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DATE: ~~(. - z..c-ocr PROJECT # ~ O~ -00 \ PROJECT NAME: t{~O'-Lu}(jC)? f fA. 0 PROJECT TYPE: ~N(Nv- ADDRESS: !Ol('" .0JWttEAlCL 12.1;> D Commercial Biesidential ~w INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1.~ 2. lof=-{ 3. (- z.. 0 t= Z- 4. \...~ ( 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ;:;: hLL- CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM peN 0 k- I.f?r'f 5 ~ (3 - Db -000 ~ ( 01 0 STATUS: AfPtibJ~D -c C- I STATUS DATE: "1- l"'t . 2v-o-S DESTRUCTION DATE: N o Miscellaneous D Addition 0 Renovation 0 Revision _ SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) A~\A-L 'Dr D ~ 2-- (J:2.... ~ rA",- (J ( () ,..l - 2...frJ 'f . P &- -pLor->u....~ ~P,eA.,l J et2 S'l{ 8 bl \I r11 A- fO ~u..ND~ .s.vllvL4.... (12- Sr.Af\".~ {O-l-O'l o vM.t ,elL .s ITf.., I L..,4-"'/ brl::> It - to - O'f- 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc