PLANS
CITY OF BOYNTON BEACH
PLANNING & ZONING
~
TITLE FORM
DATE: ls - r. ~OCl'l
PCN O&--'f.3r<.fS~ .2(--'.<. -ou'1- OOLe>
PROJECT # I'r\~S P 0 (- Co <-
PROJECT NAME: c:c..~c:.e I"::)
STATUS:
AjJ~eo \lL i)
STATUS DATE: Olr";S:-dl 0 0/
PROJECT TYPE: MI tJcf'- Itt 0 ~ I F 1C.~ no N ~\ If flAtV' DESTRUCTION DATE: A/
-
ADDJESS: .3R~ JJ re't:>C-/ll4L
~ommercial 0 Residential
/k;y
o Miscellaneous
o New
o Addition
o Renovation gRevision _
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A-I)
1. sfloFt
SHEET TITLE (pLEASE PRINT LEGIBLY)
(ex: Floor Plan)
S l\e.. evA-tV UJ 2- STA~ P 0 (-l lto .:t.oc> I
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
S:\Planning\File Iists.fiIe procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc