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DATE: '1-10' Z-trrJ V 33 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN o~-c.f3 ~'fS-5z.-,2..- 00 (~~ PROJECT # f\J{J.)'s' ~ o? -00 S PROJECT NAME: L..AiLlro ~t1V7 ~ PROJECT TYPE: U;_l.U .s..~rE ft..4tV STATUS: #~LdV'i..O-C...C- STATUS DATE: ~'-oj-2.tJ()~ DESTRUCTION DATE: ,J ADDRESS: ~4-00 sw lq~ /wE- ~esidential o Addition 0 Renovation 0 Revision _ o Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. A.. 5". c.) , 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. D Miscellaneous ~w SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) Q OL.l)L ELf.U,4rltot0 - :f;'"J\NI 9...l 'L- ~ c,( 8L.bc_ 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc