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PLANS ~.~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 1-1-~1 PCN tJl-f3- t-f{. zlf- 62- - (JOO--bCJcj~ STATUS: APft.l>VD::> PROJECT # 1J'1/fl\l1' a '7 -(;'I-~ PROJECTNAME:~ttO( ~ ~Ef.S.L PROJECT TYPE: rnllVol'L vnoDt~lCAnd\J S('~- ~ ADDRESS: /10 jJ (jlVtrlCt.J.s ;4vL STATUS DATE: D~ .3(- m7 ;J DESTRUCTION DATE: D Miscellaneous ~ommercial D Residential DNew o Addition o Renovation ~evision_ t}fc-Jt,-I~ArLtL TO et.\~fAU' (tf.LTAll INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. 1- t/or:- ~ 2. 1-3oF..3 SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) &L~ Cu::\JArinNS Uf':-/7) (J2- JrAm~ .5-02\.f--a 7 !(!(}L/JfL- ~o (r:l./() 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\FILlNG PROCEDURES\p&z TITLE FORM.doc