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PLANS
ll~ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: f- /1- doo 7 PROJECT # In mJ f.J ~ 1- 0 ~ / PROJECT NAME: At-/:) )PISSTlL PROJECT TYPE: /IJ/Alo/l. IJ/t>DI-F=- IC4-TfaV J; n ~ ADDRESS: 7()O AI dt./6-I2.ES.s (/vL- PCN ~J: ~3 .4.5'..20 - 21.po3 ..6020 jffltoV~b STATUS DATE: ot-I/- cR.tm7 STATUS: DESTRUCTION DATE: N D Miscellaneous ~o~~ercial D Residential DNew D Addition D Renovation g'Revision PBc... IN \ourCt+(""~ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. -'-(1 ~ 5 (( lP2- S. ,AYKP 0'$..3/- ~'7 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. IS. 16. 17. 18. 19. 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc