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PLANS DATE: J".e(..j. ol.u-v r CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN ot'''d''~)''c?}/~lf-071'' 1)0/0 STATUS: A-lltoll€.1:> - CL- PROJECT # hlJfJ m PI-ood PROJECT NAME: !lol-IOA- y 41J .c'f-IJ~[.s...s STATUS DATE: 7- /J: ~tY PROJECT TYPE: MAJOtL J; If- /{W /11 obi RcAnorJ DESTRUCTION DATE: AI ADDRESS: 1~ W l3o'/Mr()U ~9V 1+ 61-v'o D Miscellaneous ~ommercial 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) 1.~ 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. f"Z- ST.M.. {> S.-.( "1- ~ r 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc