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PLANS ~ CITY OF BOYNTON BEACH PLANNING & ZONING PROJECT # Ii1/JjJj? b1~ O~ r PROJECT NAME: [..flArE S (? /lEfl(fA(;..t- d.t.I<!$ PROJECT TYPE: InAloL{Ilof:>IF'lCAiI6;V JT~ ~ ADDRESS: (;tJ~lll2iE.-A4N !31,v' TITLE FORM PCN CJi 4'- ~ ~()&/"'b $- 00/... {;C/O STATUS: ArJIIldIl'ib I DATE: ?~/(,.~1 DESTRUCTION DATE: ()3,aUJ"' ~1 ;J STATUS DATE: D Miscellaneous D Commercial ~sidential ~w ~ddition D Renovation D Revision _ S:F lM-e. bE L INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. \-5oF-5 11- ..lrkIMP Cf~Zd ~~7 2. 3. 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