PLANS
CITY OF BOYNTON BEACH
PLANNING & ZONING
c?,s
TITLE FORM
DATE: 1/ 2...0 2vc I
PCN 0 r - '-l ~ - ~ (p . \) <f - j 1- ov c - D '/ 10
PROJECT # l.-vAe.... 0 z. - ou \
STATUS:
A ('{lIZ_oJ ~.D
PROJECT NAME: C- ~ s.
PROJECT TYPE: ~lVD U-\E.. ~f ill;:> {t2i..2-0t.J\NC-
ADDRESS: N J,.4-
STATUS DATE: 0 S".. ;t1~2...0o"2--
DESTRUCTION DATE: ,J
D Miscellaneous
d Commercial
D Residential
GNew
D Addition D Renovation D Revision
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A-I)
SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Floor Plan)
",^~p oF- ~ov,..i"t:)\tl--~ SvtL\JL.j to - (S. ~ (
SCANNED
APR 1 5 2008
. ,1''' ~ ~~ c"
~"AA,u., ,\ .~..
20.
S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc