PLANS
]2€.- "F (t. L
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: --A--1'" l.cn 1
PCN
PROJECT # W\ms ~ O~-l2...( STATUS: APPt<-6V(b
PROJECT NAME: '&I'i~ ~AS E.. ~y STATUS DATE: I Z. ?-o . ~'"'
PROJECT TYPE: yV...IN()~ (Y\d\}\f:lU.t1o/\.) ~\TE... W DESTRUCTION DATE: IV
ADDRESS: "BJ..i)t...s q. 10 -l\
D Miscellaneous
~oununercial
D Residential
DNew
D Addition D Renovation g"Revision _
EL-E-V,ATlol\.I ~1+AN~.s
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
(J 2..- So cl+t7\. f'
l(- 23 - ~'1
20.
S:\Planning\File lists. file procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM. doc