PLANS
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: ~_ ['t. ,;).00\
PCN
PROJECT # ~ t)\ 'i, f' 0 \ - oc.<J..
PROJECT NAME:..B vt-J"lU'>. (j(1I rV
PROJECT TYPE:\M,..JolL YhoDIf"ItA-llOI\J SITE.. fLa.-J
ADDRESS: ~1S.T"L.- - T AA<--,T
STATUS:
A-ff~"E-D
,
STATUS DATE: of-3o - ~OC) I
DESTRUCTION DATE: AI
o Miscellaneous
~
o Commercial
g-Residential
o New
o Addition 0 Renovation Q'Revision _
INDEX OF DRAWINGS
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
fr\o 1:> IF It.D -A-S Nore.b - H-L l.\f"T:S. - P 2-S<M'I\ P ~-~Ir- ~\
20,
S:IPlanninglFile lists.fiIe prncednresIProcedures\FILlNG PROCEDURESlp&z TITLE FORM.doc