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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: /1~ J/. t/U7; r PCN ~Jl. ~8- cfs:33'- tl~-()()"-/.37/ PROJECT # lit IlIJ I' o.f- 035" PROJECT NAME: WACH-CJ YI t'I PROJECT TYPE: l11o.)o~ /}tIJ(,)tFICAT7dN /,rL~ STATUS: _dlfiov't:.D STATUS DATE: OJ-IP- ~f DESTRUCTION DATE: tJ ADDRESS: / {, ()o J FEbeeAL-- /Iw'l - D Miscellaneous ~DnDnerCial D Residential [!(New Sl~,v D Addition D Renovation D Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1\llfJ oS C lrtv {N 't';)I.tS r(l.L!..c. S ('r<.... 1,-.41\.1 S ~".h N cr- t:>,-t> ~ ~ {,..rv k2-1-o~ 1. (. :3UY 3 k.c~n.ON 20. S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc