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PLANS a'f CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 'JO;(-~(;'1 PCN O!~ c.f!3 -'f5.,1o-o/-00()"O~3/ PROJECT # III mJ~ 0 1-CI ~ STATUS: ;/fJftfotJE,j) PROJECT NAME: ~vrtJu('f PU; h.t::r k'E!1L STATUS DATE: Of- .JJf .olt/lJ 2 PROJECT TYPE: IJ1/AJ"",,/ ~ O/.t=-((;t-71W .[r~ JftJ DESTRUCTION DATE: ;V ADDRESS: 3to AJ CoA/Cr-lCl,sS 7fvE_ D Miscellaneous . ~ommercial D Residential D Addition C?Renovation D Revision E'lLTE,(LIO.e. \~4(,-L - SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) DNew INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. -fh=-L- fz... Sr~f I -l q - ltft:>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