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PROJECT # hJ/T1.Jf7" r(- () C 0 PROJECT NAME: 8()'/^J/fJfiJ t3~..J PROJECT TYPE: !JbMY2.--/J!Ol'.:>IFIC:Ar/ON J ITl.- ~ 171 &yA/iDAJ dt4-J e~ ~idential DATE: 11 ~'1 ADDRESS: o Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. 1-/3 of/~ 2. /./{) o~/O 3. (-~ or-" / /~q 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ~~~7 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM PCN or- '1.3 ... If $ ,-It ". 63'" tJd (J" tJ .20 z..- STATUS: 41f/toVf-b STATUS DATE: O'7-~ S,c/!#J7 DESTRUCTION DATE: IV' o Miscellaneous o New o Addition o Renovation o Revision_ SHEET TITLE (pLEASE PRINT LEGIBLY) (ex: Floor Plan) C. t.<<.~U..rl)w\ AftEA- . bUA..t// ~ ~ tt.." ~ tS 16nVMr€:.. \ ~ I'l P ~ T€ ~ (?-xJ.tLbttvV- (LE.,vcrJA-Tl O^.I 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc