PLANS
lv~
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
PROJECT # M 1-1' m
PROJECT NAME: Ctt2..Ut lr C 'J
PROJECT TYPE:.t}\1 klb (L, ~l:>SCA'€-- ft,~ J;ftaD
ADDRESS: J7..r N {!1)1tJ6IlU.J i/ve.-
peN oj. 'fJ. Iff../ '( -tJ,()6:l- 6006
STATUS: A1ftUJV~'D
,
DATE:
s=.t'-t- ~9
STATUS DATE:
0'1,0.3 . e;tZoo'7
DESTRUCTION DATE:
rJ
.
~~~ercial
D Residential
DNew
D Addition
D Miscellaneous
D Renovation ~evision
F~ f~ -
INDEX OF DRAWINGS:
SHEET #
(ex: Sheet A-I)
SHEET TITLE (PLEASE PRINT LEGmL Y)
(ex: Floor Plan)
P L .sr~1
Nd V~ ~t:J!-..
20.
S:\Planning\File Iists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc