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PLANS ~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: Csa - fI ~ ~ 1 PROJECT # ---A/(UJ/J ~t-6IY PROJECT NAME:~l> ~6.s TEe.... PROJECT TYPE: to/EJU J; rr //-A-N' ADDRESS: -:B:,~iUT1>r-..)J:WrJ ~,-~ ()CA.r k~ PCN or- ~54~~ 2o-Zcr-003 -602.0 STATUS: .,f-f/(J/tt)Vf..O - ~c- r STATUS DATE: /0 ~ 3- ~~ DESTRUCTION DATE: ,.V D Miscellaneous ~mmercial D Residential ~ew D Addition D Renovation D Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1. I - 'l... r: 2- 2. --1e..f::1.- 3.~7 ~ Late.. e.c.vcaPTvA-L E. (.F \J k1101V<:::. eoLO It..... CtJN (' E:...(>\1I A l, hAt..> o<;cMt IV c.,..- f2- ~CMtt" 1-,'" 2troC"o 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc