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3-3 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: q - ({) - ~r-c ~ peN b 1(. &.\ S - <-\:<:; -2.8': 00 -COo - 3c:N<:) PROJECT # IVW-S f 6(., -02.-0 STATUS: Af,o~Vt..l) - CL.. PROJECT NAME: OU:~ 4"5 CkffA-Nrr-L ~tJ( STATUS DATE: (0- \,.l..n'- PROJECT TYPE: -!JEW Sf"-'-- tf,Atv DESTRUCTION DATE: ,J ADDRESS: ~l '+'- t; t i' LV DC-fA,..; AvL D Miscellaneous ~OEnEnerCial ~ew D Residential D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) eol.-O~ CL.e...u A-rlolV 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc