PLANS
DATE: ?f- !8'~oo1
CITY OF BOYNTON BEACH
PLANNING & ZONING
1'1
TITLE FORM
PCN ofS.'f-~-4<..-oS'-Oo-aoO-'Q~9
PROJECT# Sfm I "t~
PROJECT NAME:~l-'i 1)10. ')<..
PROJECT TYPE: SIr(... ft..AN WlO'OI+=:ICATION
ADDRESS: I t.f-o ( N iWn)N E- b.<...
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (pLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
SIn. f (..4IJ
F I roe... P,...4>-J
t:..., F:\) A-Tl" N
0Commercial
II.
12.
13.
14.
15.
16.
17.
18.
19.
STATUS:
Af>f(2.cI,} €..'D _<:::c.....
.
STATUS DATE: 1l3-..l..(-IQg--'1
DESTRUCTION DATE: 1--1
o Miscellaneous
o Residential
o New
o Addition 0 Renovation B Revision
20.
S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc