HomeMy WebLinkAbout1996-008067 - deck � PERMIT
' �ITY OF ORONO PERMIT TYPE:
� .i�Kelley Parkway- P.O. Box 66 k�i���'��T�#�
Crystal Bay, Minnesota 55323 PermitNumber: ��f;;_;t1�_,�
(612)473-7357 Date Issued: �_�F,:;i��J�s�,
SITE ADDRESS:
1=,t;� '=;F`�;�!C:E �`L
J�'
�'. I .�i. � t�7-1 1�—�':�:-4#.—t:yi x�j.
DESCRIPTION:
�i��::�;:
�ui lt�i���� P�rri�i+. TY��� `_,c_�D�/f;Eti�;�G���
E�F�a. 1��i��� ��-��'��: �Y���: Cx�C:f��:
i!���: Ijr rl.,i�°c!t�C y �i—:��
L.�+=?i"t��•t'4.aC��•7.��:�ii ��'�'t_' ��
�-�n�us G�_���N �.:3�� ��T . i;E'=�I DEidT I AL
REMARKS:
FEE SUMMARY:
ti�iL�1�TI�}t�i ��:,i=,i3�;
��s� F�Y �;�7 . R�5
F'�.��� h�,y i�w �Si�, . 7�,
°=�ut,c3-s�r��F ______ _���=�'�
T��tal r=W.� ��1�.� . 7r,
CONTRACTOR: OWNER: — t���F�1 i c ant. --
�t��:H°_, �:i_A Y T�=+�1
�,:�,�:;� ::;���t1��E F`L
�:1i;���tdE�� tlid ��:=t�,�.
�.7i —ii �h
T�-E� �J��lU�:�°^i�`��i�G H"L-"���;'� ��'i;�i;�°_,T°=� �`��'t•1 I°W;'w�I�w�i�J Tj�s �If i�'��.t i�;� I't.i_H�_ 1 i°jr"�['i;�`J;�i=�;�C3 t��_
'=�F'�.��:1 F I�C) �f�i y ���I;E:E::; TC:i €���::� ��t..L ��t;���:: �'P.� �,T�;�i�:i �.:�_�t��`�.�G��C�li:F� �:�:��C}-; i�;'.__: _::T�:�t' t::�F
L 6��f���+�1#ti� ������r Z I�H���=E=`�= At�iD =�i f�TE ==3t= it I t�l�J#:'=�{-;Tr� E�=`•1 I Lia l t�R; r,�:�_si�4 4�°�t;;t i I�i�i•f�=����T°�� . �
� ' /
APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE . �l,
, � _, CI'['Y OF ORONO - BUILDING PERMIT APPI,ICATION
Tatal. Fee• $ �`�� � � Date Received: /� /„ /'i �-
Date P.�proved:
,. - -
Fntered By: � - �`� Permit�: ���� �
AT•T• INFORMATION MIIST BE SIIBMITTSD IN FIILL BEF�RE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------
� APPLIGANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: ��J'�� S%���L�G� /�L-f�L� ZIP: �53��
(work) �2�-/..�21v
NAME OF OWNER- ��,�I�TZ�r-= 1�, -� cJG�'l f PHONE: (h orr�e) '`7���-�!��
MATLING ADDRESS: t �(7� cal �U� l`Vi�C� CITY: C����/llC� ZIP: S�31s �
CONTR.ACTOR: N/� P$��'
MATLING ADDR.ESS: CITY: ZIP:
STATS LICENSE: n
ARCHITECT/ENGZNEER:_�/� PHONE:
MATLING ADDRSSS: CITY: ZIP:
��,r� RSGISZRATION �
Z'XPE OF WORK: New X Addition Accessory Structure Mave
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) : ��� ��� �1� �LIL d� �v:5� � �z2�/.��%�.
��cK ��1 �rz��-� �i�U�n-���1i /c�'x 8'
STORISS:�(/� SQ. FEBT OF EACH FLOOR:
j�0. OF BgDROOMS: GARAGB STALLS: ATT. DET.
r o �ra� �.G
ESTIMATED CONSTRIICTION VALUATION (eacluding land) : $ t-2v',��5$Sdr�`' �(xK ��C `3�
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the wor3c will be in conformance with the
�rdinances and codes of the Ci�y and with the State Buiiding Code; that I
�nderstand this is not a permit and work is not to start without a permit; and
`hat the work will be in accordance with the approved plan.
,A.PPLICANT'S SIGNATIIRE: -- (�GG, �G� DATE: � �-
�
�
., _ .
�
CITY of OROND
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� . � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Councii. action
to approve, some information may become public.
5. You have certain rights Under M.S. 13.04 to review pri�at�
data on yourself.
6. Yaur full name is required to process this application or
permit.
N �v�-G� t'l/c/E.f
����
First Middle Last
�'�d S ���� %�.��-
Address
C,�/2U�/U �nl• J4'S3coS�
City State Zlp
Cc���� ���r—,�5�
Phone
I understand my rights as stated above.
( c
Signa re
BUILDING&ZONING—473-7357 • ADMINISTRATION dc FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
`
. . ,.
�.04 RIGH15 OF SIIBJF.CTS OF DATA
Subdivision L Tppe of d��- The rights e tion�viduals on whom the data is
stored or to be stored shall be es set forth in this s
gubd, 2. Information �d
to be given indivi�uaL An.individual asked to
state a ency,
� su ly private or confidentiel data concernin�BmWi�hin the collecting d �f� g t e
pP v refuse or is legally
purpose and intended use of the req em� �b� �yhether he ma�
political subdivision, or statewide sys �o`„in consequence arising from his
required to supply the requested dat8; (c) any �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
other ersons or entities authorized by state or federal law to receive the data. This.
p 1 when an individual is asked to supply investigative data,
requirement shall not app Y to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma la�t tgX re°und lnstructi ns�nstead�os
subdivision in the individuel income tax or r• er
on those orms. . --- - - .
Subd. 3.
Aecess to data by in�vi�usl- UPon request to e responsible
authority, an individugl shall be informed wh u�c hp vateeor confidential.e Upon his
individuals, and whether it is classified as p � ublic date on
to him and, if he desires, shall
further request, an individusl who is the subject of stored private or��u� � been
individuels shall be shown the dsta witho of�hat datae. After an indi
�e informed of the content and meaning the data need not be �isclosed to
shown the private data end intormed of i�s u���a��on pursuant to this section is
him for six months thereafter unless a P n request by
� endin or additional data on the individuel h� 8teeor p blie datarupoeated. The
f p g rovide copies of the p uire the
responsible authority shall p The responsible authority may req�in the
the individual subject of the data. certif n and comp g
requesting person to pay the actual costs of makinB, Yi g'
copies. lmmediately, if possible, with any request
The responsible authority shall comply � S af the date of the request,
made pursuant to this subdivisi�nd le Wlth lidays, if immediate compliance is not
excluding Saturdays, Sundays �
ossible. If he cannot comply with the request within that time, he shall so in�orth the
P have an additional fve daYs Within which to comply
individuel, and m S t���� 5��� �d legal holidays•
request, excluding
Subd. 4. Proced�u'e when data is not accurate or complete. An individual TnBy
himself. To
contest the accuracy or completeness�of public o lnri�i�the�rcespens ble authority
exercise this right, an individuel st�ell notify �ible authority shall within 30
describing the nature of the disagreement. The respe
days either: (e) correct the data found to be 1 ete datae including pee�Pl�� nam dt by
notify past recipients of inaccurate or incompl �
the individuel; or (b) notify the individuel that he believes the data to beement is
Data in dispute shall be discl t�ea only if the individusl's statement of ��' to the
• ineluded with the disclosed da � BppeB1ed pursuant
' The determination of the responsible authority to contested cases.
provisions of the adminisu'stive procedure act relating
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
.
• � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � 3 dS SP�� P�� pID'
DBSCRIPTION OF WORK: /J �T�KS _
-----------------------------
--------------------p-----,{� CI
ZONING REVIEW BY: cy.��Qo l ll�^rr�-- DATE APPROVED: b -�y " �
BIIII,DING RLrVIEW BY:
� DATB APPROVED: �o "�N `��
------------------- ---------
FEBS TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------
---------------
ZONING CHECR LIST Zoning District: ��� i3
Fire Department: N4���u�0 Post Of f ice: School Di strict: �-�-�J
Lot Area: 2�3 d� �,. ��'Width: t/l.t�c�c.42 Depth:
Survey Submitted: Yes L No Date of Survey: (l� •'3 =Ql �
Proposed Setbacks: � �
Front (��) : `�� Right Side: � v
Rear (Street) : �v` �' Lef t Side: l 6-� � �
Adjacent Structures: !'4-i'1'Y�4u'fc� Wetland: /J��
Bui lding Height: Def. Hgt. /J c�4- Peak Hgt. /J(/�-
Avg. Setback: /v �� Lot Coverage: C�•6�-
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 ' j `{•o's °�a �S- �S�D
500-1000 '
Hardcover Variance Required: Yes No� Date of Council ApprovaJ.:
Grading: Staff Approval Da By: Council Approval. Date:
Septic: Staff Approval. D : B =
Zoning File:# oluti n #: Resolution Date:
REMARKS (in honse) : , ,
BIII?�DING REVIEW CHECR LIST
_ . �
IIgC� `L '3 CONSTRQCTION TYPE: Y�
Sq Footage $ Per Sq Ftg
Basement x -
lst Fl.00r x -
2nd Floor X -
Garage X -
x =
TOTAL
a�
$stimated Construction Value: $ �.�"`
Inspections Required: Work Requiring Separate Permi.ts:
Site � P�umbing Grading/Fil.ling
�Footing Mechanical Fire
_�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�J. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
------------------------------------------------------------
REMARRS (IN HOIISE) :
� ------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
-------------------------------------------------------
RELKARRS (TO BE NOTSD ON PERMIT) :
f I
, •• ��
HARDCOVER CALCULATION WORBSHEET
SETBACS ZONE: (CIRCLE ONE� 0-75' 75-250' 25-500' 500-1000'
EXISTING HARDCOVER IN ZONE �� g o S S.F.
A. House 3� x
I.cngth Width •
x = S.F.
x = S.F. �
z — S.F.
.� ,.� x '�� — �CZ S S.F.
B. Garage
R c 2 = q �S S.F.
C. Driveway �� _ S.F.
x —
x 3 D = �D S.F.
D. Sidewalk -3 = S.F.
x
z g = '�Y3 S.F.
E. Patio/Deck � = S.F.
z
= S.F.
F. Landscape R =
S.F.
Underlain x
= S.F.
By Plastic x
= S.F.
G. Other x
TOTAL HARDCOVER IN ZONE - 2�d S3 S.F. A
S.F. B
TOTAL PROPERTY AREA IN ZONE B ��� 3 0 o z 100 = � � -d� %
A 7 8 �3 —
PROPOSED HARDCOVER IN ZONE _ S.F.
A. House z
�ng� wia�n
= S.F.
R S.F.
R S.F.
R
S.F.
B. Garage X
S.F.
C. Driveway x =
S.F.
x
S.F.
D. Sidewalic X S.F.
R
x �S = 3aS s.F.
E. Patio/Deck 2- 3 S.F.
R
S.F.
F. Landscape x _ S.F.
Underlain � x S.F.
By Plastic x
S.F.
G. Other x
S.F. A
TOTAL HARDCOVER IN ZONE - .� �cf� S.F. B
TOTAL PROPERTY AREA IN ZONE - - %
A 3t � `d — B ?��ov� x100 = �S "1S
' 1�
,
- -- " .
� O�
O O '
��.r:�, � CITY o� 4R�N0
'�" ���'���1-�.. � P OPBce�
Jy �nsf,.�
`�' Crystal BaY��fmnesota 55323�0066
'C�.L'�,;' �����,�'yG
�.k s��p�
gA.RDCOVER ORDINANCE- In 1975, t�e Orono City Council adopted an ordinance limitina
the percenta�e of lot area that can be covered with impervious surface ("hardcover") such as
roofs, driveways, sidewalks, etc. on properties located within 1,000 feet of a lake. Studies have
shown that sediments, oils, and debris carried into the lake from hiQhly urbanized areas have
a detrimental impact on the qualiry of water in the lak�et�ouQh aras edOor�egetated yard area�s
ensure that rainfall run-off will be cleansed by filterui� � ,.
before enterina the lake.
Hardcover Zones - Allowed Pe O�o tages:
0-75
75-250' 25%
250-500' �Q�°
500-1000' 35 90
Hardcover includes:
- Roofs
- Sidewalks
- Paved or gravel driveways
- Patios & decks (includes slatted decks)
- Tops of retaining walls & rock walls
- Decorative landscape areas underlain by plastic sheeting or fabric
- Any other surface that does not allow direct absorption of rainfall into
the �round
L�STRUCTIO�'S FOR COti1PLETLti'G HARDCOVER CAI.CULATION `VORKSHEET
1, Circle which setback zone (0-75', 75-250', etc.) the calculation is for.
�. For each item of hardcover wichin that zone, en[er the lenath and width, and multiply to
get square footaQe (s.f.).
: 3, Add up all the square footaaes to get total square foota�e of hardcover.
4. Divide by the total area of property within the zone and, multiply by 100 to �et
percentaoe of hardcover ul the zone.
If chanQes in hardcover are proposed, you should do a "before" ed I ontact City staff
5. �
worksheet. If either results in percentaces �reater than those allow ,
before proceedin� with your project planni.na!
: ...
.Fax-a�-osio
.. . _. . . ��xotvE-a�s� �
✓
ATE. TIME
CITY OF ORONO CALLED IN r'� :-
INSPECTION NO�ICE SCHEDULED � � =��
PERMIT NO. ' 1 � � COMPLETED � �a"��
ADDRESS 'S � - �
OWNER ������o CONTR. .�
TELEPHONE NO. �.�G -' � ��Z�
� DESCRIPTION -' -
W O�TIFIO✓?> 11 MEC RI 18 D(CAV/GRADINO/FIWNO
y[��INQ 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
2 OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
E` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEMO—FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN�RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 70 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a ...��, r • d ��
�
J
� �� V V 1.��_�r W l�� �V�-.S c �/�Ci
O
k
Q i 5 ��U r' �(7 — =�C� 2
�
� P�.s� cF_f
W
�
�
d �WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �^ CITATION ISSUED
�INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnedContractor on si .
Inspector. �
White Copyllnspector's File C nary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �I �-�3-9�
INSPECTION NOTICE SCHEDULED //- /�' �
PERMITNO. �4lo y COMPLETED
ADDRESS I� 4S l'J�
OWNER �-��h S CONTR. �
TELEPHONE NO. 9� D � J,S a (o
� DESCRIPTION ��-�
� 01 FOOTIN� 11 MECHANIGAL RI 18 DCCAV/ORADINC�/FIWNO
�Q 02 FRAMINO 13 MECHANICAL FlNAL 18 LAI�SHOREANETLANDS
� 031NSUU710N 24/25 WOOD BURNER/FlREPLACE 34 TREE FiEMOVAL
Z 0 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q pg Fl� 14 SEINER HOOK-UO O6 PRO(iRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
� 07 DEM�FlNAL 15 SEPTiC INSTALL 22 FOLLOW-UP
= 08 PLUMBIN�RI 23 SEP'T1C FlNAL 35 HARD COVER REMOVAL
v 10 PWMBINO FlNAL 36 FOUNDATION iiEMOVAI
Z OWNER/CONTRACTOR TO MEET YOU: VES_NO
y COMMENTS•
W � so ,
a
�
�
O
� Q . � �ll
0
�
W
�
Q
� '
2
W
�
W
�
�
d ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
� ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O OHRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CO'VERING PERMANENT
O CORRECT UNSAFE CONOITION WITH�N HOURS. C pHOTO TAKEN
INSPECTOR WILI RETURN
O STOP ORDER POSTED.CALL iNSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next in tion 24 hours in advance.473-7357
OwnerlContract
Inspector.
whne coPynnspec�ors File ca�aa coprrshe Houc:.
583571
CERTIFICATE OF SURVEY FOR
. . . ,��.���
�LAYT�N FU�H�
�Ro�o �
� � OF L�TS 13 AND 14, BLOCK �8, �SAGA ��iI�L�L��� REVISE�D �
� HENNEPIN C�UNTY, MINNESOTA � ��
� .
S _ _ .r.....�.,.�,
�
� . CITY OF ORO�JO
�� .?�. �ITE,pLA�V GRADING PLAN
� ,
� APpR01fED �0 �� S
:� APPROVED W�TN REVISIONS
-- , � Dl�APP�i E�
� . ��.� ,�� gy c�
��F cti�, �TE 6 � ���5� -
�� ���
. Existing .. . /�q �� �
P�ayhou:e ' 's O
°' P F -9�
0
0
�� �.5 QC, �i
..__ ^�. y�,2F
\ / � `�
.:` / 2°�9:
'�9,,°? �'L
.W . c� �O �/
�i ' za.o . _ �i � �' �
� / ��..s o L � \
0o Existing ^ 2 �o �
?
� M �s y f
. z / � �
Novse ��99��
. . . / . 1Q7 Q Z'� . . . � , .
/ O �
3•6 b 99
/ �
"'Deck �
/ � � � ' 36.4
N �
/ �,.3 � �, Existing
� � i ry �
� � , Gctrag N
/ _ ; \ , e
�: 36.4
i
3.7.:.::.:..i
/ \ � N 88°47'35' yti/ 192.38 _.
J \ \ � t..__ ..
/; �'- \ 60�
/ \
LEGAL DESCRIPTION OF PREMISES :
Lots 13 and 14 , Block 8 , Saga Hill Revised
•: denotes iran marker found
Bearings shown ar� based upon an assumed datum .
. Laf .f��4 .:. a,i��ir. Z o,3 0 o t J'4.FT. .
N
This survey inl:�nds to show the boundaries of the
above described property , and the location of an existin;g
' house , garage , and playfiouse thereon . It does not
purport to show any other improvements or encr��chm�nts .
I hereby certifv that this survey ���as prepared h�� me��r �in�er my direct 5uper- onTE �Q-3-95
� � ` � � � � vision, 'and that I am a duly registered Civil Engineer an�i Lanc{Sur�-evor under
,`i the l��ws c�f the State c�f Minnesc�ta. -
�� SCALE ���=3O�
. .
, , , ; f_-'
/il��.l : ,� _���,,��,�
Mark S. Gronberg Minnesota License Number�12755 ���� �'�� 95-356
-356 � . .
EY515T)NG HOus�:'
jjj
............
to
. ........ .
7 -
I
!�7 711Y.
Fl C>WER. __ PMb E P4
0
- ---------- DETA I L
r_V_j_sl_ 4-c
SEC
r �4v
tA To ST
L
7_x 16,
A s A� e �kl
0 __ A L L 5 v B STr?,Qc-'r QkE - Ir Rt=_Plm eb (\t\ \p'k'rF_k\ P\ L
# PLL bU-Al9(- Pot,&� 40,t,AkNL Ce*lDNP,
VAA vkb k AIL H 14; W".
�'X S" LAG, ?�ot_IS \(a'ol PST'At. R inti 7'mlT
�_(kU_ Z\lli' �%M-NAkmL
•
_09LL `'Tff l 191SERS -
v P1L.L FoCTING.5 10">< L4f3"
11
Douac_ JOIST_
DECK FIAN
,CLAYTON PUCHS
_130S 5PRUrjE PLkCE
arolsol
FF
. ALL. RISE ;r
Z.
ALL TFF_ADS_ 1
T01 --T5 6" -
-ALL
Foolrimm lb A q2_
CRAMS -2_ " FRC)rv,-\
RLL bECA04 Zyt," CEDAR
To VAWSE
7.
ALL TOI STS - 1 � PTSD
cF
is
- ---------- DETA I L
r_V_j_sl_ 4-c
SEC
r �4v
tA To ST
L
7_x 16,
A s A� e �kl
0 __ A L L 5 v B STr?,Qc-'r QkE - Ir Rt=_Plm eb (\t\ \p'k'rF_k\ P\ L
# PLL bU-Al9(- Pot,&� 40,t,AkNL Ce*lDNP,
VAA vkb k AIL H 14; W".
�'X S" LAG, ?�ot_IS \(a'ol PST'At. R inti 7'mlT
�_(kU_ Z\lli' �%M-NAkmL
•
_09LL `'Tff l 191SERS -
v P1L.L FoCTING.5 10">< L4f3"
11
Douac_ JOIST_
DECK FIAN
,CLAYTON PUCHS
_130S 5PRUrjE PLkCE
arolsol
clTv SIX _bwo
0 IT PLAN M�s
A n"V
w
ED A24
APPRUVED MTH, CCI�R�% ',MONS AS NOTED
X)T APPRC)VED — a_)KRECT & RESUBMIT
zrv' t0r PlUr WorrviOUGm Ail viork stall tog'.
em^m'% M� ' a
itlnn:wyt uladf:s;afj rleled 'n t"!w; iv
VS 547-F A'!- Atlj_
FF
. ALL. RISE ;r
Z.
ALL TFF_ADS_ 1
T01 --T5 6" -
-ALL
Foolrimm lb A q2_
CRAMS -2_ " FRC)rv,-\
RLL bECA04 Zyt," CEDAR
To VAWSE
7.
ALL TOI STS - 1 � PTSD
clTv SIX _bwo
0 IT PLAN M�s
A n"V
w
ED A24
APPRUVED MTH, CCI�R�% ',MONS AS NOTED
X)T APPRC)VED — a_)KRECT & RESUBMIT
zrv' t0r PlUr WorrviOUGm Ail viork stall tog'.
em^m'% M� ' a
itlnn:wyt uladf:s;afj rleled 'n t"!w; iv
VS 547-F A'!- Atlj_