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PLANS ~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: t-31J'~9 PCN or -~~- 4 <; -(1.. to-oo 0 - 0';0' PROJECT # Y\A~~f' Ol_bt.f(.. STATUS: ;4PPU\lf.D PROJECT NAME: l-tVfr- /!)tfVCo STATUS DATE: os;-,q. #'2-Qb, ( PROJECT TYPE: rv\l Noll..- /'ttoOrf=tCkllotV freE... ~ DESTRUCTION DATE: tV ADDRESS: 4-~i 5 fAtJ< gl~C,L 6t--II D o Miscellaneous ~OD1D1ercial o Residential o New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) (~U.lr"'TUM ~K ,.1.04., lO - f 2- Sr.Mttf S"- '1.- ltn> , fA~OUv- J....or E..'Y-PAIV~tC>N - Pz.<s.c7rl'KP ->-7- 2p I f'A-v'1 IV c.- 7 ac J"u--r 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc