PLANS
DATE: 3 -(2.-.2..001
PROJECT # Sf> m I q r'l C Fo<>T'Pt-IIJ1;:)
PROJECTNAME:<;'loloPPE..s Of'- -;s..'("-llot--J
PROJECT TYPE: ':;ITe. ~.A.oJ ,,^,OblF-Ic,.4rnOrJ
II
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
PCN O~~"'~~*!~ll-()O-OCI+clO"O
STATUS:
Appru.I/L:t>
STATUS DATE: 11.-~''1 -I <t~
DESTRUCTION DATE: AI
22-(2. t-JLotIJG-tE.tS AvE-
ADDRESS:
~mmerCial
o Miscellaneous
o Residential
o New
o Addition
o Renovation 0 Revision_
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGffiLY)
(ex: Sheet A-I) (ex: Floor Plan)
I. ~oF4:
2.
3.
4.
s.
6.
7.
8.
9.
10.
II.
12.
13.
14.
IS.
16.
17.
18.
19.
T/te... ~ I(..~ OFF II - ~ i-i''lI4.
20.
S:IPlanninglFile lists.me procedureslProcedureslFILlNG PROCEDURES\p&z TITLE FORM.doc