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:3'f CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 10- 1- L(rb Si" PCN Ol'-cf3-c.J~-I'-.3 2..- ooo-aH2-- PROJECT # Vttrh~P ocf-070 STATUS:----4-0'~€i:) PROJECT NAME: ~1I&/JT1.\ I!l ~~ t\1lJ::> "tU.AM ~1f STATUS DATE: ,-1- lco'f PROJECT TYPE: lV\'k)OL. Yt1ohtF="Ic..A-T(ClA..J C'rl..- IZAA,) DESTRUCTION DATE: jJ L 0, rcr te> D Miscellaneous ADDRESS: D Commercial ~esidential DNew D Addition D Renovation G'Revision ELE.U4T\bN C"~ 6 L-t> Cr !. ~. l (;:) I INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) P2-- ~r~ WO o (. - ..2...Jr - 2qc;c.f 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc