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PLANS
3S- CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: I (:> - t ~ ~ ?VO y PCN 0 r . 4-~ . If'5 - Ie. . 3 \- fJc)CJ .. 07'10 PROJECT # h\rY\s. f ~ 3- ,o..r i'"' PROJECT NAME: 11lJ.-Nr:J!.1!! ~I&{ PROJECT TYPE: MI~~ fi\OL:>\fi.rA-no~ fIn... ~ ADDRESS: 1~2...~ t\ I.b-H- KI.Dv-L ej) ~ommercial 0 Residential 0New STATUS: )~ftUuCl::> I STATUS DATE: o~,o~ .l.tro~ DESTRUCTION DATE: N o Miscellaneous o Addition o Renovation ~Revision fKAAIN<r- - .h12.\ \J l. c.uAj INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1. J- 2..1 or~ 1 f 2- .s.. T A1V\ P I_l~- Z-trz:> 3 2. 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