ~ (L ~ (.LV l M ?<..AN ~ -- e-wtB Ua..L~~ - f!AJ (,....0 R- \ -:=:z.. 3. 4. 5. 6. 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