PLANS
3/
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: 8.... (S". 2-c-o y
PCN () &-- Y 3-4S~ 30 - 01- /2-1 -0010
PROJECT # Ntv~P 00 - 010
CHU~C-l"4 of JESUS C l'tZ../.sr
PROJECT NAME: OF L..A-TTEe- \:::)4.':l-..S,q.'~T.1
PROJECT TYPE: ).JE-lLJ ~ 1''- E. ff.--A-10
ADDRESS: ~ ~o ~tJu.n+- (Q
STATUS:
ApPLov E:D
I
STATUS DATE: off ~() I ~ l..Q-co
DESTRUCTION DATE: IV'
D Miscellaneous
D Commercial
D Residential
crNew
D Addition D Renovation D Revision _
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
1. S.D~t
2. ~_U. oF~}-
3. .;z.~
E "f-\S n IV C- I (UJ. Lc...A.=n.o N ~ l T'-- f (,.-A-N 1) ~ 2..- l.~ - l.ctu-o
t" 'l- S.Tkftl1O 1 - ~ .... 2-rro
A ~ t,o L-o tf- e.L.E. V p. T I 0 '"
"
-=
It '-\- c.cLoI2. c.L.E..U Ar-rl.O I-J
,
20.
S:\Planning\File lists. file procedures\Procedures\FlLING PROCEDURES\p&z TITLE FORM.doc