AS-BUILT (Revisions 9-13-07)
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE:
1- , 0 - 2..u-D K'
PCN
PROJECT # I t+AS.L I MJi:> 2-
PROJECT NAME: 12e"",A.,,Ss,\IVc.,L c.~rw.-a.v,.
PROJECT TYPE: ~b">C,4-'D It.JCI- A So.. """BLlIL.:r
STATUS: ---A- s - -s. (.( IL..'-
STATUS DATE: 0'\-1 i-. ~
DESTRUCTION DATE:
IJ
ADDRESS:
o Miscellaneous
o Commercial
o Residential
o New
o Addition 0 Renovation 0 Revision_
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A-I)
SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Floor Plan)
1. l-~ I 4 ~ 10
2. \..p 2-..~ ,0
3. L~3eF \\0
4. L..f If 0 F to
5. /...(1 ~ ""F tb
6. 1-('(, o~ r b
7. LP ., DF lc
8. L. P So" c)F-IO
9. loP ttA- \4.6 QF=IO
\
10. l.f to d ,= ,... /
11. /"
12.
13.
14.
15.
16.
17.
18.
19.
Co\l e.r'l... S,tU'L T
LA'" D ~(J., E.- f LA rv
II
1\
q
l-A-l(L Pi.A VI ,t..I (,.. f {,A tV
S*~ ~9~~e~ 8LD~S
..
"
.\
'T\J ("lcAL L,(N\\ PlAIIJ "'4- (:)eTA-IW
\
"DaTA-\L.3. S'# ~€r
20.
S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc