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PLANS lv~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PROJECT # M 1-1' m PROJECT NAME: Ctt2..Ut lr C 'J PROJECT TYPE:.t}\1 klb (L, ~l:>SCA'€-- ft,~ J;ftaD ADDRESS: J7..r N {!1)1tJ6IlU.J i/ve.- peN oj. 'fJ. Iff../ '( -tJ,()6:l- 6006 STATUS: A1ftUJV~'D , DATE: s=.t'-t- ~9 STATUS DATE: 0'1,0.3 . e;tZoo'7 DESTRUCTION DATE: rJ . ~~~ercial D Residential DNew D Addition D Miscellaneous D Renovation ~evision F~ f~ - INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGmL Y) (ex: Floor Plan) P L .sr~1 Nd V~ ~t:J!-.. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc