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j/ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: f- /.{. ~r PCN PROJECT # /Y1 M. ~ f> 0(- 0 2-'( STATUS: .A-t1tJl4J\/lJ~ PROJECT NAME: !Iv IJ rell:J ;fe/tV b-VA-llbHot/J"- STATUS DATE: (J'f- 2 3 r~1 PROJECT TYPE: flI,^',~ /J1oQtFICAnoN J;rE-~ DESTRUCTION DATE: ,tV D Commercial ~sidential DNew D Miscellaneous ~ddition D Renovation D Revision _ pew 6-V t4f2-lJ ffv~ " l.- ADDRESS: INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. 1- .?P of 10 SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) )tfea-\ ~ c....\'" II t2A..\- ~A-us. p,~o- 1I..--A-IJ.s 2. {- l'-t of- 1""- 3. Lot: 2- 4. ~o~ z... 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. I e...t2....l c....A ~I 0 NeoN F-Ll c.. T~ ?12-0 PoSE. ~ r (;.JL lc.A~oN l.-A~ (\~.. 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc o ~