PLANS
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CITY OF BOYNf~;~~q / ofJ
PLANNING & ZONING
TITLE FORM
,... ~ .... .,--
DATE: ,~) - 0'/ .<t~D I
PCN
PROJECT # ,) r :1 Clc()
PROJECT NAME: r-l (1 ,'\IE K ~ V-?" 'G ~-I(2"\L\ A- I
STATUS: T(J,,~ APe,('~"i\L
STATUS DATE: .;; -/2- - 1'1 ',3
PROJECT TYPE: ::.; iTL
'i
\" L-;'rJ VV\. Ov I t-~~~ I... A l\ o (v'
DESTRUCTION DATE: f-/
o Commercial
o Residential
o New
o Miscellaneons
o Addition 0 Renovation crRevision
ADDRESS:
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
~ I by', ,:.1 i) /), {rr;A./(;
......- - "...,,'.
fA /..) i I i jf/"" .....,
IV
20,
S:\Planning\File lists,file procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM,doc
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: Ie' ,Jt.. .4'< 7
PCN
PROJECT #
S.f II\. lei Cl '~
STATUS:
il /,f',t~( v;. iJ
PROJECT NAME: MIv ri','(\ A:(,1/
PROJECTTYPE:'>~rc /!Atv' //lc')lr I(rinc~'
ADDRESS: -~ i /3 / lZpJf.- I V tfi I I n
STATUS DATE: ,eJ- j;( - ('1'13
DESTRUCTION DATE:
(1/
D Commercial
D Residential
DNew
D Miscellaneons
crAddition D Renovation D Revision
~~ \ ('d.' ,_")~r'j~,\
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A-I)
1. Icf'1
SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Floor Plan)
;j! J,n. 1!J!1l ,~jffc(L((lJ 0 //(~")rr: rrlf;loA,'!;
tV /1 - r:':>' ~ / - ., /'Z /fA '
IIlli ",cor IL..tt! ILrA/1 - LeO A, i\: 0 reI.. /. j -",10-4
2, Iii. cf )-
3,
4,
5,
6,
7,
8.
9.
10.
II.
12.
13.
14.
IS.
16.
17.
18.
19.
20.
S:IPlanninglFile lists,fiIe procedureslProcedureslFILING PROCEDURES\p&z TITLE FORM.doc