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3~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: (o- 1- 2AnJ Y PCN 07r-4~'4~- Ie. -3z..-()Oo-ot?~ PROJECT # Mmsf' t14-_oc.s &e"'J~) STATUS:----,J,ol'tovl.L:> PROJECT NAME1~JT" ... J;:u .. )f/.l.1l6.L JkLrN STATUS DATE: '1- t. - ld<>L lor ~d r.IJ PROJECTTYPE:~It-1o.e.... W1obIFICAT1010 ~l'r~rW DESTRUCTION DATE: ADDRESS: ~,... ~,\-g D Commercial GrResidential ~ew D Miscellaneous D Addition D Renovation [B'Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) ""5t-bfr I ~ 1. -J.- ~ 2. l-l.\:ot=-L\. Ct.c.uA- r' oN S 12- .s -rAflc. f' tJ 2- ~r.Mtt fO ~ - 2 ~ -ocf g- - 2.. - 2.t::rZ' <f (tt VL ~ U:> 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc