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HomeMy WebLinkAbout29992-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29955 Date: 01/12/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 2165 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.52 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 2004 pursuant to which Building Permit No. 29992-Z dated JANUARY 6, 2004 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 ACCESSORY 9' X 16' HORSE SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to ROBERT D & SUSAN A TOMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A </�-� - �""4 � //"t' orizetfSignature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29956 Date: 01/12/04 THIS CERTIFIES that the building . ACCESSORY Location of Property: 2165 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.52 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 2004 pursuant to which Building Permit No. 29992-Z dated JANUARY 6, 2004 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 ACCESSORY POLE BARN IN REQUIRED REAR YARD WITH A 10 ' X 23 ' ADDITION AS APPLIED FOR. The certificate is issued to ROBERT D & SUSAN A TOMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 48365-A 11/14/00 PLUMBERS CERTIFICATION DATED N/A uthor'zed Signature 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) PERMIT NO. 29992 Z Date JANUARY 6, 2004 Permission is hereby granted to : ROBERT D & SUSAN A TOMAN PO BOX 1605 MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY POLE BARN IN REAR YARD AS APPLIED FOR. (REPLACES BP #252452) AMENDED TO INCLUDE 101X231ADD & A 9 'X16 ' ACCY SHED ( NOTE : 2 CO ' S REQUIRED) at premises located at 2165 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 052 pursuant to application dated JANUARY 5, 2004 and approved by the Building Inspector to expire on JULY 6, 2005 . Fee $ 405 . 30 1 f Auth rvZed e ORIGINAL Rev. 5/8/02 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) PERMIT NO. 25245 Z Date OCTOBER 19, 1998 Permission is hereby granted to: ACMT EQUITIES INC. 1138 WILLIAM FLOYD PKWY SHIRLEY,NY 11967 for CONSTRUCTION OF AN ACCESSORY POLE BARN GARAGE IN THE REAR YARD OF A SINGLE FAMILY DWELLING. at premises located at 2165 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 052 pursuant to application dated AUGUST 26 98 and approved by the Building Inspector. Fee $ 124 . 00 Application Fee + 35.00 159.00 Building OITrspectctor COPY Rev. 2/19/98 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) PERMIT NO. 27754 Z Date OCTOBER 5, 2001 Permission is hereby granted to: ROBERT D & SUSAN A TOMAN PO BOX 1605 MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY POLE BARN GARAGE IN REAR YARE AS APPLIED FOR. (REPLACES BP425245Z)ALSO AMENDED TO INCLUDE 3 10X10 HORSE STALLS . at premises located at 2165 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 052 pursuant to application dated OCTOBER 1, 2001 and approved by the Building Inspector. 6 J Fee $ 351 . 00 Authorized Signature ORIGINAL " Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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 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$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. New Construction: / Old or Pre-existing /Building: ((check one) Location of Property:R 16 C �416A-- 4121 ( ` k House No. Street ) r Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section �t/� Block Lot Y� Subdivision ( Filed Map. Lot: Permit No. `T Date of Permit. 0!' Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ "2S,0r App ' t Signature �s 319 co55 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existinFi3uilding- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $'50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: �'�'` �(check one ) Location of Property: <_ `QI/J((k C- ` & fJ - House No. Street Hamlet Owner or Owners of Property: � i 1&j ` Suffolk County Tax Map No 1000, Section 1 C/ Block Lot + l Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 05 gAlpplignature 6�. c. �5 31 cc 2- 9gT51 hx i t` �T€�:e4y� t C: � 1� � Y.. � tyiy,?�� n fs t:._a a °%i� '�,t lt��L i'�t31'�, ,�•z, � '�... ' ` Electricallnspecticn Certlfltrate Electrical Inspection Service, Inc. ' 375 Dunton Avenue East Patchogue, New York 11772 (831)26641612 , Date: 41/14/2000 Application No. 48365A Issued to; Robert& Susan Toman Street: 2185 Gabriella Court Village:Mettituck Zip:11952 Town;Southold H Section: Block: Lot: Introduced by: Vogel Electric Lic.# 3943-E Lias exmWmd and fooid to be io coLnp%,mv with tlu Alai' gal Cada /l 1 'j ❑Attic fst Floor O/S Residential (W--Pool 54 t>8t Garage, n f )1 --Basement 2nd Floor ❑ O/S Commercial __ NV Detects Cl Switches Receptacles Fixtures GFI Heaters A/C Fans � 1 1 Dishwasher WasherlAmp Dryer/Amp Oven RangelAmp Garbage Disposal , F. r Furnace Oil Gas Circulator Smoke Detector Bell Transformer 1 ~ I l Meter Amps Phase Motors Telephone Television Carbon Monoxide 1 ' Other Equipment: v� H / A901 3 �. ` Hugo S. Surd! President r Building Permit NO. Thts certifirace must not be altered in any manner Inspa ors may be identif ed w tW,credentials y( ` / ...' y�'✓`1I ^I,'7 , Ili±�, r', w�, , �.�4 , I��. 'I' r '�„ •� ''�: r V,/'� J +•' +,�_../ 77 -1 b TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER - - — __ _ _ - STREETD-IST SUB. OT tAi � cit� r (-MT 77A 4�- nc ]T�-lr, c) ACR. REMARKS TYPE OF BLD. 16(, -L i'perfijz) N6MT -7o %cc),,:, PROP. CLASS LAND IMP t TOTAL DATE 64 A�" 000 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL UABRIELLA ixmaf¢ Ft555. h I i '.a s ,OT am p eV i p^ � YY,n � 4 FO? � It� i mea a.K LAND "OW OR 4 tiFmw .:++h r � ' wouN �aweau � � ac c4_ ;2.e'. rAW rNTm M-1802 BUILDING DEPT® INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLDG® [ ] FOUNDATION 2ND [ ] IJUSULATION [ ] F !MING [ FINAL, [ ] FIREPLACE A CHIIMNEY REMARKS �-� ILI T ATE 1, �v ,1`0 INSPECT® M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION .2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE S CHIMNEY REMARKS: DATE INSPECTOR n .0g H OUNDATION ?OUNDATION (2nd ) ROUGH FRAME & � -PLUMBING y 3 y • - x m m ZHSULATION PER N . Y. STATE ENERGY CODE x a 4 . FINAL - l s O 11 ADDITIONAL CO S• dV V-Q .4 H - O z m - r�J HT v m BOARD Ov BSALTFI I..... ...; ..... .11=1 HO. 1 3 SETS OF FLANS......... . ....... TOWN OP SOUTNOLD SUPIM IV.,.: .... ..,.,.;.. ....... . BUILDING DRPARTMUT MUCK ......... ... . . . . . . 7 ... . . . TOWN IIALL arenc 110M ... . ... .. . . . . . .... . SOUTHOLD, N.Y. 11971 TCI.r 765-1802 NOTIM 1,ramnined. �/ " S�j�y 19.... CALL ...... ... . . . . . . .. . . , 9 -z7-- ........................ TOr. nl>lrw ........ ............. Disapproved a/c ......... ......... _. (lkiildirrg lnsiiector) AUG 2 6 I'LICATTON 1109 UUILDING PURNIT � I $IDG,DEPT Date .... . . . . . 19. . . . F UTH I INSTRUCTIONS a. T)is application must be coccpletely filled in by typewriter or in ink and mbai.tted to the Building inspector wi 3 sets of plana,.accurate plot plan to scale. Pee accordiugto acherh}le. h. Plot plan shooing location of lot and of bolldings on preadses, relatioaahip to adjoining ptemisea or public streets or areas, and Riving a detailed description of layout of property neat be draaxh on the diagram cinch In Part of this application. C. '1114 Wrk covered by rills application may not lie coamnced before Ivv=hce of Wilding Permit. d. Upon approval of this application, the Iicillding Inspector tall: issue a Bailding Permit to the applicant. Such permit shall, be.kept on the Premises available for inspection ti,rwglwot the work. e. No'buildicg shall be occupied or used in dale or in part for any purpose Whatever until a Certificate of Occupaocy shall have been granted by rile Wilding Inspector. APMIC1i1TCN IS jX= tWX to the Uuildina Department. for rlis iasuanee of a I3uildiag Permit puretwat to the Wilding Zone Ordinance of the Tvwn of Southold, Suffolk County, New York,-ard other applicable Taws, Ordinances or Regulations, for the construction of Ixiildiogs, additions or alterations, or fol reawal or demolition, as herein described. 114e applicant agrees to Comply with ail applicable laws, ordinances, building code, housing code, and re8t1lation4,v41'd to admit authorized inspectors on premises and in but I g for(�nec�ssary insuacti •'(SignaCure of applicant, or thama', if a ratiar) 10-,1��..1 icEV........ (Mailing address of applicant) Statt�e %4hedler applicant Is owix4r, lessee, agent, architect, engineer, general contractor, electrician, plucker or builcU ..................aM.n.....i. .............✓.rp.................... ......:...................... ................... Nare of weer of premises (as or the tax roll or latest deed) If applicant is a corporation, signature of duly auUulrized officer. CNune and title of corporate officer) Builders License No, Pluvbers License No. ....I....I............... Lrlectriciarts License No. OC11er Trade'a License No. I. "ation of land on chick proposed uvrk will be done.................................................. ....lhuse.llzber ,icQr,� ......... .$treet..Gcb'(i'411 'i.....................o....................................... palet County Tax Yzp tb. 1000 Section ...... ,� .... Mock ...... �•f� •\..... ...... \nt......611490z' ..y ..hi. Sut�divisioa .............................\........ Piled Flap No. ........:,..... Tat (Nacre) ............... 2. State existing use and occupancy of premises and intended use aryl ,paiicy a. Existing-use and Occupancy ..... .. flE t E 372 lT�E00Aposed corhsensetion: ..... . ......�':�`3i:ktfi`"1+�'..� .i�il.yrt�t�,............... �l__ �� . Nnrra9 rtra3ih 8 rs t t i'suD b. InteoY l use Sod occupancy r tittura of work (dm*sAiidt agftitableh ti w 1ltildteg ..Y....... Addition .......... Alteration .....,..,. MixiIr ............ Reamal .•.......u.• 13mlition .........•.. Atter Pork ..... ...0.. .... ....... (Description) ItatIrmted CoatJ:....•.... fen. ...:.........................A................ (to be Paid.on filing this application) It dmll Ing, anger of dwelling tmits ..,.�.t............ 11"ber of rhrelliing tmita on each floor IE garage, gainer of earn ..............:WID................. If lxialtreas, Wntereiat or muss ocntpency, specify nature and extent of each type of use...................... Wtsensioins of existing structures, If arty: lhont......."........ hear ...... ........ Depth ....: Wight ......................... t#nber of Stories . ... .......... .... . . . Dimesnalonn of Sara etrt" with alterations or'ildditionst Pront .......;....... Rear ......... ...... Depth .................I.. lkight ......;..,7... .... tAaimr of Stories ............... Dinensiona of entire Dela moatructiont Proot X%............ near ............... Depth .......... .... Ikl it ...................... tAnber of Stories ..............4...... ! Size of Mots [hat[ Beat ....... ..... ,... llepCh .... r .� % � ....... dote of Hrrdrsae ...... HAM Donner Q.mer i< > � '� 11. laor use district In shirt premieea are situated ... ��r.�.-.�r�l-!i'..1�..� X :. ta S i 12. Does proposed construction violate any znning las, ordinance or regulations .. N�� - T 13. Hill. lot be regretted. .................... hill excess fill be ramved frau premiaeasImo:Y�^r NO'- 14. Naanea of owner of preniaes ................:......:... Mdrass ... .. ... ......,.......... Plxxne No. ;........... Ham of Architect ......................i............. Address .........I.................... mom Iia. ............ S Hans of Contractor ...........y:.:.................... Address .................,.............lbooe No. ............ 15. is this property within 300 feet.of a tidal tietlendR * YRS .......... NCi .......... el+ YM, SOIli117D Mai 11EJS1t+I18 PLtiZE rr MAY dill RC(ilil M. PLOT DIAGRAM - Locate clearly and distinctly all buildings, sAtetber exiating or proposed, and indicate all aet-beck dimnsions hon property linea. Give atimt end block nunber or description according tesdeed, and adxxt street 'sans and indicate %Asetluer Interior or corner lot. c ';mil: ar till ytxg1, WINIY u' �tJk- ......... ............ f �[e....................................Luing duty sworn, detx>ses slur says draC be is the ajipliumc (Nme of initvi(hxil signing contract) ntxwe suited, He is the .......... ....................I.......... ................................................... (Cartractor, naent,-corporate officer, etc.) of said oA,er or owners, mxl is duly authorized to perform or have iurrtimned the said sxnrk aoxl to make ant file this nip>Iicntims; that nit atata=ta contatned in this application are true to the hest of his kistvIedge mid 1x;liefi mnl that the work wi ?4JON0. the saner set forth in the application flied tberewtth. �?aom to before Z� .Notary l'cilnlic 1.SCOTT.State of Ybrk NIk . 1C472 firm May 31, - LOT AREA = 40,009 i S.F. FIRST FLOOR AREA = 'I s.r. 'J III IIIN 11 X11111it[1'ARIMI 111111 IN At IN'J I'll I': SF,LOIIU I-LOOR ARLA p Init M'I VIVAI IA IDII•:INIIf NON nlll Y GARAGE FLOOR AREA = 1. S.F. OAR.: __-___--_115 NEL NOT. APPROVED: THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR FIRS RESIDENCE WILL CONFORM 10 111E SIMPARDS OF Q TIE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERMCES. Q f 3 • a W LOi 2 LOT 1 Wml VACANT R = 25.00' L = 39.69' O 03 ,�/ ENsnRc'DiocK arms a F- R<MO NWCA m1lsmOcnOx GABRIELLA COURT r ROM NNYEP coNSVVX7m n 0 (W WIDE MgU1O,-Mnr) EFe1ME 6LMY1 C111tR5 ---saraalaa-r9s:s2 �s a9� L=56.27' 246.30' gfP Ta. 9 L e'MR. sr 10'MN. me j %IP•OS[D IND Sloer pp RERMNCE u9 MY R LEE-Ax.S' # •y o m � N N � T1 Fun-s-1 LOr 7 p YADON VAGI! w 3 0 b N N T Z Ix1sm+11 W IL I 1 s/ X3831'50 W 151.90' SHARE N/T ACMS UIµMWSKI 1A' TOPSOIL VACARI 1.0' LRAM ELEVATIONS SHOWN HEREON REFER TO U.S.C. k G.S. DAVM. b 5.0' CLAY THE EASTENCE OF RICHT OF WAYS AND/GT EASEMENTS OF RECORD,IF ANY.NOT SHOWN ARE NOT GUARANTEED. THIS PRAY WAS PREPARED M ACCORDANCE WIN ME EXISBNC CODE OF PRACTICE FGR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURWYONS, TD.D' SAND A GRAVEL ANY ALTERATION OR AUDI TO NITS SURWY IS A MOLARON OF SECRON 7209 OF TIE NEW YORK SIAM EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT DEARHO VIE LAND SURVEYOR'S MKLV SEAL at EMBOSSED SEAL SHALL NOF DE CONSIDERED TU UC A DICT, TRUE COPY,NO U"NOAL or THIS STATE.UP OF ANY BTY, COUNTY, TOWN OR "LAKE HIRER,G ATOZO WIN111E ENRffiCEMFNI OF LAWS.OAVWANCES OR"FOULAIRMS SHALL NO WATER ACCEPT OR APPROVE ANT PUNS OR SPECIFICATIONS THAI ME NOT SIAMPUI. O.RIRICAPONS INDICAILD HEREON MALL RUN ONLY 10 1111: PERSON FOR WHOM VIE SURVEY IS PREPARED,AND ON 1115 9EHALF TO THF. NNE COMPANY. GOVERNMENTAL AGENCY AM LENDING MSIIUTION LISTED HEREON AND TO THE ASSIGNEES OF ME LENDING INSIBURpT. CORRUGATIONS ARE NOt TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SURSEMENT OWNERS SUFFOLK COUNTY TAX MAP DIST.11000 SECT.108 BLK.04 P/O LOT 7.1 BURTON MAP NOv 9913 DATES OCTOBER H, 1996 LOT 6BEHRENDT i�,of NEIVY ,�"�� MAP OF ELIJ4IR'5 LANE ESTATES, SECTIONS SMITH 5 G.o,PO LOCATIONS MATTITUCK PI+A I ENGINEERS TOWN OF SOUTHOLD. SUFFOLK COUNTY, NEW YORK ARCHITECTS 511RVEYORS SURVEYED: MARCH 21 , 1987 PREPARED: NOVEMBER, 1996 �' CERTIFIED TO: BUOVODANTONA ALIPERTI 244 EAST MAIN ST. PATCHOGUE. N.Y. 11772 (516) 470-0349 .._ SCALE: I- = 50.00' FILE NO: 87-359-6 FAX 473-0361 •' �r 7 i L� S I R-S Ad; �J 5 ' Yc fc / 'ya-e-e f o&) e, FT 00 � �J-�c' • ROO 'k GF4 SCS - aIJ C - Pl n yr- 4( IA" Wood oa - �0(, 7 I C l t g _v. k t .efh1t� Li M JV(g(lk 5( � U �'