PLANS
Re- t-l t. L
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: 3 - 0 3 ~ lFo't
PROJECT # m m..s 17 b C. - () 0 7
PROJECT NAME: G-c)u::-~{fliA1t1 &--AtlN'IV,s
PROJECT TYPE: !l1IAJol'& f!l()!:>tFlfAnoll/ j;,€ L
PCN 0&' <.f~-'fC; - O'f - n _000 -0000
STATUS: -LJ-ffl2cvO::>
STATUS DATE: 03 -02.- U-O~
DESTRUCTION DATE: ,J\/
..-:--
ADDRESS: rE-"Di:~A L. I.J.w~
o Commercial ~sidential
DNew
D Miscellaneous
D Addition D Renovation ~evision S 1ft pc.44\)
(V\()~ IF tC.A-Tlcl\J ~
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
f '- So. rkM" b 2 - f3 - 2In~
20.
S:\Planning\File lists.file procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc