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PLANS ~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: fs, - ll. ~ PCN ot.c..\-~ - "t~. ?o.....O(... OoY -cotC PROJECT # Yv\. mS- (J 0 "1.05 5 PROJECT NAME: ~W\EYlc.'L ~~ PROJECT TYPE: .Vv\l~ llioi::>lF lc..A.\tol\..,) I Ir~ ~ ADDRESS: 5 ~q fA )/tvCM€:$.-rc:-L. fAt-I,(, ~ l-vD STATUS: ~(6J€..-D STATUS DATE: H- Ly..... Zooc. DESTRUCTION DATE: N D Miscellaneous D Commercial D Residential DNew D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) ~ 2- ~'\'Af\4.. e (p -( 2..- 2--vz> I (J--I')l--oL ~'Dt.-rL(NCr- - a.~UA-1c.otv s 1. I - 2--0 ~ 2..- . 15. 16. 17. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc