PLANS
']) t<Al.0L e.... ~
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
PROJECT # I\JWS f 011 - ooc{
PROJECT NAME:-.fJA-TIo)JAL Cc..~ ~lnU~
PROJECT TYPE: fJF-1J) ~ l n:- itA-V
PCN 0 C;--c.J.~ r '-f~ r ~ - 2-ec. -a~, -00 5"0
ST A TUS: ----ft~P.t..mJ€. i:> -CL-
STATUS DATE: 'll- l t"- l..trc Y
DESTRUCTION DATE: V
DATE: 12- r t.i r l-trDfI
ADDRESS:
~nnnnerCial
5""00 IV (,,(Veri) US
D Miscellaneous
D Residential
~w
D Addition D Renovation D Revision _
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
1. t - 1.-{ of.2-\
f7- S(~~ (0-01- ~ 'i"
2.
5.
seA-fiNED
DEe 0 5 2003
IMAGING
3.
4.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc