PLANS
33
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: ;-~ /:<. c2Av fI
PROJECT # m (rJ.J,:J o! ~ 0 2. "
PROJECT NAME: A,.;r:::etLJ oN ;1 t{1::>
(
PCN
o ~- 4- 2 -1-~ -I z.- z../. - 000 -oS, 0
STATUS:
AIJ,a~vLb
STATUS DATE: "i/-- / f. L~~
PROJECT TYPE: 1l1t~JDL fJ1oD/~/C ArroN JrL ~ DESTRUCTION DATE: N
ADDRESS:
t:. Lo 11 L fA-(l.J( e (/l-
D Miscellaneous
D Commercial
~sidential
DNew
D Addition
D Renovation BRevision
;no/)E'- Iff J.... C.#6-.t
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A-I)
1. --.A.:.L-
SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Floor Plan)
F I..(L fL.-A IV
'E u:..v,A-'\ltl tIJ
cl..C\Jp....nQ~
p Z- ~~eO 4--1.-0r
17.
18.
19.
20.
S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc