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PLANS AP CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 1:1. t1ro? PROJECT # f!ot{J t) 7-00 I PROJECT NAME: Jc~f~ ~1{,.A-t2... LvtUv-L PROJECT TYPE: ~AJblrIOAJk'- 0L ADDRESS: )gx;{ U.J &YtUTOIJ 23~H iiv PCN IJJ.c.}J~cf.{. ~- 6/-00/-00/0 STATUS: tffJjJ~LlfO - CC- STATUS DATE: 0-3.o2a '~7 DESTRUCTION DATE: N o Miscellaneous m~mmercial o Residential o New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) J::LOo/L- (/lAN . ~:" f .'t. "" ,.~'. ..~ ~ .' :.:<,~.!.,,<J., .;,1. 1.1: ,." "~:) ~.; ~" -; >j~' ~J 17. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc