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PLANS
CITY OF BOYNTON BEACH PLANNING & ZONING DATE: 1,,"Y'~&f PROJECT # tI WJfJ t7~/ 6/7 TITLE FORM PCN tJ j: 0/- 3 ~Jl.S,. /3,/;0 -OCXJ -/ Of 0 STATUS: )-fJltUAJeD-a.. STATUS DATE: 1-1l:f. 2oz;~ PROJECT NAME: t{!!JOu...--W(J:)1) frtu,,,{.,~ PROJECT TYPE: NEW J''rf iIA,.,/ . ADDRESS: ----1'053 ~~CE... I!.A DESTRUCTION DATE: j\/ o Miscellaneous o Commercial o Residential o New o Addition 0 Renovation 0 Revision _ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. J o1=- I 2. 1- to 0 Fib 3. {-L/~o~~ SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) ~ I t)1(tt-j I bE~.rr rr~ dNOCfJr ~ mOQc:.L.- E.( J~11A.rttJtV.s. lI'l-/7 (2- Sr,A-ni-f O~VA'f- 2,f?)~ 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc