PLANS (ILLUSTRATED PLAN)
CITY OF BOYNTON BEACH
PLANNING & ZONING
o?~
TITLE FORM
DATE: /~.t./-2.og7
PCN
Oy. 4.3- L(.j. ..21. 63- vo 7- O{)OD
PROJECT #
STATUS:
PROJECT NAME: IMc HE...s
STATUS DATE:
C,-.;?.<- o.r
PROJECT TYPE:
DESTRUCTION DATE:
ADDRESS: /0 ( J nbFLAL /+"" c(
V
[?Commercial D Residential D New
D Miscellaneous
D Addition D Renovation D Revision _
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
!t..t-tl..I,I2...,4TEi> IL~
20.
S:\PlanninglFile Iists.fiIe procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc