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1?t.-i=ll..-L CITY OF BOYNTON BEACH PLANNING & ZONING DATE: t..\ - 2--2-- Lc-b~ PROJECT # ru...M.-~.p 0 ~ y 0 c, , TITLE FORM PCN 0 k'~ 'to?> ~ 'f~.. 11- ( b ~ 000 .. 0 c.{ ~( STATUS: rtf'!' tlhJ€:-.h STATUS DATE: g-{L-2ob~ PROJECT NAM~ LUA:ru2...s:. ~ ( (J 0UMJ\\\\ft'\ ~K~ PROJEdr'TY~:'~ fro. ( ^ JIY' 'fYlOl::> ADDRESS: _L{4o~ fA1lK 1<tD("l..- ~ DESTRUCTION DATE: rI ~ommercial D Residential DNew D Addition D Miscellaneous D Renovation G3ievisio~rrL II JV~\t~ rh Cl b So INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. L-( - L-~ 2. u.l1 A L~ 't- SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1 rln:f4 W\ L. ~ P'--A-NS I u~ l W\.. +'.:~fC-A-tl~ fl-ANS.. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.file procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM. doc