PLANS
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: J D )",,'1 Q..oo 1
.
PCN
PROJECT # s r t'Y\ I "lei \ j;'lff "f-..
PROJECT NAME:_~JN\r:\Ls.. k'vu
PROJECT TYPE: Sl l T'L f J...A,\) mo P, i= I CA TI ok'
ADDRESS: '--rR-4C, r( \<,Q\ "::,.TVl- J
STATUS: A 111'12" ,,' { ,.:J
STATUS DATE: T II - I 't '1 \
DESTRUCTION DATE:
"J
D Miscellaneous
D Commercial
Giiesidential
DNew
QJ\ddition D Renovation D Revision_
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
1. Sf> I So I,L (JLA-tJ
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
S:IPlanninglFile lists. file procedureslProcedureslFILlNG PROCEDURESlp&z TITLE FORM.doc