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PLANS (PBC TAX MAP) a.:t=t LL CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 6..- rl- ~r PROJECT # s;,.{JT~ OG. -0('1- PCN O>r.'i3"'f-S-[<;. o7-()(~..-oafd STATUS: A,~vu::> -c C- ( STATUS DATE: D/-ol - ~ 7 DESTRUCTION DATE: ~ PROJECT NAME: ~ ~..,- PROJECT TYPE: Sn-"E- ~ktVTW'~ C/rFN-Stot0 ADDRESS: 5Sr IVE- ;J...J./-J'D AvE...- , ~ommercial 0 Residential 0 New o Miscellaneous o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) ;!13i!- IA-"- h1Aj7 '1-/~().t. 20. S:\Planning\File lists. file procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc