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PLANS
,4/~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: ~ .s,~tJr PROJECT # f11"'..fr:' t) 'l,63~ PROJECT NAME: 1/..01./ /tvnesrAfl.- d.+u PROJECT TYPE: (lt1vtJ'l. /J!oi)fFIC4Tfo/f./\ (["f:.-~ ADDRESS: /.G( (!P1!f'DIL-~rf- 1t!- . PCN b ~. ~ 3' YoS, ~Z-...I <i . 00 2- . 0000 STATUS: -P-rP(!.Qv 'C:..-D STATUS DATE: o't-OC( ~ 2-v-o 7 DESTRUCTION DATE: tV ~oEnEnercial D Residential DNew D Addition D Miscellaneous D Renovation ~vision s;.p -./:1<;:, t. ~Att, 'fACA~E..s ) I INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. I ~(., or-C- SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) t fL.-A-N~ P 2- s'rMv.-rP -- AJ + bA-~'::> :,-{q _6, I . 2. 3. 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