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PLANS
DATE: J~ ';~~clt;t;r ~,I'/lIIb t/r-ooJ.) PROJECT # Sfl /f1dd~oo c.j PROJECT NAME: {;...qlFJr~((}n1 b-AItDC~'{ PROJECT TYPE: iliA-Toil /'rL;!A/.i /l!ooli=ICATfO"; . ADDRESS: CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN STATUS: Alf>ttbv'-n -~L STATUS DATE: ~/. OJ--- a?ff7/ r DESTRUCTION DATE: AI D Miscellaneous D Commercial DNew D Residential D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. ~~ -3-Se'~ .3~ 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. P 2... .>. "f' Arv'- P ~.0l7-C>Y 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc