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CITY OF BOYNTON BEACH PLANNING & ZONING 31 TITLE FORM DATE: 1'2-.2.- ~1r PROJECT # -M yV\S, f tJ S ~ (b c./ PROJECT NAME: ~T A~bt2.~ CU(6 PROJECT TYPE: tn,l\Jo.e.. ~o"'t)(i=\CA-T10r-...) <;"T"o€... ~AJ peN ot-- 4-3-<1S. 3c..1.. 00 - 00 z.. - 0(7 0 STATUS: Aeft-Dv U::> ( STATUS DATE: ,2. l.i-- 2uz,~ DESTRUCTION DATE: rJ ADDRESS: 'f<<-\ 1 S 0 c~t..) B l-V 1:> o Miscellaneous o Commercial o Residential o New o Addition o Renovation 0' Revision _ rAc.A-bE... V\L..~\F~nc:.tv~ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) P 2- S-rMY\ f (2-2-2..- ~ 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc