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~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PROJECT # ~.H.u-S p 0 G. -00 ~ PROJECT NAME: (i AJw..."" UL L. 6,4N t-< PROJECT TYPE: ~}~ w ~ \ r~ fL.AJLJ PCN nf"-4-3-LfS.;0..0 ( -aocf-OO\o STATUS: ~Pftlo..)cf:'f,:) . C- C-- STATUS DATE: 3- (r- 2(fZ:> Co DESTRUCTION DATE: N DATE: {, - X. 2.dz>9 ADDRESS: ~~q Lvo...J~ls.r€~ ~ BI.-VD o Miscellaneous o Commercial o Residential o New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. ;.\--'<:)0 2. .A j () I 3. 1-("\ oF- IL SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) _fLEuA=rlOIV - S\ DE-II- ~\ ~CIZ- Eu;...vA,t oN r s.. \ 0(. 't (2t.A,...~ Cct-ev'2-- P2-- ~ 'rk1l.'-f' 2 - z...I - 0 (., 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc