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HomeMy WebLinkAboutApplication- Permitn No. 813E GARFIELD COUNTY BUILDING, SANITATION, and PLANNING DEPARTMENT 109 8th, Street, Suite 303 Glenwood Springs, CO 81601(970) 945-8212 Job Address ) C DLLr- - / Rol . )(Y. Cir\.on dcc.te , .00. Nature of Work Building Permit Use of Building " ''icl-1 1 on u n b2Seln owners Contractor O r l i o {/ Y'C((fi no Amount of Permit$ j (4? .1 Date -' &u nc},-A ed.04, a..1 Clerk GARFIELD COUNTY BUILDING PERMIT APPLICATION TELEPhONE: (970) 945-8212 GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO PERMIT NO. 1 SO JOB ADDRESS: `9a5 CovJy Pc, /o3 INSPECTION LINE: (970)384-5003 . • PARCEL/SCHEDULE NO. 1 LOT NO. BLOCK NO. SUBDIVISION/FX EMPTION 2 OIVNER Frac# Pa. -11'1's° r1. ADDRESS J 7 as C( IQd. /0 3 C � c. P$ Vo9asT•ripori- WKPA vaasz-/S'y 3 CONTRACTORr , %i/I I,�1,r/ ion ]`i�c / ADDRESS C/i`�yloy. % 3� aso/4;k,"✓� r/Sao p 7a 5/35' 5? 970 0.e'. 9 Gi 3-4. , -a7aV0� e 4 ARCIIGECIIENGINEER /96,27 ADDRESS 303 flidr7 A4w. 6,....4,11/., UCNo:e. 3/5W) 5 �.,. A 1, SQ. FT. OFBUILDING 5:6-6 3 11 (pJ7o T SQ. Fr. 6FLOT /0 5; /l/ / , v . s� , 4 main . ]CO.Oi+PI.0ORS 6 n �� ,� 3: USE OFBtlLDDIG . S, /�`a►�' (jars: a�igl /Y1) f�ydx uj-�� 7 �y DESCRIBE WORK Ft2l i PcI(se,,a.e.± S kis Ld.✓k��. Rdoi,..� &d,/bmnI. c B I,A. : oak, AIrn -4- Fromm bet - S CLASS OF WORK: ONEW GAMMON DALIERATION , MOVE OREMOVE T • 9 CARPORT: o9IIHBE, CDOUBLE - a7 x: y. GARAGE: taNCBE 400UBg lab aoxa � .� k 0 )4/ 10 R G DRIVEWAY PERMIT 1J I // DON SHE AGE DISPOSAL (SEPTIC) 'l/C/ PLASM �,/^ �/ /GENIE VALCATIONOF WORK S ADJUSTED VALUATIONS set XO 952 -k� • • •OVE OLt e . 611.I�p o .( `•U ao SPECIAL CQNDmoNS: 0E,8 V NOTICE A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF , COLORADO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE~ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER -STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / ilailid I; Da-` 41/ PLAN CHECKFEES (� f� I PERMIT FEE: Li i `! 9 53 i 76s t O -+ TOTAL FEE:� L DATE PERMIT ISSUED: OCC: GROUP: CONST: TYPE: rZO I G: SETBACKS: Signature of Owner, Contractor or autho ' . tb { 1 f (1f ( A LJ L A'ilir 117#i noti above. If / ,' .IF/ jr r u:. . HOME: �} 6� OD • I/ }� 0 ISDS NO. & FEE: r 4 ID Building Dept Approval/Date Planning Dept. .. a .: A UNT 35r) PERMISSION IS HEREBY Ci ANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTR CT C STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDINGDEPARTMENT. 1441, IN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT T1IEN AND THERE IT SHALL BECOME NULL AND VOID. THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE 0R REGULATION OF THIS IURISDICTION. THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER. DOES NOT CONSTITUTE AN ACC.F.YfANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHIIBCT, DESIGNER, BUILDER AND OWNER. COMMENTS ARE INLENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE O T. Garformoo d I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INTI7AL) `F 0k The following items are required by Garfield County for a final .inspection: 1. A final Electrical Inspection from the Colorado State Electrical Inspector; 2. Permanent address assigned by Garfield County Building Department posted where readily visible from access road; 3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows installed, a complete kitchen with cabinets, a sink with hot & cold running water, non-absorbent kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all necessary plumbing; 4. A complete bathroom, with washbowl, tub or shower, toilet stool, hot and cold running water, non-absorbent floors and walls finished and a privacy door; 5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or decks over 30" high constructed to all 1994 UBC requirements; 6. Outside grading done to where water will detour away from the building; 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspection made. A CERTIFICATE OF OCCUPANCY\WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. **_**CANNOT QCCUP.Y_QR.USE DWELLING UNTIL A CERTIFICATE_OF_QCCUPANCY .._ (C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. cenderstand and agree to abide by the above conditions for occupancy, use and the issuance of a rtificate of Occupancy for the dwelling under building permit # / Signature Date bpcont .Y. 1 f 2 0,14f c . 6811 iqa. "cs-Q-40(uLeLfs- 56C/46 -/N .60:7 4,5,‘- CAD . C� U9A.AA.az mom .11 Mir A 11101144 1CF. so Is a site plan included that indicates the distances ofthe proposed building or addition to property lines, other buildings setback easements and utility easements? Yes Does the site plan include the location of the I. S.D. S. (Individual Sewage Disposal System) and the distances to property lines, wells (on subject property and adjacent properties), streams or water courses? Yes 3. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes 4. Do the plans include a foundation plan indicating the size, location and spacing ofall reinforcing steel in accordance w he uniform building code or per stamped engineered design? Yes 5. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written permission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? Yes � No 6. Will this be the only residential structures on the parcel? Yes No !� �- t�-tom. �... 0.4.. P�c�y If no -Explain: n�.%/ be_ rgh„es w 7. Have two (2) complete sets of construction drawings been submitted with the application? Yes ,�/� 8. For the placement of a manufactured home, have the following been specified? The size of the unit (min. 20ft. x 20ft.); live roof load (min. 40#); wind design (min. wind speed of 80 mph & 15 lb wind load); foundation design; method of anchoring? Yes 9. Have you designed or had this plan designed while considering building and other construction code requirements Yes . No 10. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes No 11. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? - Yes L— No . 12. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the `Permit Fee" as well as any "School Impact' or "Septic Syste fees required, at the time you pick up your building permit? Yes No 13. Are you aware that twenty-four (24) hour notice is required for all inspections? Inspections be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be called in by 12:00 p.m. the day before; afternoon inspections must be called in by 4:00 . the day before. Failure to give twenty-four (24) hour notice for inspections will delay your inspect on one (1) day. Inspections are to be caIe$"in to 384-5003. Yes No 14. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection riot to receiving a Certificate of Occupancy an occupancy of the building? p y d Yes No 15. Are you aware that prior to issuance of a building permit you are required to show proof of a driveway access permit or obtain a statement from the Garfield County Road & Bridge Department stating one is not necessary? Y u can contact the Road & Bridge Department at 625-8601. Yes � No 16. Attached is information for placement of a manufactured home. Please review. If you have an questions, please call this office at 945-8212. Y 17. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups, unless you as the homeowner are performing the work? The license n f the person performing the work will be required at time of applicable inspection. Yes No I hereby acknowledge that I have m read, understand and answered these questions to the best of ability. y Phone: ?7© Project Name: k7945 Project Address: ,?s— /b 3 Ad 3 V--6)/ date 970 5 V7 (evenings) BEST COPY `iii)/ is1`"N`!HHt \WN A)� E (,)i Mil) l) I ()€. 'l #. ivsvi MANITFACTURED HOME BUILDING PERMIT _.� IELD COUNTY, COLORADO Date Issued......01 .14. Zoned Area AGEMENT Permit No....130 In consideration of the issuance of this permit, ie applicant herebyagrees regulations related to zoning, location, construction and erection of to comply permith this is granted, and further agrees `with all laws and that if the above said regulations are not fully complied withucture for in n be zoning, location, erection and construction of the above described structure, the permit m by notice from the County Building Inspector and IMMEDIATELY BECOMES ay then be revoked LAND VOID. Use , .,i;, I.._ y :`r i d Address Legal Description Owner Phone 384.5003 APPROVED Date 7�a .C. t— �• UE THIS PERMIT IS NOT TRANSFERABLE 109 8th Street County Courthouse Glenwood Springs, CO. RO tiIPN( \RJ II 01 Byrolboolt. (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) z� s 0`OAKWOOD . MOBILE • HOMES,INC. A SUBSIDIARY OF OAKWOOD HOMES CORPORATION 2508 HIGHWAY 6 & 50 • GRAND JUNCTION, CO 81505 • 970-242-2924 • FAX 970-242-0447 Garfield County Building Dept. Subject: Building permit for Pattison The home purchased by Fred Pattison for setup at 1925 County Rd. #103 Carbondale, CO. is under construction and includes a 40# snow load roof. The serial number is GWCA21L28795AB and the model is #7020 manufactured by HBOS Mfg. Golden West in Penis, CA. Gene Hall, General Mgr. ..% • . • . ..NrpoRsoiW ..KEVISIC11 1' 2 . r ...,::: •• • tr E R 0 0 le ..:0;', • • * -1J3-1.011ER -t:ifqA4Pleltrtfil? 151'nft. 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'.• . • • • . . • . ... • .. • . • - •: • • 1.0*01rw**-.worw.*****:i.*,*,+. tIty 30M# escrptio.n EXTE:iIOR - • _ - • _ • ^ Qty 8014 Osscription * 1 3E01 ALL ORAKING AXLES 1 I 92 - N ' IGHT 1 e6 :OW, 3. IGHT1•6' 1 S 25 DR.FRT,GW-24.LEFT 5' • . 11 ANE.ANAL tiou • 1 5917 r6S.35",AAR S7DtS B u-22 W -19,C. 8 . * 5638 OVERHAN0.11b.TRONT & REAR - I 8756 PERM FOUNOATION,NO 2X1 1 8880 RooF FITCWN3:12 LIVING RCM 1 6562 ENTRY,L1NOLEUM • DAINO ROOM RcROER,TB051 3 13370 LIGHT.DA.CMAND.77009PacL , 417CliEk C.24;XSP . x I TilA:2-14. EMI' . C-4,1E,E.42.1 .EARTHSTON2 N.R-mNL MN TN OAK . 871; JLAWASmER,G 22392.1447 * - 686 1 FAyCE7,4u1..Lv.wiSFRAY.X,T , 14044 Itg. MAAtR.W/Flt.TER !JOINING ROOM . 1 14284 LICHT.HOR.4251.11 MASTER 8EDR0C4 1 6510 CEILING LIGHT,M6R SfltROCH MIRO 0E.0.501 m43'7E:A SATHRM4 1 ts11 ccurte LIGHT,23R. I 1 : SECCIZ 64711ACOM 6S.1 CEILING L1G1T.8BR BORDERIF77166444# MeNlagiTAIM 5226 E)HALliT FmN,M6H Bli FlEtiESAMI4 100 BATMCOM BORDER.TF771654-NN ColACKSP 28M,4R.6-10 81.K C-600EM-6-10r8L4 VOATX - CAO.R-t.OAK 7583 EXIT PALM 2743 FAUE ,SOL-LEV.28H.LAV- 0120 FAUC 501-0,20M,SHOWER 11.1,tact 1\-1 Id Wd6t7:TO TO *E'ne c0nt1vir66 6n:Pegq '2 . . • • • : ..' ' 7%:.L....-..,........,...: . . 1 SuG ROOF.LOW 1 61- • ,67 Oil!A01' .40.'6 my . ... PRIR2klit:IWE - 'f 1 649e ;Int OtiLvid rOR Sit) 0 ..- 4 1 6762 WALL5.21(6.FLUSW1NBQ 0 .. 1 11384 WONS,ALUNINUN.06.L.t. 4 . • L/NO,E4TRY.V.F,K18 I 6718 WALLPAPER MIER KITCHEN TOP.EA-2.1Q.EARTH • LLKOJITAF.8088 .14156 RAXGEGAS.WT/WT 10BSO7PE ' 1. lin uFRI.INHTArslos TOWLIdgYscFalircliag • t INO.MOR .7;5%8 1 6584 LAV.SIKOLC.W.ORCELAIN LINO.MASTER 041.1.906 N 11 O 'AV TPP,11-5-1 AK 1" 7082 SHOWER,FIBERGLASS, 0 i004 1PWEL SARfTM ISHLOR.M6H s720 Tu11.0vALim8N.ol .4262.5 5824 WALLPAPER BORDER 1 5585 LAV,SI$6'..E,WHT PORCELAIN LINC.SECOND 8A+H.DF.9088 I 14296 SHOWER W-ENC.286.48.F1801. 1 6506 TOWEL WiTISSUE.ILOR,28N • 1 • 6428 WALLPAPER BORDER .011 TCP,V1440.1Q,ILK MTV TE9Z21720/.6 : 'ON Xt:IA • .1.00/3 I ti NOeU Z.21- d. 742Z7Teg-e---,-)" ,-1-2a.-+ /-77, 4,771 ..W.40/---e?"47-4-0.7.- dui, c %,'�. 7V2 'o //?1 ,4. d ew«TY /ed, C�RB� ,��E, � .7/6 23 A/fes-s. mar. 54'.87/7/1-774-7) tz h�f�"GC 6G.. t'ff. ��i�-�•C�- �.4.G Leo %�:-f'}�.+aa MOBILE .HOME INFORMATION:.FQRM owner Name Address:. P; A In 3.)-- C d. ,_ -7-)/9 r i ! S c cv - /9.23 2,L. /t d J�3 - d fi4ase ..DALE a 7/AZ 1) ESE TE • .. {r S' . 944!.5' Z E 4O2 J 41,2.2- 4: e de.ik :?.2-k:e.,ek 313- 79 :,24/x + (1/1--1.:2 Telephone No. f%n:rd.E< -&6-20 Mobile Home Make Serial No.(s): _1.7 _4D7� Model Year Mfg. /9:sr 9 Size (excluding towing gear;and bu.rnpers) Length . (r re/ ),z) Width 7" Bedrooms 02- Baths / .z Front Kitchen ' Center Kitchen X Date Purchased . / New Used Retail Delivered Price (total purchase price) When N.ew $ i)/y,Yzieto,t/ Were household furnishings .(excluding builtin furniture or appliances) included in the total purchase price when new? Yes No Not Known X If yes, what was the total value. -of -the household furnishings included in the purchase price when new? $ Is.the mobile home leased or rented to alenant, or used for commercial purposes? Yes No If yes, give particulars in "Remarks ` section be#.ow. Location of :Mobile Home: Address 1%1'C'o:r_or v,P�/O /(�.� o����ff o. /r.2 ,��, �cc�t'�av' 'cE /5 T.lr,s /'s i9,g1E GRca..t;'n 9s /9.I.3 :Gc d ..re se -7 iz ,riitc�zli..a2-,a.r; G444 P+ 9�r•'d/C- Ptos. If located in W obile Home Park: Name of Park ., _ Row Space . If not located in: Mobile Home Park, givelegal description of land where located: z,S E %//7 f% G/�,e ,` 74ri Air -4" 1 �'s i4 S tt, `R �S /pi� -� E ?` /A RI -L 3V7 rN .SL(1 ye�'V .� c «'f — 7- 877 , /3 r-}, Name of Land Owner . ,‘,/1/9 TT'r so .cJ Name of Previous Owner_if any Are there additions:,to or outbuildings for the moble home..?:. Yes No If yes, complete the following: 1. . List the additions,and,outbuildings in "Remarks" section below . 2. •Date built.��ru-E� /5--V--/7‘•-7 Original cost $ .civ /r/' 3. Name of owner g:9,=,.9r /.1_? (le . Remarks: .Ser Arrkc # 67) RE--m/Leis Fad, mew 4',' i.o 7R/1; ie 7/ f oeZ ,eu.Zv,,,u6s, Thp.y /ARE rtiFQr cc,Q B6T11. T PA ;LER /a.D7);r tE• 44 T69;z- 5,2 77/6",01 was / RO, r'��;. C ..' 861. 'E , ,V 196 fti,•k' c,T —57' s sze•ecEY 11i,q . 9 rccEE,u /9.1.94- /97,3, .:106 ?CHF]SE TH ,` S ,t E /Q ;4 /96A" 49,'E , 4, in a . H• rr./19,1'6-- FJ) - .449/2147i.�'- /�57� �r . s -.. C •, .Pze--" a , -..p /%IC/TCAGf A' 7'4/i?.TU Rieif.'r'! Lcx.�� .SO�; � ,(]zn4A.t`3'trSi,.LL ,47.:P,441 Z /•10(4)€-veR, 1~ h.9Z •, Y :1//7is! r?/ta.� r t7 .3,<x�r Tn P-9rrt. Se3 when Signature /it�,s<,11.�s 72. Date )." lee _f .3 /. /?7,7 rtautsi-Lt tiviVrt4NtQHMATIONTOTINI-. -.• -„O‘indName and Address: i4(1 ye d 1) r _sa A 0 .1 (I -1Z kir! )06,07 ) Zu 4.)& !o, 17 riLeseiy!_:-/ rE",,k1p;•"5,0- : ' Telephone. N p. d6/r1ip. 470/if/D,en•. sag., 7xi-,-.2i9.3 - :Mobile Home iViake::/i/&740. _ Model - Year Mfg.'. :-/96s Size (excluding towing gearandbumpers) Length _60i (-r rive'.4,w) Width .20 Bedrooms j Baths ,1-- i .2... Front Kitchen ,k1,9 ; Center -Kitchen : Date Purchased. /9/7 New W). Used/ t-7.---• Retail Delivered Price (total purchase price) •Wf-leil New $ //kif140/1 - Were household furnishings (excluding built-in furniture or appliances) included in the total purchase price when • when new? Yes No Not Known X. lf yes, what was the total value of the household furnishings included in the purchase price when new? $. Is the mobile home leased or rented to a tenant, or used for commercial purposes? Yes No If yes, give particulars in "Remarks" section below. Location of Mobile Home: Address / 9:13 /e 0/9RIG'Al 4L-6 7‘ 11.64t,„ If located in Mobile Home Park: Name of Park Row Space If not located in Mobile Home Park, give legal description of land where located: Iqq7 0-Akr-icz_b TRE 4-.Sctg ors .5,94 iv ki*And,± 9- 7.er 4. /34 • Name of Land Owner /1/,',V,`,1 /i\ e.. ri 5 4.4.1 Narne.of Previous Owner if any -..- . Are tliere additions to or outbuildings for the mobile home? Yes , i( No If yes, complete the following: 1. List the additions and outbuildings in 7Remarks" section below. 2. Date built „h. rwc E.A1 MS - vL 1969 Original cost $ ...Daz../- ,e,AEAs-g. 3. Name of ovvner ...5.4 ;17E' 7-51.5. .43 0 Ii." Remarks: -144-RE /9:M.7A. SW..044/7-1:je-; A R e7,./ 4-7" ,2 9 ?SC fe Z ,i GI-IC:4- 101,..1 CE, ki h 1 cf--1,6/ ;-4.,9..."1 zn,..92ve k -,..),4(A1 _57, 41 fe I./ 6" i-- Sy-:.,rai.---4.---4.,./ ily, 6.0../ .,./ .." . 7' — 4.- • ...1- — .",e,;.•i.c 4/ ' . A 7-- ,) ' c" ' rhit9r./h 1 A I-- erf 1 h e -5 1, j A 'Q ico IQ z-• ;44.7.e.Le ....1- / Ai en rilz !:.<- _S'I/E7)`-: ...._ --379-cf< I./.1'74 r 7 , -5 C A) II— - 1 - . /lit Re 11,19 st7 2) 7- /ft.,/if?c4;6- 4 -1 --az yil,gzs TA, fr .4', • v 719,o OA- .." 1 orri:7- la ecir.4sE_.4 ri/6' A.4-4., /ri‘e.4) rA',/ f ,4- k ... /76 <2?/..417) /..i.,' )17O.,, Th'E , r ;7-z ,) TWE Ti'R4 /G_ /2, it, .9_5 7x-11,- ) t'sr=t-Wic'Lc-.1) .i -e;.. . ..,t1 i‘i 1/6-4.) //Zs s 5 7-4 r4F 40510,7,N/1c ,25b ./.4., ,/f-75.. e/,'4,.. a E: ; 71 ;:S :2; r,' 4 L'' i/i/4.7 tc74f' ' riii- /14)121.g.',C-F )161,-e, •,.i's./.14 / . r ": 1 eer'ile---'--73 tel ; Files r/YA )--,..a.,t/Az. '...5.41'' ci C" 6-4 6-4/ eve 0_6 ,s -`44,-;-..c., #0-441E1./Ei ,..T h'/92' ritt-w4Aie ei/44-4-62) ,ty.eick i -z+ (---, . l S i gnatu re '..>9 ; r,- ..f ;:t , ." ,1e. e (7 . 11:;. • %....7:-L, ,.,-; / - - - A r ..:'7, 2 , 5'7:: ---e 4— ....; C. 1/71,--)7:. , Date :72.7fr 2/,, 1 • 1 •a /11 I 1 THE FOLLOWING PAGES ARE THE BEST COPY AVAILABLE AT TIME OF SCANNING