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DATE: !...?j-.DY j-..3 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN of. . y ?>- Lf~-33 - S.., -00 {.ooo PROJECT # /Yl n1S P 0 3 - 0 a-G. PROJECT NAME: COA~A-L ~A!j STATUS: ~~IJI.oV'U::> I STATUS DATE: 10- 02.- Url>~ PROJECT TYPE: .t"\.Nt:L rnO~\FKAT('oN rl rL ~fU ADDRESS: ~r>AS.TkL "'BA.1 D Commercial ~sidential INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. .(- 2L o~ L!. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. DESTRUCTION DATE: ,</ , ~ LVO D Miscellaneous D Renovation ~evision S (TL l~"'-ov(.",,(()r.s. DNew D Addition SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) -P 2- ~T.A~(1 1- I ~- 2..oo.~ 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc