PLANS
IJIA-
PROJECT NAME:(:''l\-KuJODD c;.~\)AKL.
PROJECT TYPE: S III PLAN!:... - RLCt00lA 11"10 <;, f 'it( I
ADDRESS: 2:,00 N LC0 0--12-f <;..\,. Av c...
DATE:' t - \D' ;Co'V '7
PROJECT #
~ommercial
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A,I)
CITY OF BOYNTON BEACH
PLANNING & ZONING
LZ.-
TITLE FORM
PCN O~''-t'', 'f.,- c9..o 0(-OOCrOCo(D
STATUS:
Appt-tvu.)
(' 4.'3
STATUS DATE:
0'-1 - II - ( (( C) I
DESTRUCTION DATE:
rJ
o Residential
o Miscellaneous
~enovation 0 Revision_
i"l"\\
o New
o Addition
SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Floor Plan)
E~cfL\o.R- C,l--OiL ~kN(~U
l-A.:b c,.c 41'1 E-- RLtV (.'vlA-1I 01\1 ~
20,
S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc