HomeMy WebLinkAboutPermit Building 1978-7-11
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JOB LOCATION
lObO ilOildea St.
Oft 4Znc St. hy ~rede School
LANE COUNTY PERMIT
Acreage or Lot Si7" Partitioning # ) Completed Subdivision lhac!oB Green Estates
Contractor's O.S. # nnnmQQ?' Lot 8 Bloc~ 1
APPLICANT'S NAME AND ADDREC::C:: Jim Pray 85375 Jasp",r Park Road (lfl Qfl-<!.R~ /Ivuz. ~. Phon" 746-223:l
OWNER'S NAME AND ADDRES~ Craig ~loliter 1060 Dondea St. Phon"
CONTRACTOR'S NAME AND ADDRES~ sa= as Ilpplicant Phon"
Mail permit to ( Jl) Applicant ( ) Owner ) Contractor. ( ) Prefer to pick up. Call (owner. etc.) when ready.
eTRUCTURES NOW ON THE PROPERTY. Sinnle g..;e111nr< home .
THIS PERMIT IS FOR Add fmnilv room ..rifl h"t-" Rn,! "p~..nmn /
# BEDROOMS~# PLUMBING CONNECTION5-:L..
WATER SUPPLY
cluv
SEWAGE DISPOSAl
QQn~{~ ~an~ A~_~A
S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF !::n..-iMf'i"l~
, PLUMBING BY
.
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all apPlicable/odes relating to this permit.
Fee Paid ~ Q'tQIi f7?lln Signaturi" \jr..vJ?1P~ Q (~ ' Oat"
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. U (Xl SPECIAL PMT. AREA. MIN. ELEVATION: /7, elr
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SANITATION BUILDING.
,'/j-;;JJ;;p;'70 Minimum Septic Tank Capacity (Gallons) .s-::< J Type of Construction f- -:s Group
/ .... t~'fI /1't4l Drainfield Required, Lineal Feet ~'.c. A n Use Classification
" ' "",,,", Maximum Depth . Comm;nt;: 'Z,-;;r ';e /J. -H-
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Comments: f.;I.,:,,,--,,- <>ff- -"t,.:.. ~(;f $'"0 ,."'.......,.. ve.....t.€./ "
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" By: "" ~/-7../A.-.4r...._'" " Date: c.. ";:::2.0- 7/f' By: ~bo?-:'1 ~ '>)z."d Date: '7- j--7;(
PLANN[;'\iG REQUIREME-NTS SATISFIED. By: Susan Keller - Date: 6/13/78 Date Issued: 7////7 57
~'ZONE: ,TlA SETBACKS: FRONT 61' _ SIDE FACING STREET (FROM CILl INT. SIDE YARD 5' REAR l' (FROM Pill
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" LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHO. NE: 687,\94
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.13 BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE Eopy - WHITE
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Fire Zone
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TO:
LANE COUNTY PlANNING
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CONSTRUCTION PERMITS & INSPECTION
OTHER
FROM:
,
SURVEYORS OFFICE - FLOOD PLAIN ~1AilAGnlENT
DEPARTI1ENT OF PUBLIC LANDS
PHONE: 687-4195
SUBJECT:
PARTITION NUNBER
SUBDIVISION
BUILDING PEPJ~IT NUMBER
OTHER
1825"-78
RECOMMENDATION:
THE ABOVE SUBJECT .IS IN A SPECIAL PERMIT AREA,
THE ABOVE SUBJECT IS INCLUDED IN THE H.U,D. li~~;L:lBERED "AU ZONES,
REMARKS MIU. t=LOCr? 2L~"'A..,\<'lt--l \...1,<::-\ 1'l,;:.r:''\(..l...U7;:' "'-f---'SI"T0;::,._
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DATE
~/2/ /7~
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Distanc. from:
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Lat lin.: Front 0 Sid. 0 R.a, 0
Faundation_~...L/') f.et. .'
Depth of filt'er material beneath tilt ~-:;
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TO BE COMPLETED BY INSTALLER:
PERMIT ISSUED TO: Installer's name' C , l-\ .
Noll'- D0ug Fe"n~ II BaUding permit number
3941 Richla,d Strc~t. SolId. I06ry
Mailislll add..... ' Property addr.ss
lot d, btoc.k 1 'M~~,:jdO\'o'
Total namb.r: LiYinll units-L- S.drooms-3.. Boths..L nasem.nt: Yes 0 No 0
Wale, sapply by: Public system----Y'" Individual system Community 5yst.",_.._
Septic hmlt: Distanc. from....1I Foet, Materi.rr'll-J e.. No. of compartm.nts,
TatalliqaidcapacityClCC\_lIal. In.;del.nll",g-;~" It.ln.id.width ~";I/ _It.
n:_.:.,.:;?cJ' .(/,: It, Uq.id dept~ ~,.;" It.
Tile disposal fi:!1d: Distribation box? Yes r.;r" No 0 Other
Laagtll oach line _ 30. .Q!2 2Q It.
TatGlleagih' '_, q; . It.
Walth oft'ancb .:? _ It,
Totallqllllre footage ':;'.<:;"..d- It,
DUtance botvl!lrln lines. . 1'1 ~ It,
TrJIO of fillet catarial: GnneI-CnI)'C 7.!tx:.J<. ()tb..,
Depth of fille, ClOterial awe, til- /~ inches.
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DE SUIE TO IHDICATI HOlTHfllY DllECTlel1
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Foa USE OF SANITARIAtj..ONLY:
System apparently will c;r- will not 0
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function satisfactorily, and is therefore Ol)pro\'ed for occupancy ~-' Disapproved 0
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Building (and t Office): " ~ rJ. {u 0 't:Io...
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Existing Structure, on Property? 14 If so, de:icribe: r<-A""/~:.-c?<./~ ....2 _ /:~ _ <'r)::- (.
Does property hO'le legal acceu? i\:I If so, describe: / t 'CO. Slll1Cct
legal Description of Building Site - Metes and Bounds _A P"; /-
&c:l a. OIc;1. r:. . _ Cioc:::a ~~ ~ ~[c<.LG<( :<",
Twp. 10 Range C! Sec. 6 To. lo. No, Cod. ~t:2-aC - c:5 -1/
Sile af Property' Wid.h Dep.h Area I:C:) t)la
Structu"" to bo built undor}lJii IMrmit: Square Footage Type af C:onstruction
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Valuation
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Proposed Wo.er Supply, Public ClI
Proposed Sewage Ois.posof:-Public- -
Plumbin9 to be installed by Owner ( )
FEES,
Building
Woste Disposal
Plumbing.
Pork Trailer
Plan Check
; Spring.
-;-Septic- T onlt
Plumb lr CI )
; W.I" Drilled
CI ; Pit-Pr-w,,..
Nome of Plvmber:
. Driven
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Signature of Applicant
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COUNTY BUILDING & SANUTATION SI'IECIIFDCATIONS
SANITAnOH;
Septic Tonic Minimum liquid Copacity with Diltribu:ion BOll
Subsurface Disposal Field Required: IC) lin. Ft.
~ Gal.,
)ft. Width of Trench, or
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Zone Bldg. Setbacks: Front t!-!:l. Feet from Center of Rood. Side. Interior 5 Feet;
h.eriorem corner 101) ~ Fee. f16In Cenler of Rood. - 7 ft. c:;;::z 0.'1 ~ c:='!::::tb lIJO Qf 1ll~IV.
CC:~S;~..,''::::,C:::'C ~':"' :'L: \',',1"l'i U~J!r'Oi~.'I. t;L'!lDI.~lG COOf ,',:..!;:. sr+\~~ t:[CL..:,-',:"1':=-,": :". '" .
CI5FO~"'.L /,tt (C:,d.'::'::: t ;.~.!) l~lCl~Sr;::'i/.t eu:u:::'.!C::i I1E:Oi.!:;':: ..:. :~f.Fi'ifC "i. :::-1 ,~':-C,_...,""
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A portion of the work. cO\.'crcd by t.,is ~rmi! shall be started .....ithin 60 days from ddte and a I work complt'tt:, 'Jitfli,: 01"': '<'car, exce:..': ~'''(t,Je
disposal reoair. which musl begi'l immediately, If not, the permit becomes invalid unless (en~ved bv Ihe count\' t..'uiIClf1. ;;I~..')~c:or.
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fOR THE STRU'::TUR~~~~UfON, POsr
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Jl tlUIL.ClING INSPECTOR SA""ITARI..N
,will.. E16Nf?#'itH' ..fnf.l1'i.. .~o '.Ufr.1,R!; "'~CTOtI, THI' fb....~,&lil,~ BUilDING- "'A..T
THIS 'fIMIT IN A raOMINfNf lOCATION ON oa ADJI,CfNT TO THE MAIN 8UIlDING BEING CONSTP'V:TED.
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Job Location /0 t:, 0 l},.,AlJ ea.
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INFbRMATION SHEET
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( ) Pending .
APPLICANT'S NAME AND ADDRESS J J h7 '/1..a.CI </'5:.'2,')5- Jus lkJ- PI< eJ
.NER'S NAME AND ADDRESS, if different frqm ~pplicant's"-C.l."''l' 1'Ylt:J....+~~' JO/o,,^
NTRACTOR'S NAME AND ADDRESS \ \ "" 'PJ.",-y -oc::J?'I'J" It: ....0.0. i?k P-!.
Mail permit or results of site feasibili,ty study to (U Applicant I ( ) Owner (L.-t Contractor.
( ) Prefer to pick up. Call (owner, etc.) when ready.
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PLUMBING BY v~.---??~~
( ) PROPERTY IS WITHIN ONE MILE OF CITY ( ~ I l
.::... ....................... ............. O:~I~ ~~E ONLY BELOW THIS LINE'" ...... ...,.... ................ ...........
~N~dp;SS Necessary !1lP=acility pern;t Necessary (l),~ecial Permi~;;.e~'i.L Minimum Elevation;
ZONE SETBACKS: Front ~/ Side Facing Street ( InteriorJ:S;~"rd 6/ Rear l' - ,r
(FROh".CE~L~NE OF ~AOI. (FROM PROPERTY L1NESI f/ /;,1;;'
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To: Planning/Building Inspector/Sanitarian/Surveyor. au..( O....~ tv. ~J / U.
This applicant appears to have a problem with
Your assistance will be appreciated.
~ BuildingPermit
Acreage or Lot Size
Partitioning # ~
STRUCTURES NOW ON THE PROPERTY
PROPOSED USE (this permit)
WATER SUPPLY
SEWAGE DISPOSAl
ResponSP'
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C55,12 ;;.
) Site Feasibility Study for Septic Tank. Number of sites__
Test ho!e~1I be ready _ -
Subdivision '-I /I/Ah.t-A')..... ~ljAA, ~~A/7 LOLZS
Bloc~
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Phone I-J4t, --WQ
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Phone ?/c- ?,:J<!O
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Contractors o. S. # ()()()tJ / 9CJ] 7
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(existing or proposed well, etc. If public, name of system)
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t"xisting or proposed septic tank, etc.) s.1. #
Address,
By
Permit Processing Section
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687,4394
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JOB LOCATION
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LANE COUNTY PERMIT
Acreage or Lot Si'"
Contractor's O.S. # _ MIT"io!)?7
Partitioning #,
) Completed
Subdivision r"-.t"'(:;-J GX'c::n ~ '.1tol:~D
Lot lJ
Bloc~
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APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDREc::C::
CONTRACTOR'S'NAME AND ADDRES~
Mail permit to ( 2!) Applicant ( ) Owner
.Jb l?ro:T lH375 J"=r~ ~'rnrt: ,,=()
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(owner, etc.) when ready:
) Contractor. (
) Prefer to pick up. Call
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eTRUCTURES NOW ON THE PROPERTY S~np.lo C:1:J.11iinn b=
THIS PERMIT IS FOR ,'1.<1,:1 ~rr:;th :-r-cn rrt4 1>1'"11:1-, ITV'. h.,Mmr:-1
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# BEDROOMS~# PLUMBING CONNECTIONS-:L
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WATER SUPPLY (',1ov SEWAGE DISPOSAl r..,.,.,,.1,-. ,,,,L Ml-MI S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY 9F S:>rinnH<>ll.1 ''":'. PLUMBING BY ~ ~
I hereby certify that the above statements are true and accurate, and that I hilVe the following legal interes~he property: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all aJPlicableCodes relating to this permit.
Fee Paid ~ 9.'1.90 (nnn Signature}: ':-;~;7IilLl r':j i ;f/!~Y.." Datp
) NEW ADDRESS ( ) FACILITY PERMIT TO'T,RANSPORTATION DEPT. j . (Rl SPECIAL PMT. AREA. MIN. ELEVATION: Ii f1l.
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BUILDING ?
~- ~ J Type of Construction /-' Group
(,tIA' ok _ c. ': _~_/ .llse Classification
Comments: t.,/..,<..--: 'l;"-; -/" /. 1
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SANIT~TION
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required, Lineal Feet
Maximum Depth
Fire Zone
Comments:
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PLANNING REQUIREMENTS SATISFIED. By: Sma rtollcrr
ZONE: UD. SETBACKS: FRONT 01' SIDE FACING STREET
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;)-:-:/ '>.au-A' Date:
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Date Issued:
INT. SIDE YARDe;' REAR
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7////7 ....9"
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGE'NE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
C55,'3
BLDG. PERMIT - WHITE; BUILDING ~ GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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PLUMBING GROUNDWORK
ApP'ROVED .eEl DISAPPROVED Cl DATE 7-/o-1~ INSPECTOR tf';J-.
REMARKS
GAS PIPING GROUNDWORK
ApPROVEO. Cl DISAPPROVED Cl DATE
INSPECTOR
REMARK S
ROUGH PLUMBING
I2f 01 SAPPROVED Cl ~'ATE 'i1 ~Jl; -7? 1 NSPECTOR ;p JI
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ApPROVED
REMARKS
ROUGH GAS PIPING
ApPROVED Cl 01 SAPPROVED Cl DATE
INSPECTOR
REMARKS
fiNAL PLUMBING
ApPROVED LJ::J DISAPPROVED Cl DATE.2.:::.!...9'- 7'?-1 NSPECTOR
RJi-
REMARKS
I
fiNAL GAS PIPING
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARK S
CERTifiCATE Of OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE /7. DATE
INSPECTOR
REMARK 5
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JOB LOCATION
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LANE COUNTY PERMIT
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Subdivision,'~2:~{~"J eWG P~tntc:o
Lot 0 Bloc~ 1 '
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Acreage or Lot Si'"
Contractor's O.S. # r.~Ml1C1<:!?7
Partitioning #
) Completed',
APPLICANT'S NAME AND ADDRE~" 310 l'1roy as::l?S ,ia;;xll' Pm:h lli;(l(l
OWNER'S NAME AND ADDR'''''', Cl'cin Dl:1!::Olr 1050 :):;::~= Oz.
CONTRACTOR'S NAME AND ADDRESS or-'" O!) a>:;;:>llc=l:
Mail permit to ( 2) Applicant ( ) Owner ) Contractor. ( ) Prefer to' pick up.
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.TRUCTURES NOW ON THE PROPERTY Sllr:ru.c C-~-;)lUnf1 11=-:" \
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THIS PERMIT IS FOR !,,1~1 yr-;1.h, 1l'C<n r-"~; hni'h ,-"..,."1 "Nl.....~
(:r'tl Q ~ p.~;r /1.." {. if;~,. Phonp 74()-22:!ll
Phonp
Phonp
Call (owner, etc.l when ready.
# BEDROOMS---">-# PLUMBING CONNECTION5....3-
WATER SUPPLY
...i.nv
. SEWAGE DISPOSAl
e-.n,..alll 0-............,.. ^r.l-I";,ft
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THIS PROPERTY IS WITHIN ONE MILEOF THE CITY OF !'In?'lnnv~,,lrl
, PLUMBING BY
o
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approve,s of this action. I hereby agree to co,mfly with all applica~le)Codes relating to this permit.
Fee Paid ~ O~. '1n f'?Al \ \ Signaturp)l },..1l'/'rYo>1f.lA Q t {P'fp.L,.J Dato
( ) NEW ADDRESS ( ) FACILITY PERMIT\TO TRANSPORTATION DEPT. IJ(!t1 SPECIAL PMf. AREA. MIN. ELEVATION: /1.6',
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PLANNING REQUIREMENTS SATISFIED. By: S~= Ra1.!ml' v Date: G/!;;/7J Date Issued: "7////7?
ZONE: M SETBACKS: FRONT 61' SIDE FACING STREET (FROM C/L) INT. SIDE YAI~D 5' REAR '1' (FROM P/L)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
C55.13
BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE copy - WHITE
ApPROVED
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