HomeMy WebLinkAbout45359-Z of souryolo Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46002 Date: 02/28/2025
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 5920 Indian Neck Ln Peconic,NY 11958
Sec/Block/Lot: 98.-5-17.4
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 10/13/2020
Pursuant to which Building Permit No. 45359 and dated: 10/21/2020
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 in-ground swimming pool fenced to code as applied for.
The certificate is issued to: Francis Lupinacci,Jennifer Lupinacci
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 45359 05/13/2021
PLUMBERS CERTIFICATION:
utho zed i ature
� TOWN OF SOUTHOLD
O�g11FF0(,�co
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"oy o� �3ti SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND'SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 45359 Date: 10/21/2020
Permission is hereby granted to:
Bernhardt, Nicholas
PO BOX 441
Peconic, NY 11958
To: construct accessory in-ground.swimming pool as applied for.
At premises located at:
5920 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 98.-5-17.4
Pursuant to application dated 10/13/2020 and approved by the Building Inspector.
To expire on 4/22/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE.ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buildi c or
oF so�ryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c o sean.devlin(a-D-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Francis Lupinacci
Address: 5920 Indian Neck Ln city:Peconic st: NY zip: 11958
Building Permit#: 45359 Section: 98 Block: 5 Lot: 17.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LC Electrical Contr License No: 45359ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor 1 st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: Pentair Pool Panel 8 Circuit- 3 Used, Pump 220GFI , Heater, Salt Generator-
on 120GFI, Lights 120GFI
Notes: Pool
Inspector Signature: Date: May 13, 2021
S.Devlin-Cent Electrical Compliance Form.xls
gf souryolo `4 511-TOWN SUTHOLD BUILDING DEPT.
`y�ouxnN�' 765-1802
INSPECTION -
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 'FOUNDATION 2ND = [ . ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ `] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �MELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Coo A c�l�J-e s
l too
DATE > INSPECTOR -
'1 ho��Of SOOlyo6
# TOWN OF SOUTHOLD BUILDING DEPT.
e
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ - ] 'ROUGH PL13G.
[ ] FOUNDATION 2ND j :] SULATION/CAULKING
[ ] FRAMING/STRAPPING -[ FINAL-?,,L,--
[ ] FIREPLACE & CHIMNEY [ ] FIRE,SAFETYj-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
60\/ i US
-1/pr, el
DATE INS-PECTORkA%v4,/
ho�aOF 50U1y��
ll # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULAT N/ AULKI G
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE °� INSPECTOR
q53 5 9
Jeffrey Sands Architect
June 19 2021
AUG 2 0 2021
Lupinacci Residence
BUILDING I3t;PTe
5920 Indian Neck TOWN OF SM7HOLD
Peconic, NY 11958
RE: Swimming pool rebar inspection
Attention Town of Southold Building Department:
Upon inspecting swimming pool rebar at the above mentioned property I find all to have been
installed to meet current building code requirements.
Sincerely,
D Agcti
Q�
o a p
CF NE`Ny
Jeffrey Sands Architect
6 Evergreen Lane, East Quogue, New York 11942 phone-631-375-5997, fax, 631-576-8916
email—ieffrey sands6d-)hotmail.com
• 1 •
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631)765-9502 Survey
Southoldtownny.-gov , PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
i
C.O.Application
Flood Permit
Examined 20 0�6 Single&Separate
Truss Identification Form
i
Storm-Water Assessment Form
' Contact: Nkr- L_
Approved 07 1 20 c Mail to: Peke I
Disapproved a/c °f�od:pC�t 2��-C, 0{
11 Phone: l��'J
r-Expir 120 rJ 6 lit w Ckvk I
1� Buildin ector
OCT 3 2020 APPLICATION FOR BUILDING PERMIT
DU w- (( 1
- . Date 6 �� �� , 20 �-�
la DI NG DUPlr.
INSTRUCTIONS l
�rO1,� „r..}•�. T I.G.
a.This application MUST be completely filled in by typewriter or in ink and'submitted to the Building Inspector with 4
sets of plans,accurate.plot plan to scale.'Fee according to schedule.
b. Plot plan-showing location of lot and of buildings on-premises, relationship to adjoining premises or public streets or
,areas,and waterways.
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 issue a Building Permit to the applicant.Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire'if the work authorized has not commenced within 1.2 months after the date of
issuance or ha's not been completed within 18 months from such date. If no zoning"amendments or other regulations affecting the
property" have-been en acted in the inter6;the Building Inspector may authorize din writing;the•ezfension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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 with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections. A�,
(Signature of ap7alyof name,if a corporation)
sP� �s 814 J\jy 1t����.
(Mailing address of applicant)
State wheter appli an i caner, )es ee, agent, architect, engineer, general contractor, electrician,plumber or builder
J�
Name of owner of premises
(As on the tax ro r latest deed)
If ppl'�ca t is a c ,rporati'ori; ignatiire'of duly authorized officer
—, fib• .:
Name nd title.of corporate,officer)
Builders License No.,'
Plumbers License No.
Electricians License No. 3 ��
Other Trade's License No.
1. Location of land on which proposed work ill e done:
House Number Street Hamlet
County Tax Map No. 1000 Section , Block ��� Lot Ly
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy U41<__
� r �
b. Intended use and occupancy ova 1 J � S w P� A,
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work S(,u"m uo
(Descript on)
4. Estimated Cost 5, D�0 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business,.commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories `A..
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories'
8. Dimensions of entire new construction: Front Rear Depth;;
Height Number of Stories
9. Size of lot: Front Rear Depth ''f
y-r
10. Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES Will excess fill be removed from premises? YES Y*'NO
14.Names of Owner of premises V ^n_ �'�P �� Address 5 Vm d n�.�•�lllr��l—LnPhone No. Vj( ' $
Name of Architect Address 6 l~v" au, /n 1IRqPhone No
Name of Contractor � Address ( Q Phone No. 6 S `t s7 a 9.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE,REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale,.with,accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on sur ey.
18. Are there any covenants and restricti6ns with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COU TY OF )
n ' "" being duly sworn,deposes an86% g6(gl fib tpe applicant
(Name of individual§Igning contract)above named,
�v t Notary Public,State of New York
(S)He is the No:01 BU6185050
SuffolkV Qualified on Count
(Contractor,Agent,Corporate Officer;etc.) commission Expires April 14,2
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge'and belief,land that the work will be
performed in the manner set forth in the application filed therewith.
G
Sworn to b fore me thWA&I- .20�O.'
day of
Notary Public Sign
Orte of Apiticant
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
C 1 5
6siding at
I
(Print property owner's name (Mailing Address)
do hereby authorize ��� r'I'L f aa./j�'
(Agent)
to apply on my behalf to the
Southold Building Department.
Zwner's, Signature (Date) v
�C. ✓) C, Gi r C_
(Print Owner's Name)
s BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(D-southoldtownny.gov - seand as southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Lc g
z f£c r-fe CGyt/T�r i,—c, L,—t
Name: e4 eLicense No.:No.: 391043 mail: FAc 6 �o�rK,4�
.rr
Phone No: -3 -e7 —Ulfg5 request an email copy of Certificate of Compiiance-
Address.: a- wow ,61,vq 1wolef4 f-S
JOB SITE INFORMATION (All Information Required)
Name: �„ N P u
Address: a0 N_c j-40 Pie-o.-v r e
Cross Street:
Phone No.:
Bldg.Permit#: if5-3 fl email:
Tax Map District: . 1000 Section: qg Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: I,YES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑YES [:]NO Issued On.
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph - Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground [:]Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
ell� �®
Electrical Inspection Form 2020.xlsx
g BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
>r
Town Hall Annex - 54375 Main Road - PO Box 1179
k " Southold, New York 11971-0959
, + Telephone (631) 765-1802 - FAX (631) 765-9502
,_.. , =` rogerr(a�southoldtownny.gov seand(a�southoldtownnLgov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: . Le ?ice 7-a,, C&,r2 G 1"C_ LAe
Name:
- - License No.:
/LL 3$01*3 mail: ���, te Fe _re fo c ��
Phone No - request an email co of Certificate Com Rance -
3 -a�? n��� 9 py P
Address.: wow�BirvE L, ,vg ,E�,-sa�2 �S ftl N��
JOB SITE INFORMATION (All Information Required)
Name:
Address: a0 N N 2✓-w�.�, ��.�,�r
Cross Street:
Phone No.:.
Bldg.Permit#: 45-3�n email:
Tax Map District: . 1000 Section: qg Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: ,YES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: [—]YES ❑NO Issued On
Temp Information: (All information required)
Service Size 01 Ph ❑3 Ph - Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
�� o®
Electrical Inspection Form 2020.xlsx
�C
PERMIT# Address:
Switches
Outlets
Sconces
Ws
U.C.Lt5 ..
Fans-. Fridge HW
Ex#faust .' OyEn. Dryer
SXrratte5;: '[)1i. Service
Cor�nba .. , ...;. : : ...: •- Coal�top .�� . , . .�.- � �'�arrsfer... .
AC AH
-Specia{:
Commehtss
T 2 (2)
/' 1k)
�✓1 G Gl�/�G(J I e�IL�
Scott A. Russell �°SUS �"� STcO�] '{ �1CWA\T]EIK
SUPERVISOR y I��1[A\lam (G�]EI��IC]E N T
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971Q� Town f Southold
i -
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEE
( TO BE COMPLETED BY THE APPLICANT )
i
FLOES THIS PROJECT INVOLVE ANY OF THE ;;OLL d,VING:
Yes N o
T iCH[CI( ALL THAT APPLY)
❑ A:-Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
ElB. Excavation or filling involving more than 200 cubic yards of mate I ial
within any parcel or any contiguous area.
i
❑1W C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff f or coastal
erosion hazard area.
El i
E. Site preparation within the one-hundred-year f loodplaiT as depicted
on FIRM Map of any watercourse.
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Ma agement II
Control Plan was received by the Town and the proposal includes ii
in-kind replacement of impervious surfaces.
If you an NO to all of the questions above, STOP! Complete the Applicant section below vith your Name,Signature, Contact Information, Date & County Tax Map.Number! Chapter 236 does not apply to your project.
If you answered YES to one or.more of the above, please submit Two copies of a Stormwater Mai iagement Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,C ntractor,Other) S.C.T.M. te: 1000 I Date:
� W�e
�District
NAME Q0�/ a
lock Lor
_ •N
ts t—
f FOR BUILDING DEPAR"T'IYII IT USE ONLY *Contact Information:
— — — — — — Reviewed By:
i
Property Address/Location of Construction Work: _ _ _ _ Date_
® Approved for processing Building Permit. —
Stormwater Management Con tr of Plan Not Required.
Stormwater Management Conn of Plan is Required!
(Forward to Engineering Depaiti nent for Review.)
FORM SMCP-TOS MAY 2014
i
Uniiam Adnwde nmt 1:Y
V. "I'I F Ark, \ D F 1 4 E NEW YOR T TF
k 'ss. State of New York,County of ,ss:
-n the year 2020, before me, On the day of in the year ,before me,
ared the undersigned,personally appeared
ria Bernhardt '
or proved to me on the basis of personally known to me or proved to me on the basis of
`be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is
within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to
executed the same in his/her/their me that he/shelthey executed the same in his/her/their
ihal by his/hedtheir signature(s) on the eapacity(ies), and that by his/her/their signature(s) on the
I ridividual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
sI acted,cxecu the instrument, the individual(s)acted,executed the instrument.
1
.v:
in ividual taking proof) (signature and office of individual taking proof)
Kenneth 8.Zahlar
Notary Public New York
Sutiotk No.01 ZP,a517618
Expires Feb-28.2023
TO 1313 USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE i
State(or District of Columbia,Territory,or Foreign Country)of ss:
i
On the day of in the year ,before me,the undersigned,personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to
be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the
same in hisAter/their capacity(ics),and that by his/her/their signatures)on the instrument,the individual(s),or the person upon behalf
of which the individual(s)acted,executed the instrument,and that such individual made such appearance before the undersigned in
the
(insert the city or other political subdivision and the state or country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
I
i
BARGAIN AND SALE DEED'WITH DISTRICT: 1004
COVENANT AGAINST GRANTOR'S ACTS SEC170N: 098.00
BLOCK: 05.00
TITLE NO.:Abstracts,Inc.#563-S-15010 LOT: 017.004
PREMISES:5920 Indian Neck Lane,Peconic,NY 11958
COUNTY: Suffolk
Nicholas Bernhardt and Maria Bernhardt
TO
Francis E.Lupinacci and Jennifer Lupinacci
RECORD AND RETURN TO:
ADVANTAGE TITLE
201 Old Country Road, Suite 200.Melville,NY 11747
631.424.6100 • 800.285.1551 • Fax: 631.424.6049 RICHARD VANDENBURGH ESQ.
245 Park Avenue,New York,NY 10167 - 212.672.1960 42155 Main Road '
Peconic,New York 11958
vr►vw.advantagetitle.com
TN C AwAinAtr dour:AWAhUU Tani-AWAMUir roan OM
AWNIAU 114n•AYIXNaW SErn040•YOMW ANAWAW
APPROVED AS NOTED
DATE: A B.P.#
FEE: ' Is7� BY:
NOTIFY BUILDING DEPAR ENT AT
765--1802, '8 AM TO 4 PM FOR THE ELECTRICAL
FOLLOWING INSPECTIONS:
1: FOUNDATION - TWO REQUIRED INSPECTION REQUIRED
FOR POURED CONCRETE
2.,ROUGH"-:FRAMING & PLUMBING
8::INSULATION
4: "FINAL,- CONSTRUCTION MUST
BE COMPLETE POR C.O.
ALL.;CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. 1=
E;CQSE POOL TO CODE
COMPLY WITH ALL CODES OF ,X, PON COMPLETION
NEW YORK STATE & TOWN CODES
vi ">_ BEFORE "WATER"
AS REQUIRED AND CONDITIONS OF
`�6�FFf8L-B-T6',�Z-BAD
BOARD
SOMMOITTOWMSTEES
L
OCCUPANCY OR RETAIN STORM WATER RUNOFF
USE IS UNLAWFUL PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
WITHOUT CERTIFICATE
OFOCCUPANCY
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SCALE: 13=40
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KEY
Q = REBAR
® = WELL CERTIFIED TO:
® = STAKE FRANCIS LUPINACCI & JENNIFER LUPINACCI
® = TEST HOLE CITIBANK N.A.
ABSTRACTS INCORPORATED
® = NAIL
13 = MONUMENT
4 = WETLAND FLAG
c-CL = U11L1 TY POLE LIC. NO. 49618
P C lC SURVE MWP.C.
ANY AL7ERA77ON OR ADDITION 70 77-IIS SURVEY IS A V10LA77ON OF SEC77ON 7209 OF 7HE NEW YORK STATE EDUCA770N LAW. AREA= L878 ACRES (631) 765-5020 FAX (631) 765--1797
EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER77FICA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF P.O. BOX 909
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