PLANS
~
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: ~~Dq. ~ot
PCN OY-Cf-3-- It-S - ".. jl..-CX> cJ -6~3.,
PROJECT # \(v\m~f D"1 ~ 0 Z. 3 STATUS: ,4pPUVe..'D
PROJECT NAME4rJA"'ro.lI:r~llJ(, ~'IJ#~!\Jo.u--1I, STATUS DATE: 03-<" -Zoz,1
1 CD.".t"-i::tc..\ p,.L.. CP~LI~)
PROJECT TYPE: ~IJJC)t... !n.oo,':::-ICMloN ~ IlL ~ DESTRUCTION DATE: tV'
ADDRESS: laoS &A-'TUt ~ f1LJ
~ommercial D Residential D New
D Miscellaneous
D Addition D Renovation ~evision ~
-YALlbtL~
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
1. {oF \
2. 1- fI D t= Y
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3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
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