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PLANS l;~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: ~.~- l~4 PCN of. 13- t./-{, 31- -It{. 002, ~DOCO STATUS: AfJft-olli.- t> ( PROJECT # h\t'Y\S f (:) 7 ~ 0(,1 PROJECT NAME:T~ItJ.t V L.A'15MJ'< PROJECT TYPE: fur ,.Jo,e.. VYloD\ FI LA-1i{)A.) ~,rE: ~M ADDRESS: I SO \ {oIL ()c>e..A-rt- ~ (0 I ~mmercial D Residential D New STATUS DATE: fj-u'~7 DESTRUCTION DATE: J/ D Miscellaneous 0' Addition /lWIAI(,- D Renovation D Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) (J2 SIAn? ~ f, (~r l,d'eJ/ - -5.'1 or SU~V~-:J 17. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc