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HomeMy WebLinkAboutPermit Building 1984-10-15 (2) II ,bnO. JrTn P01n ~l) Je'fnpTION OF PROP()SED WORK - Bnp IFIC 't1.tY'J.. W1j. r1 . q"rtr ~ ) ~ - OROOMS l.) /I' OF STORfES # F EMPLOYEES WATER SU~ u .f)" - rwiO-, 'J' '8, . LJ(t l ~~~~~ ; 0hJlh.CD ~1:JM.)L' CONTAACTOR'SN~ _ _ d~ 1?()(wL~ ~ll ""PERiiIr lu BE MAiLED ro (NAMi: 0" (~ ~ - V I lIAVE CAREFULLY EXAMINED THE CooPLE EO 'APPL~~~~'~/dO hor.:-~:tif}-'(::~info=ation h."on Is true and cOHect, an t at I have the following legal interest in the property: Downer of record; 0 contract purchaser; ~t~orized agent with evidence of authority attached. I f:.:.rther certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I fur- ther certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. -.P()~tj/'~ . Lane Couftry Authorization for: ~h~, ('ruw.~I~~,(~) TO"';SHIP) 7 I AA"NGE(J)3 ~ I SEC~!tz .1, 3 J T~OUT OF S~BDIVISIO~PARTITION (if applicable) I LOT/PARCEL r BLocK - r:<d. _' ?)~ (nzf) " b;{ Jiirl J~ {1-&~ ar,d FOR OFFICE USE ONLY Application/".I~/ l7.1I" Perm.1.t # ~&7 /-(j c..r D Two Copies of Plans o Three Copies of Plot Plans UMech/Plumbing Checklist D Legal Interest Document D Plan Check Info Sheet SE OF PROPERTY D Industrial D Public. (b.t~J.fJt\. D Cormnercial f ~)/jrJ, ,Au.."'m~~ i.J4.h '" I;"'!j , NAME (please print) ~~~A~~ r /z 4frSJ- DATE READ THIS SECTION CAREFULL~JL~ORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS! o PLANNING/ZONING: Zon Partition # . Parcel # Parcel Size :::~r;p~C:;" I ,pi1;;~~.rz Q.Mi;:r ~li \UI i ~ .Aj, Date'~'fur o SANITATION: S. 1. ! o Installa tion Specifications: Lineal Feet of Drainfield Installation Record Issued? DYes 0 No Maximum Depth of Trenches B. P. # Gallon Tank COl>L'1ENTS : n Date: ~~ EXAMINATION: Type\l-11-l-2.. Group ALII useCuntll'..L.l t2E12€:C1F COMHENTS, c.~ RJl2. F<<'AMI#JG.I ~ SHelrr"('''I~PWlAl2p AI.lD F/#.M-IIJ/<;,ptiL."11.Q1,j.,!::, ~~~ Date, Jolts/~ Floodplain Fee $ Subsurface Fees ~ -"f' ~ Building ~ee ~Z $ t::7< 0 ".ch/P 1mbg Fee $'1. / / .?0-=- pl ans Check FeA()r- / cp - ,,..,. _ State Surcharge 'Z ~ / r DEQ sur'iOr~~ $ "L - ~ fOTAL FEE $$ ~~ ?€Enlt!:;!fo:J~UILDING OFFICIAL/DESIGNEE (per Oii.~# Jo./'5!AfTE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, C 14-25 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION TOTAL VALUATION $ fa 7 f>..n g;z. CONSTRUCTION AUTHORIZED BY ~ PERMIT Description Fixed Fee"! Unit Cost Sq. Ft. /JEW 1200r= I fDPln 4.00 o . . SETBACKS AND OTHER CONOITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- TION REQUESTS MUST BE GIVEN. Have -the following information ready:- 'permi t number I job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. BUILOING DIVISION: REQUIRED INSPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms 'erected pnd when all materials tor the toundation are delivered on the job. Where concrete from a central mixing plant (commonly termed "transit mixed") is to be used,. material.s .n~ed not be on the job. Concrete Slab ~ Under-Floor Inspection: To be made after all in-slab or under-floor building service equipment, conduit, piping accessories, and other. ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 2. .3. Framinq & Insulation Inspections: To be made after .the roof, all--framing, fire blocking, and bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough electri~~l ~nd ~lumbing are approved. All wall insulation and vapor barrier are in place. Lath and/eE. Gy~sum Board Inspection: To be made. after all lathing and gypsum board, ;.nterior ana-exter~or, lS In place but b~tore any.plasterlng is applied and be~ore gypsum board joints and fasteners are taped and finished. 'j 4. 5. Final Inspection: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without first obtaining the approval of the building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections required. NOTE: All building permits require inspections for the work authorized, such as but not limited to: A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This rnspectlon is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is complete. Installation shall be in accordance with an approved, nationally recognized testing agency and the manufacturer's installation instructions. C. Mobile Home: An inspection is required after the mobile home is connected to an approved sewer or septic system for setback requirements, blocking, footing connection, tie~owns, skirting, and plumbing connections. . - 1. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. 2. Mobile home minimum finish floor elevation shall be certified when required by a flood- plain management letter. 3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade when pool-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 OAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS11' " l. 2. Permits .shall ~e ~f~ec.tive for one yea.t; from the..date of iS7uanc~. '. . ..' ., , , . . Upon completing the construction for which a permit has been issued, the permit holder shall notify the Lane county Dep'artment of Planning and Community Development by submitting the installation record form. The Department shall inspect the construction to determine if it complies. with the rules contained in this division. If the construction does comply with such rules, the Department shall issue a certificate of satisfactory completion to the permitlholder. If the construction does not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before issuing the'certificate. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface Sewaqe Disposal From: Interior property lines Eqge of road right-of-way Building foundation Wells, other water sources SePtic Tank 10 ' 10 '. 5 ' 50 ' Drainfield 10 I 10' 10 I. 100' . , I . I ~: , i. 'I ' . . . .' I ~ :' . . . . I' . . AF'PLISA~~ IM~~Nl~II... 1'1 .,- .t ~7,.,~~r)').. "1' ~.r:.C),,, .'~..~. I M.-:J.........."",,_...._ll"j . ~ :~~.." B.... ;) G":' ':' ;.-.. F C;';',~E:;: N;"~:: ~::'_. 3D ~;: ',,' ~.;SE: e;~;G~,)[ ,~,F'F'L..' ~<::~ {i~:;.:~::Cl:.! It? ":rl::' .;;, ",'-, r .I:.;r, .l:'.' ( ," ~;:t:,"?i BA SL!'::';::' ~\C A ::':: XTl.J!=~E~' . ;'lEC:-: .<;~;;:, c:< j::' \H~~, . e.~A-;.C . l~S!i~:~i.J. 'T' ~,'t '::'!X .' . PI;: ~:' '-:'1' ", o T~V ,M" "M ~,' ."\'-,. . . . l_ .;~ >.~ ~:: CO U;~ ..:.--: ~EP~ Et~V ~GT ;~~C~IP~ ADDR 3050 ~A~E F']~RM Br'~~F';":. S";- ::HU:~Ci": I C Bj);::~::S 0 ~.;;'~ITS {:)0'j S'~'Ol~~:::[S DESCF, ::: ;::"Y-:: (}h;' ,q:):)7~ S~:: FT UNIT .\\.1 A :DN1\~C-;-'(J;:-~,:;' ~': =: c :.~ :~'l;'~ .: C.'{.._ ....-"1... .::.C ,:;' T t. -;-;: ~~ l.; r-~ :::; h ,;~ t<. G E ,', ~,.. ,:~ ~~ C ;-1;:: C:< '-"', ..... S:"5 SI ?~~:< ES'~' '" '~':;:"'j?~..E':':::JN ,:)~l-~~:: . . III . I~ .iD 3 ~ ~ " e~ . ~ w "0 .E 'I'i~ , w .. ~ e~ ~ . ~ e~ ~ 5 .~ 3 Ill: .: . ~J~ 2t7: Pi! ~A':-~~ ~ G~ .::c>.e RD~I SPR:NGFIELI), OR~ '...~r;' :::'~,,:', ~BL..~~S 001 F'!'1D~~ 7<6 :,:9"'?4 e ': ~::: ,. ,~.) () ::: t, C; ...; ....,.-, ""," '..'; __..l:', '11 :;l~Y,-- ; .I~ iD 3 .~ ~ < ? e! "0 ;;: w g .;:. ~ ~ '1 h ~ . CDS''j' Vt"it." :";{:;':' :~. :::ll\ '"I '\1.. 6~>% "', '~' '"I ,.; 1:;"\ , ~ ..., \,' .~.:,. _ ::3 ""v,. ,'1 ~: ,:' s .~ o , ~ .! ~ o ~ .~ < " " .-;- ~~ -:. ,; :.., ::' :: ~:. :~, .)1: (<~~37 :I{ I . . . (. -. . ..' Oil I. . . . II I ~ , . . . iii . . . . 10. . . . . iii . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -"- - -- . 10 I . APPLICANT IMMANEIL .TL.~ 1 70322j 302500 ,JEW r-lLDG TYPE OWNER NME CODE APPL NO ACTION DESCRIPTION .IP BP .BP. .IF' ~. ~.lif;".' -I.\; LC 269184 SUPP ."L: NO. FI XTURES : MECH .SUR 'CK . PCK . LANE COUNTY DEF'T ENV MGT f~ECEIPT '~269184 DATE j 01684. BAPTIST CHURCH, ADDR 3050 GAME FARM RD., SPRINGFIELD, ORE SUBDIV . LOT ElL.K USE C DDRMS 0 UNITS 001 STOI~IES '~BLDGS 001 PHONE 746 2974 . ADDf~ SQ FT ' UNIT COST VALUATION FEE DAVJOI . . . 37.50 . NO. CONNECTORS: MECHANICAL FEE STATE SURCHARGE PLAN CHECK FEE j 5 . 00 EACH .... 4% 65% j .50 24. ~~8 -0.01 ., 001 . .. .;ATG: . STQU: ~~dKEN BV . API" o Rl..H RA FP SllS SI PCK , OTH ISS o TOTAL FEExux . EST. COMPLETION DATE , 63.37 CK . . . ': (})L+ ~ J, ,,-I/l) {;)~ pu~f..I. r 1-/ (/.-' ( / 0 d' b ~ ,',' . BOLD . SLIP lane county ~ APPLICATION # 21091-B4- LOCATION &:;50 GrAM€: FAAvt f2,D. f-te.? TJ.WeAAN. lA.<.t1-l11\\b via I "'MAN "€.I... CiWrT5TC-I<u~'" /}:05rJ 64M€ F~ gD. :5pe.II.J6F1ELV. a.. NAME ADDRESS 97471 ZI P CODE The above application is being held for the following reasons: T<\-E. PWR):s€D 24' ~ 70' $T!2.UCTU/2AL.. A.uc.eA-TlON. It> 1l-\E:. eooF Cf'" -rw;. E"llI'5Tl,;J~ 8,0(;,6 ~Ae.E- Fi?C'\ C::I-\LJ~ ~UI/?E.$ 1'1-l4Tl'1fE: Pl.A,us BE PeEPAeED 6'f AN 012l:t:-o--l t>./U..,.j\ re:c.T oe EN9I N.EE.e. BA.S€[) 0'-1 ruE PL.ll,,(lS ~U5MITTE.D RJ/2-lDUlL.DItx:::r PEI2.MIT 1519-18, mE..A-f-lW-\E.. I~ ~INN A'S l3E.!/-IG, A 2. -::'TOlZ.'l13U1l....D1NG:., Ot--l TI-\€ ~U~ ":>1 DE. AND T\-\E I-JOe.T\-l -::'IDE." 5\-\CWS NO El'-l?TIJJ'4 FLAT fUJoF. T\.\E: ~K.E.;r~ -::'U5MfTTED~IJ6&.J.S AtJ EXI5ilAlGf I<ror HE:I~\tT OF 9'. ' Pr<oVID6 TWO SETS OF PLANS PI<.~eED AND -::'Tl\M.pe;!) /5'( AN 0eE40~J Al2GHln:.cr Oe. Sf..l411JEeR Q....I:Aay (.Oc.ATI~ -me: Al?_E.o,.OF TIle PROfO::e.D WOQL o"I A PWT PLA/o..l \ ~PEC.I \=''(1 ~ "'[tIE I<.i.X.JF Sf'-EAm/f,.\C=r) 5PCCIF'( IN<'=! l1-l~ ecoi""INe:, M.6,-TE:.f2lAL DET41UNcq Tf-IE. PKOFCJ$IW It--lIEe.(oe..SVPPoe.T5 FOe... iHE: fZC.Op eAFTr=d AN D OETA/L.rF TKE: c..oJJMl--r:T10N TO l'1.(c e)<\ 5 TI "-'(q 1<L.ur. () 'V\ 6[<t)f ' to ~ f)~u SI GNATURE 9/2'-8/84 . DATE AVAILABLE BY APPOINTMENT ONLY 687-4061 ( PHONE HOURS This application will b~ held until JoJ/S/B4. If the information required above has not been furnlshed by that date your application will be cancelled. RETURN THIS SLIP WITH THE ABOVE REQUESTED INFORMATION. BUILDING PROGRAM / LAND MANAGEMENT DIV./PUBLIC WORKS DEPT. 125 East. ~th Avenue / Pub 1 i c Servi ce Buil di ng / Eugene, Oregon 97401 / (503)687-4061 t \ 'A ..::::t:MM.AN. U "'L. Ef'-<i3il""::>\ CAA1..J !2-tW\ 3050 c;f"<,l"\f;. ~ f2~ Sf1<\~ FIP--l.J:::.. (")1<. . EMILE MORTtEl(, P.l:. 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' 37.S i~ .:::: :t::>.L. 2X &; PB'~t::'IH~ ~ r I "Z- J NSIJi./'iTI 0 1'\ " ..J~; ~lIWOOI/ .BOfL r u f' Pco'(i N 1.1 1PS( , '-/Psy I'~ ,-.j P'~ "~ . ~'l--- ..... l-- ' . ,,---.---, I ? ~,.. . L.=-i r 'ki '; , ':'... ~ <'~~~'~j" "..'" -'" .'., =' ; . , '. I ~~... &.!' ....._--f'. -.sW"'It:..E. I ' _-tJA=--5 - N~J! l~,l_. 61...D Po~,' ... ?-P.5F_ -TVlM- -D~,~ L&wC? = PL.. -:= 37.:$" pLF /.....,L. = ISO PLF 187,5 PL.P ~ ._~- I II L.t;N c.,111 ~ 2"" a r 'e I II l"-'~ .. j__ ._,... '.. f:Gep ~ 6'NL- '\ ~ . t.~-~~ ~=. t~.L2$P .-P-<.-hJ5.~%-~_.- J----.. ._.. -~ 1=.,,:: cBs ~..l,l5: 010 '" 1 . ~ I______~ H . .:.?-':: . 1/7 x I 0 ."" , e Fz/z. /5'52- Psi Cj7.;5 P'5\ 1-.' .. J . 1 1----... -...- ,-, :l.-~- , --or' - i r------- I , ~. 4:X{.p:. .A =u 1'1.:Z.?P ,. .t: -:: .. .4.~,5zit S'f-= 17 ~ ~10 "I .- .~ I " i- ~ -- , t.- ' , .- tXS'.A.-:: -,O;~2S" ' .:r:: ",.47,(03<) 51-= 13,/~1 1_.._ ." , j r- I ~ - ----- I t- - ~. . ~ - - .- r-- . i ! . .~ . ' ;, 'A z)(.'O WI'\..\... .W~~J 'B-ur" I : ~ >U~ 10 ,~~~ 1::>~j<INL.. . JI -I .t If-)\'Il/ B . .. '1 "'~--r : ., US~:. +X~ e c.' O,e. . , I I ' I - ~- - - - --.-- +- --. - .' 'I-~~"- , ~_c-_ . ., 1l2E.:. -S~N utM,.e .........' .., --r~t:'~CJL_e-Nr:;::> , , F -;, r'l ....J1r, no .....,~ t I'?"'i'~"""t~ v "r'ii' rH~~~/: :f-- ~ I ----- -I I I , .--. .~- , I , r' .. .- ~- ~~\r ~:I t1~LE B~: 00 ), " ~---.:lr~'*t:L 188. ....--.I,_L ,il'"-,, 150. , .. _. ----I i ~Wt1'fH , I 7. E.7 .. ~~II!;;::TH 0.50 Ii: lC'C"~ -- 1,.,1 ~"-'''-. UU ~ _ ':i"l_ i: k~.- 9:::. 00 I'll;' 1. 70 [ .. -, ~-li 9. 57 ,I ~ ,L L.....360 If~ W' ~':~ L/480 :1 35.8:::: L L/240 I " I I!I 17.92 I'N4' '-.- J[,; , ' ____.~_. U ,J\.."-~,.,..._.....),~~",,."\lO~'''''_''',~j-. ....."..' . ',' 10.66 2t.. :::7 I \ I --< ----. --.t - -1 -I I LB/' LB,.... ' FT FT ~ ------ PSI PSI t'lIL It-D It-12 It-l4 It-14 j " . . c> ~' ~%~ - ~~~~ ~ ~\~~ ~ <Q'%,~ m ~ C:<i':l~ f9 ~~~ . . ACTIVITY INFOHMATION SHEET icJne county COMPLETE TH IS SECT ION. INCOMPLETE FOHMS WILL UL HLJECTLU! ~ , , -.........TITY'... STATE J ZIP CODE 'J:ml'YJa nu f' I ,e~1>-sr rv~"rCh PROPERTY 'OWNER ' 3050 GCt'me {;.tJll Rd MA I LI NG ADDRESS C:::::::'\.n'" ~ \d \~ 97cf11 ~ C1TyJ sf ATE ZIP CODE PERSON MAKING REQUEST MAILING ADDRESS ;. BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS (IF DIFFERENT FROM MAILING ADDRESS) . 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement) TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEc-# ZONING T(i~irrsjfij:> RANb'E SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(~)'OR PARCEL # lOi'm.G TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SIJBDIVISIO'N (if applicable) rfl ~ LOT J.ii.'.j,:.r;UEST (state exactly what you plan to':~'6).:K"'7'",~-,,-.._ro_o.Q._ I . i 8~"5ds i ACRES BLOCK --..-- . ~. ~ , --...._~- ----.-.-----.- ----.--.-- '6 DIRECTIONS TO SITE: ~ \ --- -________n~_ _ ____..__ ** FOR STAFF USE ONLY ** ., NUMBER ZONE/LAND USE: BY: DATE: DATE -i '" V> -i TH1E IN: OUT: LAND MANAGEMENT DIVISION / 125 E. Rth AVE.. EUGENE. OR 97401 / 687-4061 . . . . . ~ I' .. . 1'1 .- . . . . ~ r' I .. . . . 1"[" . . . . . . ! II ~ . . . . . III , .( . . .' . . . I " ~. . . 1 .~ . . . . . .~ '1 . . '" . . . . . 'I . . ! ..., . . I' . '~e :. , \, ~l. ;,. ::.! ;11 ., ~.. . , " . . ----- , , . . . . ") 'C'Hl' n~""" ()9".Fl. .,;. tl 'J' I ,_ ~y .." I-I : I::. " ~~.' T ~ . , "'I'''' .... .),... () ..'" 'I'" I"'''' '1 f' (') . T) "'1"'1""(' ,.. """1'" 1') (.".,1" H.u.}l"'~ ,:,)(.). l.,r..)lVj:~ ." ('.Jl'\I'. \. H.. ! -.:-~" '\,1\:1..,:' .1. :.,...J,,) .d", :;'.., I...OT ::,:"':< .11""11)1-"" '-)(.) , r,...!,-..,!=- -7," "9"'1!1. \r.t;'i.... '.::,;). ~.:. 1 r. '\Jl"l._ ,-f';-';' 'h. I "', .')")"'1"'\"("',",' .\ . \. ,.~ ::. fool._ I I': APPLICANT IMMANUEL BAPTIST, CHURCH .A ~~ i70~',0470?~~00 SUBJIV .: ,:: ,u, E...,' I) (': ",': <, ;:. f." ...., ,h_IA I...:!t ., n. O!,m:,,:,:: :iHE:: ., COD!::: (-.,:::01"1... NO ",CTION DESCF::IPTION .J;::' USE:' C BDF(;"-iS () UN:;:":",:: 00'; S'i"D!~:r.E.s UNIT COST ,VALUATION FEE T'/l", . r"'j T-{.-' .:,1::' .., 13:::- ~ BP :"'G :~69i 84 FUiL.. ~e:,;",. ND~ r::><-;-;Jl;:ES: o ': rn:~CH E \'IJP i."~'r"'~ , .n\ " ~ ~ B-1. ~~ i "'. 1 ..;j;TG: APF' :> SEQU: 1 ~.'f'WEN BY !,I...i-: g ., , o u f~A . F!:' ES'T .' . .'\1)1)1\ :.\'Q FT j"--JD ~ CDNNECTClF\S ~ i'~[CH(.t;-'; I C(:iL. j::'EE S'T([TE SUF(CH(:'IF~GE:: ~:)L.t!N CHECK \::'~::E SDS SI F'CI< CClfiPI...ETIDN D(iTE i ::;O() ~ 5 A GO [r~Cj-.: ::~ 2::;" (~O 4::;'; '; ., () () c')5~{' 'J {).. ~,:~5 ()Ti-'~ IS'S' ~:~ :';) TDT/11... FEE1t-:I(' 4:~ ,,~:~5 C!( D,;YS . . . 'I . . . .~ 0 . "-, . , '..-- ~ '1;\ i . i'. ~ I I \'1 ~! I /., rJ! -~' ! ", L' ,. I ni' i. fi I :. "! I' ~~i!J_.. _ __.1 L.... r. "-~-'- . , G'K IS 'n I~ G ifrJA F" c'tf rJ ,.,t::"lf ///)1 E. ( ~~\: ~~ ~~MlPn-to." \ '( ~ \^\C\~~;z~ ~~ ) ~tL'~' . ~.Ar ...... 'f-' 't' tf-" .3 ~J!O" I fJIJJ ^ . i' (j ~ /It:s 1~4 i: tx-~ '7)-h.'\') '1 - t' ;lP/l~, . ' J ~ \ , ., , \ ',. ,. 'f / .. ~A ,~.... :~/ r.:;;~ 22....' 3 ,. r/'1'T !C<" lot- ~SV" p, ~ 5" 3 u 0 4--23 ""-1f I c...-..--------'~ - --. 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