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PLANS ~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: (0 - Co- 2.o'nG} PROJECT # M.Wl~~ b 1-oz...y PROJECT NAME:~tJT7)~fJ G.~~ PROJECT TYPE: MlcvorZ- t1tO(J(;:::-LCA\(ON ~ IT€.. ~ PCN STATUS: ~,a/Zo\/~D STATUS DATE: ',3, -'- 1, MrJ 1 DESTRUCTION DATE: Ai D Miscellaneous ADDRESS: ~o~~ercial D Residential DNew D Addition D Renovation 0"'Revision_ CONc,..U..-S. s Ave.- ( N{Oct.r INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 1. J - (2..0 F 12- P 2- S-r.A1#-f ~-13 ~ ~-, 2. 3. Sf. A r. . ~ -~, .l. t\j \l e--o-- 4. 111;:' ' ji;(' 5. 6. .~ 1\1 i\ ~ ~ t\S 17: ~ <. \II!!F~ : '1J~ .... ..,I 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