HomeMy WebLinkAbout21900-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24655 Date SEPTEMBER 26, 1996
THIS CERTIFIES that the building ALTERATION
Location of Property 2795 ARROWHEAD LANE PECONIC, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 98 Block 2 Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 2, 1994 pursuant to which
Building Permit No. 21900-Z dated FEBRUARY 2, 1994
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ALTER EXISTING ENCLOSED PORCH AS APPLIED FOR.
The certificate is issued to DOROTHY HORTON
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-041380 - JUNE 20, 1994
PLUMBERS CERTIFICATION DATED N/A
ui ing Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ~ 19...
N® 21900 Z
Permission Is hereby granted to:
l .,.mo.... ..far ~s...... Oa.... ~04..MY... M"DIJ
x.... !t~
to tA7zX4........ 1~. X rT J le g/.7'e
f .......C{!/.........
.
.
7S /fig s ii ~
at premises located at ........9
1C?O
County Tax Map No. 1000 Section .......7..Q Block Lot No 12o.? .
pursuant to application dated ~ 19....f. and approved by the
Building Inspector.
Fee $
{
j Building Inspector
Rev. 6/30)80
Form No. 6
TOWN OF SOUTHOLD @Y. Fhr.a~'J
BUILDING DEPARTMENT
SEP 13 TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of.property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $2=.5.00, Swimming pool $25.00, Accessory building $25.00,
Xd~diti6ns accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date r:e.rf.. i 3.)J.9 Z
New Construction........... Old Or Pre-existing Building..`............
c/
Location of Property 5.............C$S:E~ i~(,Y......
House No. Street Hamlet
Onwer or Owners of Property....-n YOru tLpq
County Tax Map No 1000, Section.... ~yJP........ Block Lot... Z
Subdivision ....................................Filed Map..... ....p..Lot.....
Permit No.Z.q00 . ...Date Of Permit Applicant. lL-;)YtL.C.C~ .0).k .~.n^5
Health Dept. Approval........ ...................Underwriters Approval..r:~..Afl.&?~::.....
Planning Board Approval.....
Request for: Temporary Certificate........... Final Certicate....~~....
o~
Fee Submitted: r '
Qec, SO ?V
C 13 v6 S _ APPLICANT
AF.. THE NEW ,YORK: OAREI,* OF.iFIRE-° UND,EkWRITEf S PACs i'
8046726 54 ' . ,E ',4P LP"; EURiiAU CWiL9CTRI6TY,.TT. rc $ fir .
' yt Rt;'ESiJOHWr?TFiEeET, AEW,.YORK:NEW ORK">fOCib - '
Date JUNE 2011994- - n a , § ~ ApbHaoNJd Nd~ iirl)tl~ g83 8! 399 j ~ P . ~ . ? . t f{ 041380. t , '
THIS CERTIFIES -THA
only the electrical equlpinent ae J"ckhed below and lnsrodacej 6y~[Ge oppl, nixrpiried on~tke.olioce opplrcu[ion nuniho~ in Ehe preinltel of
yRn. RF R' .ff Rs t4fiRP ;@F 1 a? ~
PHILIP HORTON't ARROWHW1LANE~T:PpECONI~CCyyt°N.TG.9..:.,,sa
in thefollowtng lccatiodl .=D B,t'h d IJlAtt,Fp.,,~lJ .2dd F'LP Eloa List,. ,
i<el• ekarntned Lh ,1<7NE. "~4 F 199,4 t Po t` land fdand to t&a, In, bn»Iittnte,tvtth l4lWattdnat Eieehical Cdd& A
FIXTURE ECEFTACWS SWItCNf;S FIXTURES „„t`, -=..n RANGES OOKINO DECKS i ENS- .,DIS WAS ORS EXHAUST FANS
OUTLETS INCANDESCENT TLUGRWEN _OTNEIi„ R.W. AMT. H..
. it. Pit.. 3 §8 tF € f<4 It R.
3(:. 2 ; ,Lam'°~1,,
DRYERS FURNACE, MOTORS FUTUR! APPLIANC! FEEDERS SPECI`L,RECIT ,TIME CLOCKS Sltl[';UNIT HEATERS MULTI-OUTLET DIMMERS
'dAs ` h. F. ¢ AiAt.','v "hid. F, E ' X: W. b,. ~ "AA C ,.wti $ ' AAIBi: TRANS.' Wt. ' N, d. SYSTEAa5 AMt. warts
No. of Feet -
SERVICE DISCONNECT' NO-OP :.al -'H1 54 E"Y':";-R "'rsV t E
MET11 i NO. W CC. COND. 0.P A. W, 0..w- A. W. G. A. W. G.
AMT. AMP. TYPE EQUIP. IA1Vl t,f3W t,R, 3W t,, SAW PER lnr. s rm OF ACC, COND. .NO'OTHkEO OF HI.1E0 -bF NE1~TtFlS br NEUTRAL
IR 'v IV pkl,. il, SIT. w ?y. ,pt'
>
OMER APPARATUS: •'L° "7-777
HOTORS:1- 'H:P,. G" ~R uY '~w.~.._ al tF flT al 03 sE ~ ~
;.I TK aq "''„pF -117 :Ft e,:98.. EF no"'.: ..,-'f,
IF', "R 7,gq :II;., rll mIf
°f' .s€". iIl' nIt. :@ll ill,.
<< a pp 99AA
. 12°-.. 'I xA~., yl r~tlRwwR~ amnl kexr...aa>r ..Rl _ ;tE ~.IP., IP P €Y 1
Ys" .":iE _ PH dP RI It St,"',A19 ~Clr E r6Q
rR` It p R« 2¢ . Pfi fpy a5, I$ e TO yyxii„11 / ~ E~
S 11,.. Ip IXIi nAi FS M HMI
PHILIPHORTON° "`Y at us' S&„ I! 96 Ia :r zl
ARROWHIZAD ttR3 s a 3 F F t 9 41 T
PECONIC ',NY 1199 F t K, I~ w ~ t 6~ a 1 aF a p p o IruwAbER
..-;a?::"~ Pc ~~,~el;°,,.IOW:."::59~:;~.E@:",~'ll.~::~ 11,«,:6q°"SRI>=;'~,~61~:2`:18M: _'s 1 . u.,
1:34
This certificaM must' not be, idtered in pa; `hIdnnerj ,tetgro'f~ 4' offiib~ rb ~,iKE F~dYlyd, ~1 ificdrldct ,IKtilectbfsl hfd~, kie~.id@tltifiFiil by 1hDit c'redentials.
y~l fa
T. SEP 31996
BLDG. ;SEPT.
T"OWN OF SOUTHOL) c
O~~g~FF01'~C
o~ OGy~
N Z
Town Hall, 53095 Main Road "p Fax (516) 765-1823
P. 0. Box 91971 Telephone (516) 765-1802
Southold, New York 1
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 7, 1996
Ms. Dorothy Horton
Arrowhead Lane - RR3
Peconic, NY 11958
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is cv
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00 - L
No Health Department Approval on file.
No final inspection has been made:
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21900-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
E
`'THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8fl467C„I - BUREAU OF ELECTRICITY
85 JOHN `r3TREeT. NEW YORK NEW YORK 10038 ,
Date AppytdgtJon No an'file 0$.439194 H ~+13£i@
THIS GERTIFrIES~THAT
only the electricale4 uiPment as described below and introduced by the applicant "mod on the above aPPp lication namber in the premise It -of
. ;
" PHILIP'HORTON, ARROWHEAD LANE, PECONIC, N.Y.
in the following location; 11 Basement ® l.st FL n 2nd fl. 1~~ .L. - Section, Block 'Lot
was examined on JUNE T4! 1994 and found to be in compliance with the National Electrical Code.
G•
OUTLETS FIXTURES RANGES COOKING DECKS OVENS, '(DISHWASHERS O EXHAUST FANS
t ECOTACLES SWITCHES INCANDESCENT FLUORESCENT OTHEfl AMt K. W. AML K, W. AMT, K.W,: AMT K.W AMT H K
4
16 3 2
_ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPKIALREC'PT TIME CLOCKS BELL UNIT HEATERS MUL71-OUTLET - DIMMERS
AMT. K. W. OIL H. P. SYSTEMS
GAS H. P. T. NO A W: G. AMT. AMP. AMT. AMPS. TRANS. AMT, H P. -T WATTS
NO. ST FEET
SERVICE DISCONNECT NOTER.OF 5 E R V 1 - " C ' E
AM .W.G.
T. AMP. ttPE ME l,e'RW I,e'3W 3,P'3W 3p'AW NO. OF CC COND. A.W G NO. Of HIAEG A.W G NO.OF NEUTRALS A
EGUIP. PER % OF CG COND OF HI -LEG OF NEUTRAL
i
OTHER APPARATUS: ,
MOTORS i 1--F H.P.
- ' j "AMOUNT
, „ , - - kEASE 'LIMIT BY CHECK OR MONEY
ORDER TO'TNE ORDER OF THE NOW
FEE PAID. YORK BOARD OF FIRE UNDERWRITERS
PHILIP HORTON 'RISK OAF SENTTR.Y MAIL WILL BE AT
ARROWHEAD LANE RR#3
PECONIC, NY, 11958 x",
r THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMNJANCE.THISSILLPAYAbLE AYTHENEYI YORK OFFICE„ 85 JOHN JSTFEEI; NEWYORK, N•Y 10036
o~~gpFFO(kco
c~ Gym
NJ Z
Town Hall, 53095 Main Road p ' Fax (516) 765-1823
P. 0. Box 11 Southold, New York 911971 Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 19, 1996
Ms. Dorothy Horton
Arrowhead Lane - RR3
Peconic, NY 11958
Re: Building Permit #21900-Z
Premises: 2795 Arrowhead Lane, Peconic
Suff. Co. Tax Map #1000-98-2-22
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
L11 11.J~ul...1 V'J. wYr. D' ........`-_'...%'..}gr:19~~~~,.. .r•..~s y-...~ r..aw F.
14_ e TE COMMENTS
m
a~
FOUNDATION (1st) y
FOUNDATION (2nd) m
2.
ROUGH FRAME & P-,~4~! r (O~j
PLUMBING
3.
m
4 9
m
INSULATION PER N
STATE ENERGY
CODE
3
FINAL
ADDITIONAL COMMENTS: x\
x
H
77
9
y
H
O
c, .
m
-c
H
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
4
it
l a0
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
] FOUNDATION 2ND INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE 3//7 INBPECTO
- All
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ]INSULATION
[ FRAMING, [ ] FINAL
REMARKS: T 2
DATE '3 INSPECTO
T-T- 7
(;utoi[ddt }o a.mltu2tS) suidx3 wai
(q PmAwo o.
WON
~ A am~wwL"N
;uno0 OlIgnd CI -JON
1 Y
61 30 A72P .
siq; ow aio}aq o; ulomS
g;imalaq; pa[g uoiltogddt ag1 Tn 111SO; las lauuew 0111 uT pauuojlad oq I[[m )[Ipm
aq;;tq1 put;joi[aq pue aSpa[moux sTTI;o lsoq aql of anal ale uolleoi[dde sigl w poulelUOa siuawa;els Ile jute `.uoileoibdde
sigl a[i3 put a>[ew 01 put )IIOm pies all pouuojiod ant11 io wiojiod of paziloglne Ainp s[ pUe 'smumo io iaumo pits~0
(,o;a `iaai33o aleiodioo `luau `loloeiluo0)
'pauttu anogc
(louiluoo 2ur,Ois [tnprA[pin Jo auwN) . .
;utoi[dde aq; s[ al;tl; sAus pue sasodop'uioms AInp Suioq -
Ic1.lo~
~tQ,jj~~' )7 3 R,
S'S
7I2IC 413N 30 LtvLS
F
.k $
a
5
qS--
r
A
s
~f
'101 SaUSOO SO IOIIa1UT
iaglagm aleoipm put sawtu;calls mots put `paap o; Ouipioooe uoi;duosap io iagwnu )Ioo[q put hails oAio •saurl i;iadold
woi3 suoisuawip :[oeq-1as IIe altoipm -pue `posodoid io Ougsixa ial;agm `sBlmplinq ITe A14OUi4sip pUt AlIt010 altoo-I
wyd odIQ igid
•pazzn az aq M :Iztuzad saa-4snaj ureoy pTogjnoS 'sa6 3I*
ON sa7,M LputTI@m Ttpz3 t ;0 laa3 00£ uTtPTm POIvOOT lgzadoad sTga Si 'SI
'SL'ON au iId....,4N.•ssalPPd.........$~a~);M~•t~~,v•SOlotiluo3 3oauieN s
9
I ..,t :sasrwa.id wO.i; panowaa oq gi3 ssaoxa It k .............t.. p pujo i0 oq lol~
o
sa M 'EI
' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' . • ...CA% • :uOTlt[n4ai SO aoueuiplo `me[ $uruoz ,Sue olt[OTA UOTlonilsuoo posodold s00Q Z j
Y?.jcvd (IS~~ ' ' ' ' pa;enlis ale sasiwaid goigm ui;ou;sip asn io auoZ -11
• al-1 (!c , • • ScumO iaUUO3 3o OWE N 1•-`~ N astgoind3oaltQ 'OI
it, b.l
. Q.............. B S I..... Sea c nN 3 ;T S '6
sauoiS 3o SagwnN 111210H
l;daQ _ ieag ;uol3 :uoilorulsuoo mau alTlua 3o suoisuaiuTQ g .
7., sauo;S do SagwnN cI.. 11121OH g1daQ
L ' • I"au ;uo13 :suoiliPPt to suoi;tiallt 1111m ainlomps awls 3o.suoisuauriQ
z sarlolS3olagwnN..........C.~.. 111213H
11;daQ . . . . . . . . Seag • • • • ;uol3 :,Cut3.'sainioru;s o0upsixa3o suoisuaiuT
c3~,• 9 L'9 T (I 'G
' • • • • • • . • • asn}o od,i1 goea,[o;ualxo put ainleu 6}toads `Aouednooo poxiw So Itiolawwoo `ssauTsnq 3I
Smojoiagwnu`oOrIt23I
Ioog Iota uo s;tun 2u.11omp 3o SagwnN • • • • • • • • • shun Hui[[amp 3o iagwnu `2ugi2mp 3I -S
(uoi;toi[dde sty; fUTI0 uo pied aq oi)
as r....
3 ~,~,0 0[ isoD pa;tcui;sg .t
(uo1lduosaQ)
xIOA1IagP0 uOi;i[owaQ • JEAOWQ'd ITed-ad
' ' UOTjmzj[v ' ' ' ' UOT;iPPV ' 8uip[Tng maN :(a[geoijddt L[oT11m )[oago) 'xiom 3o aimN • E
It llrA lt1) I)R II VAl.'I'll . . . . . .
'1 OF PRAM; .
FORM NO.1 SURVEY
C.,ft hlva' i,rv TOWN OF SOUTHOLD CII CCK - - - - • • - - • -
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
;OUTHOLD, N.Y. 11971 CALL
TEL.: 765.1802
MAIL T0:
19
Examined ......Z Q
Approved ......,Z~1r 19/.. ~I Permit No.~~ . .
Disapproved a/c
.............................II.........
ing Inspector)
APPLICATION FOR BUILDING PERMIT
JAN 2 61994
Date ?L
TotNN (iF 3GUrr,c;E:. INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of blot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property ;must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied! or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the BuildinP Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply withi all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
I • . • , ROM.". &q . . . ' ' ,
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
p Y Q f.. C~?r¢ .~GW : .
.
Name of owner of premises .O.O<: ....Rl)rA~y
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST $E_ UFFOLK COUNTY LICENSED
Builder's License No. . l s. . • HZ
Plumber's License No .
Electrician's License No. . . . . .I .
Other Trade's License No. ....i Q
1. Location of land on which proposed work will be one. ..../.....A.~.. / . .
I K k2 3 ihOC . 1 Y4~~.4 ~'~`?14C-
House Number Street a r~ .ZHamlet
Count Tax Map No. 100 Sec,ti n Block Lot .
Subdivision . /lYryw~?*~~, ?~i . Filed Map No. 30?......... Lot .
(Name)
2. State existing use and occupancy! of premises and intended use and occupancy of proposed construction:
I
a. Existing use and occupancy . '(?e~~ . des ~o cy_ .
u I)
b. Intended use and occupancy
E to
c%j
t---:' , ' cam)" ~ , •i- tr
V1•r
N j , • 't. ' °fd ~{s•1 ' ,as.l', tv ;~1u' ~.,K..~. , f 1 ~ .p ` u i .
l N F I r y _u
1 l Y1 Yd d d 7'
Ck' 40,
0D A n ro 4'
~ 'Z . ~ `s,_0.,; . ; ~ I ,
• V ,•LOrn','+,T.'~ .T I! `t`y /LL
N i,1 !Vf U o tj
W o
ill
I l 's.,,tf ti s 11 u Ld Z Z
Q cN -.•i~oi~ .J.1~~: fs~/i ~ ~ ~ ~ • ~ ~ ~ pN, ~ S t!) ~1. ~ U /
Ii-b
41
).1y9 i:',,`7aJ.'~'I., ~:~;'i.•'iF .•-.into; `a;': L„~'
a,.0b.02.61 rN
'.id
'A ~J 2f V
f
4,Y
11
ii
- UNDERW ITERSREp CERTIFICATE,,
REQUI
1
OCCUPANCT 0~
USE is UNLA3EUL
~x1ST1`hC>4tbiMC,Ir+Mul, ,
?~I 9~OUT `CER~'i E A~
I:
6F OCCUPANCY
AP R VED AS NOTED-
-bATE.~BP#,
"FEEi~ $Y..r NOTIFY' BUILDING' DEPARTMENT AT
785-1802 9 AM TO A. PM; FOR THE';
FOLLOWING'INSPECTIGNS:
1.' FOUNDATION TWO REQUIRED p
FOA POURSDCONGRtr,fE~ • ..,@:=
2. ROUGH : F,RAMINO R PLUMFiNG IN°UCATION' ' = t
CCC 4 FILIAL' - G"ONSJ U&I ON MUST
i - RE COMPLETE FORC,O:;.;
-ALL CONSTRUCTION' nSH1:LNIE
THE REQUIREMENTS OF',THE NY STATE CONSTRUCTION EPIERGY ''~a
CODES:, NOT RESPON$JBLE„'FOR-'.',a`;
i 1 v. A I ~ DESIGN OR,CONST~UCTION ~PRURS;' '.rti
4-MSULra,
'w
-f
r-Y
inn ..Y y t;
'TI t i
~ `;f d
i
i
~I
^i 'iXISTIhC> LIVINv~,~"IVI
_ATT7G AS..oV6
h
i
RC-I 9YC E-YISTIM& WALL. IHSTAI-1 FL.uSfl GJRCW-k
I 54/q /q
~ f ~ ~ iNSU~Ji« UL-/f t c
i
71-
G~i C..hOvfa~.
LU - 5CAM / _ q AMIIOVED EY o :o rc oe mm r7?T
- ~ DAiE
Pc.
i I v
l~
wweu uuM e
i