PLANS
CITY OF BOYNTON BEACH
PLANNING & ZONING
DATE:
7-1'--- hz>r
TITLE FORM
PCN &'1- 13- ,-/j,/1.. 0.2-00/" tJO(O
STATUS: ~I/~VL~
I
STATUS DATE: tJt..j... 04, -aZuDc.J
PROJECT # I+~~. t:> if.. 0 0 I
,
PROJECT NAME: /ZEf.J;4-{,{'JANCL- c,ht/1LdV~
PROJECT TYPE: ;/ef6..1f-T E~~JlolU
ADDRESS: tfh4.f L r::.-- / J:,o &A'recV-A3 is Lv.1:>
~mmercial ~idential ~w D Addition
DESTRUCTION DATE: V
D Miscellaneous
D Renovation
D Revision
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
f 2- (~-(" f!-~ Vl-E tV
20.
S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc