PLANS
CITY OF BOYNTON BEACH
PLANNING & ZONING
3("
TITLE FORM
DATE: (t. Qr ~y PCN rJf.43rL/.J:./7.t>7-0dO.C;/CO
PROJECT # tl1S(>.-n oS -00 q STATUS: ApflZoVf'D -eL-
I
PROJECT NAME: Ci VANnA. M CI)/li>o~A'-L ~r€ ~ STATUS DATE: (0 - ( (- 2tfiJ S
.A~A I k.or~ l~'" l~
PROJECT TYPE: ~oe SLT-(.. ff..,AI-J >>t~OI~l(A\lbV DESTRUCTION DATE: ;I
ADDRESS: .:?(,o' 1 UA,vT1:.tM.. f~ r3t..vD D Miscellaneous
ffi'ommercial D Residential ~ew D Addition D Renovation [91ievision 'to
OFF IU aLi>G.--
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
jJ 2- J-. tf~ - 2-c-o -,j'"
20.
S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc