HomeMy WebLinkAbout1999-011796 - additiion - PERMIT"
� CITY OF ORONO PERMIT TYPE:
µ 2750 Kelley Parkway - P.O. Box 66 �_ ;.: ; _
Crystal Bay, Minnesota 55323 Permit Number: :',�«� .:^.,``''��
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(612) 473-7357 Date Issued: '_ _ ___ _
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: — .�;�:�:i ; ,.;};�. —. _,�� . �._r-� OWNER:
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APPLICANT�PERMITEE SIGNATURE SSUED BY:SIGNATURE '��
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� Total Fee: $ �� /7�:: (o i Date Received: � � �
� Entered By: j'�. Pe�t�: !/ �>4�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR`CO�CTO
JOB SITE ADDRESS: '�!)�1 ������ ,�.f�1:� ZIP:
NAME OF OWNER: (�, �.. , � ;�j�,'S�.y�J �r��Vll�� PHONE: (home) , �
(work) 7 "
MAILING ADDRESS: ��,Z'�'f� `>���[ft1'v1 CITY: �;�(� '��ZIP:��
CONTRACTOR: �{�I{ ���� ��SSc:1L: PHONE: �7� "(;,���
CONTACT PERSON: '_�p Y' J��r'��ZS MOBILE/PAGER:
MAILING ADDRESS:�;�r(� /��� � Si,.�i�FLll�= CITY:�p�;�v ��i.� _ ZIP: �
STATE LICENSE: # F��/S ,�
ARCHITECT NGINEE� ��b �,,(���b(�.�' PHONE: �'),� " � :� .3 �
MAILING ADD������I �A��rvT A��� �; �CITY: ��,=�1��-. ZIP: �3
NAME; REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration_ C Land Alteration
PROPOSED WORK(describe in detai�: �xE�p�� j�4�u�f E1.1 � l��� �'S � C���_CZ�'tT
�l�n "�.ti=.� '�Z`����)�.:,c r�-,
STORIES: (� SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: ? GARAGE STALLS: ATT. `� DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�(���'`� (�
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the..approved plan.
,
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APPLICANT'S SIGNATURE:� l'i i�� '� ,,��X-DATE:
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGH'I'S OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Inforcnation required to be given individual. An uxlividual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supp(y the requested data;(c)any known consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the identity of other persons or enaues authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the notice rewired under this subdivision in the individual income tax or orovertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request, an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesring person to pay the actual cosu of making,cer[ifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual, and may have an addirional five days within which to compty with the request,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
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 license from the �ity 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 shazed with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
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Ci�y State Zip Phone
I understand my z'ghts as stated above. \
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SignaNre
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' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �-f 43b /��(3c��Ai-� O 2�v tr
PID:
DESCRII''rION OF WORK: /�0 C� �T� o rv S -
--------------------------------------- -----��.�----------------------------------------�--�,--------�---
ZONING REVIEW BY: DATEAPPROVED• ZY-S
BUILDING REVIEW BY: DATE APPROVED: �3 •z Y=� 5
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓� No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: Rft- �/�
Fire Department: ►'1MP�.tr Pv��N Post Office: /Y��1 p� P�4�n/ School District: O/Lb N0
Lot Area: Sq.ft. /Uu c�-+�anr� Acres — Width -- Depth --
Survey Submitted: Yes c No Date of Survey: op.1 ����P `�l•LZ-�$
Proposed Setbacks:
Front (Lake): 7�v� t Right Side: t �S � }
Rear (Street): �3�a� �" Left Side: �`►'�� �'
Adjacent Structures: �4?`�'{��-��✓� Wetland: N(/�
Building Height: Def. Hgt. p, !L Peal:Hgt. —
Lot Coverage: /1{f-4
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: /v //�' By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: N v
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST � �
UBC: (Z'� CONSTRUCTION TYPE: �(N
Sq Footage $ Per Sq Ftg
Basement . x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ ISZ�,I�o� �J
Inspections Required: Work Requiring Separate Permits:
Site �c Plumbing Fire
Hardcover Removal � Mechanical Water Connection
�Footing Septic Sewer Connection
�' Framing Fireplace Lawn Inigation
�_Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
�Final Grading/Filling �Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS ('TO BE NOTED ON PERMIT�:
8
H�atloss Hoffman.xls Heat loss � r+��� ������
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Client Name: G.L.&Susan Hoffman
Site Address: 480 Deborah Drive
Orono, MN
KEITH WATERS & ASSOCIATES, INC.
6216 Baker Road Eden Prairie,MN 55346 License#0001508
�� . Phone(612)974-0004 Fax(612)974-0005
Permitted Heat Loss
Area(Sq. Ft.) x U Value = Heat Loss
1 Total exposed wall area: 1894.33 0.11 208.38
2 Total roof/ceiling area: 991.00 0.03 25.77
Total permitted heat loss: 234.14
Heat Loss Through Wall Segments
Wall Windows 376.17 0.37 139.18
Doors 0.00 0.19 0.00
Rim Joist 52.00 0.04 2.03
Wall Framing(Average 10%) 146.62 0.11 15.78
Net Insulated Wall 1319.55 0.04 54.68
Foundation Windows 0.00 0.00 0.00
Foundation Wall Above Grade 0.00 0.06 0.00
3 Total heat loss through walis: 211.68
(If item#3 is the same as or less than item#1,
then you have met the intent of SBC(c)2.
Heat Loss Through Roof
Skylight 0.00 0.34 0.00
Roof/Ceiling Framing(Average 10%) 99.10 0.03 3.33
Net Insulated Roof/Ceiling 891.90 0.02 17.22
4 Total heat loss through roof: 20.55
(If item#4 is the same as or less than item#2,
then you have met the intent of SBC(c)2.
Alternate Building Envelope Design
To utilize the total envelope system method,the values established by the sum of items#3 and#4
shall not be greater than the sum of items#1 and#2,
Permitted Loss Item 1 +Item 2: 208.38 25.77 234.14
Actual Loss Item 3+ Item 4: 211.68 20.55 232.23
Heat loss is acceptable
8/14/99 1
Heatloss Hoffman.xls Wall Sections
Ceiling
Rim Joist Foundation Framing
Section Wall Section Section
Material R-Value Material R-Value Material R-Value
1 Interior air film 0.68 1 Interior air film 0.68 1 Interior air film 0.61
2 R-22 Insulation 22.00 2 R-14 Insulation 14.00 2 5/8"Gypsum board 0.56
3 1 1/2"Soft wood 1.90 3 12"Concrete block 1.28 3 R-14 Insul. 14.00
4 1/2"CDX plywood 0.62 4 Stucco 0.21 4 11 1/4"Soft wood 14.00
5 Stucco 0.21 5 5
6 6 g
7 Exterior air film 0.17 7 Exterior air film 0.17 7 Exterior air film(still) 0.61
Total R= 25.58 Total R= 16.34 Total R= 29.78
U=1/R= 0.04 U=1/R= 0.06 U=1/R= 0.03
Wall Framing Ceiling
Section Section
Material R-Value Material R-Value
1 Interior air film 0.68 1 Interior air film 0.61
2 1/2"Gypsum board 0.45 2 5/8"Gypsum board 0.56
3 5 1/2"Soft wood 6.87 3 R-50 Insul. 50.00
4 1/2"CDX plywood 0.62 4
5 Stucco 0.50 5
6 g
7 Exterior air film 0.17 7 Exterior air film(still) 0.61
Total R= 9.29 Total R= 51.78
U=1/R= 0.11 U=1/R= 0.02
Insulated
Wall Section
Material R-Value
1 Interior air film 0.68
2 1/2"Gypsum board 0.45
3 R-221nsulation 22.00
4 1/2"CDX plywood 0.62
5 Stucco 0.21
6
7 Exterior air film 0.17
Total R= 24.13
U=1/R= 0.04
Keith Waters and Associates, Inc. 10340 Viking Drive,Suite 110 Eden Prairie, MN 55344 License#0001508 Page 1
DATE TIME
CITY OF ORONO CALLED IN � <�"- ` `_3�•
INSPECTION NOTICE SCHEDULED =�� �:3{,Z
PERMIT NO. �� � � COMPLETED �- ` ���
ADDRESS � - � �
OWNER CONTR. I�l`,'� ,�i(JGc.�CvS
TELEPHONE NO. �3�� ��03
�- D PTION
01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
L INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
Inspector. �Gc��- C�'lt-�/
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTI,�j E SCHEDULED �✓ `� "V �
PERMIT NO. G tt'7�' C�� COMPLETED ��"�'_ �
ADDRESS �C> ��`�h ���
OWNER���.Y1 CONTR.� ��I��
TELEPHONE NO. :'��G�� j O��
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
C 1 STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contra or on site:
; �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ����r, �
PERMIT N0. �'��� COMPLETED ���` �f �
ADDRESS �1�G ��'x'-���-C{�l �•
OWNER CONTR. �_�G'1 C�C�-�C°'S
TELEPHONE NO. `��q ^ � 0�3
� DESCRIPTION
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 4 WALL 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.7/L�Gtr.�C �'����)
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED s %
PERMIT N0. I 1"1GI�� COMPLETED � ^ � " �
ADDRESS d � •
OWNER CONTR. � �
TELEPHONE NO. U ��� ��d�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02� 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS
� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERlCONTRACTO TO EET YOU:_ ES_NO � r �
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTO TAKEN
INSPECTOR WILL RETURN
C; CITATION ISSUED
❑STOP ORDEfl POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector.�/�C��� ��
White Copyllnspector's File Canary CopylSite Notice
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CERTIFICATE OF SU�VEY F4R �
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KEITH WATERS 8c �SSOCIATES „ � � � �
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OF LOT 4, BL4CK 2, MC^ULLEY FARM
HENNEPIN COUNTY, �riiNNESOTA �-�
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� � � � LEGAL DESCRIPTION OF PREMISES: `� W�� � � �
I i 'iD0f10N r � Lot 4, Biock 2, McCULLEY FARM � � ^
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` i �TM° � 1 This survey shows the location of an existing house, and two proposed p� � �
� a d di tions in re la tion to t he boun dary lines o f t he a bove descri be d proper ty. c.5 � �
` i ' � It does not purport to show any other improvements or encroachments_ � ' `�
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DETAIL
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f=OR i�iCNULTY CON`-�fRl��:IION
Uf LOT 4 , [3LOCY 2, P1cCl�[ LEY F�1R(�I
HENNEPIN COUNTY , P1If�PIESOTA
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❑ ,�PP�u v�J �NlTH REVISIONS
� � v�,�;+Y ��se,�E.,, ❑ D�J�� �JVE sca�E: � �� - 200�
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' � I DATE g-2.�t -9� DATE : 4-22-83
(� I��QII I � : Iron marker
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�� i I 1 r�erabv �ertify that this is a tru� and correct representation of a survey
v' �,��. of tt;� bounc�aries of Lot 4, Block ?_, P�cCulley Farm, the location of all ex-
� �� i �,t;ir�� builcings, if any, thereon, and the ��roposed location of a pro osed
� I P
� i � - - ��������� buil;i��i<�- it �loes not purpor�t t.o sho�� other� irlipr�ovemE�n�t�; or encroachments.
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� �F����� ���� h F:I"1 1�'�I F,RS
� &:ASSOCL�TES,INC.
�� , DtS1GNERS&BUILDERS I
' � � ( � �l
� ,'f��%�� I 6216 Baker Road
" 'r �� ' ��,1;�:� t V►r� su,re tio (;OFF 1 N �e, GROPJBERG, I[��C
C�,'.
i Eden Prairie MN
-'f a � / . � 5534h
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- -= ,�s`� 05 Mar�k ,_ �,ronk�Pr T�1N I_ i�_ No. 12755
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