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,(c - r I/..~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: Cd-/o r ~C}7 PCN (}j'-t.j3. 4.5-09.02/-002- 6(30 STATUS: If/ltovt. D PROJECT # m 111 s.~ Ct: - O:J Z-- PROJECT NAME: ivrlIt.JrA-TE- J;G.N'6I/AFTEe~ PROJECT TYPE: fJtvo/L /!lOC:>IF"tCATlaA! I'rc Jt..v ADDRESS: /30 Com(ltE/l~/:; ;C:b . STATUS DATE: (/~-17~~, DESTRUCTION DATE: A/ , ~ommercial D Residential DNew D Addition D Miscellaneous ~l () t.'<. D Renovation GrRevision/NFIt.l.. INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) fJ2. oS 1v4~~ o j,-/2 - ~ Co 20. S:\Planning\File Iists.file procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc