HomeMy WebLinkAbout98-8192
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8192.6
I :7. /1 II /0 i'
7 f
1/0.00
Date
BUILDING
PLUMB~ MECHA...l..L S'W", Cooo
I 7........ Water Conn:
Pmp,rty Own., /)frifL TI1 0 J1ZP/J \. CWvTi, ,s';j-I.J Ci.1.rjwat.' Met.,
Job Address: r- A~ . _ T,IF's:
Parcel 1.0. # ; 5 - ~ 0 - ,-;( 1- (),;{ 00 - CCc')c'J () LOT
ELEC~l
Zoning:
Description of Work
;-- Energy Code~ ~cjo.n Gas:
\- .1n e.Q; I ,()n
,
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
J./' /3-
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
\,gignature
Company
Address
\.?elephone# (Y I J) '7 73 -() )? 2(;
Valuation or ~'+ 6.. 0 "'\
Contract Price Id -uO
City License Registration # --1 Gt o.flJ
State Certified License#
Or rYlL F-R./1 (1-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site. ~u, - bWl..Ao o~~~ ~p.t'~~ ~ ~evUf po..-+_~
f. Plans not at job site. ~u ~(.()~\UJ.., . rll\. (}V.l, ~+ to ~ 4\ttlD'; LL ~ lJ/kol''1
g. Work not accessible. tUlv,.plffid < - ~\>OU wI A.c~ ~ ~~L.V o..tn. ~ c-J.v~W \ ~ _~.
The payment of inspection fees shall be made before any further permits will be issued to the person owning pc.-
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
6 +- c: v C- 'rlc Y\-\.. a.... '5
PHONE 'I ~ ~ - 37 ) '-I
C- Aue.-.
SUBDIVISION C;q/ --+, <". __
;,., 'YN:::.:
(OBTAIN FROM PROPF.RTY T~ ____C__
(Ou (t- ~ 1..Ltk. V-e..
BLOCK
JOB ADDRESS 6 LLb.- 'D,'.J I' S ,'~ n
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # IS--d t. -;}. /- 0;). 0 D - 0 0 DO 0
WORK PROPSED: DNEW CONSTRUCTION
DADDITION
DALTERATION
D REPAIR
gI INSTALL
DSIGN
DMOVE
D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
01 OTHER
6lA.b-D,'.,jJ ::,)'oYJ
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK _F (" (\ C e I 1\ S + Q II c.. "- " 0 rl
BUILDING SIZE
SQUARE FOOTAGE
J OZq(,..
)
HEIGHT
(;,'
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
D BUILDING
$
PERMITS REQUESTED
I 7, ,;i ,:} o. Z> () VALUATION OF TOTAL CONSTRUCTION
,
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
D ROOFING
o SPECIALTY
6('J OTHER ;;c nc e..
TYPE OF CONS'I'RUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
· ..;"~()jl~Q~!ff~'
f!liill'!lliil!illli[[j!lj!jll~ljli,!!
SIGNATURE
COMPANY A c me. 1=c-nr p
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
******************************************************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
***********~******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER Fence.
SIGNATURE9V, ~q~~.
COMPANY A c (Yl p J-c Yl C f'
.
STATE CERT OR REGIST #
CITY PROCESSING # I q 0
*****************************************************************
CONDITIONS OF PERMIT AF'F'IDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for: the j IItellded work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you"rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or ~A,etc.", it is
understood that a drainage plan addressing a "compe~sating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit'
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A ~NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
# ~.~2;LA:~
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
of identification)
take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
~o has produced L 5 bo - 3d- 3-S-to -5 i Lf~ 0
Jtype of identification)
and who Ddid [Q:fid not take an oath
(name of person acknowledged)
Dwho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
f6l~l~lq~
Fro",: ACME FENCE: A) La.lier 8i3 907' 987'7'
To:
iO/23/98 i8:38 P. 001
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Ft. .-
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Permit No.
111111111111111111111111111111111111111I1111111111
98152532
Stone orJ\C'lC' i A~
NOTICE OF COMMeNCEMENT
County or
p c:{ So c.. 0
THE UNDERSIGNED hereby gives notice that Improvem.nt will be made to Certain
re4l' prO~f-ty. and tn 41ccordance with Chapter 71~. F'or'd~ Statutes. the '-Ollow'ng
in{or-maUon is provided 'n this Notice of Commencement:
. -
Description of Property: Parcel N'O,I("G\c"t5 l~+ ,~I Z-L:Ils, ~\Cl"''f-
Se<. -t. ~ I 5" ~..."'~k .<l.(. 5. AI, L,"j <- ..''I 6,,-r. ~+t>... .,v, \ p~o;"~ - ~~" 1" fu dG re.
{Lega. desc:!r ptlon br thc!--prop~' ~nd street. t({,:;ss If' va labl.
Gen.ral Description of Improvement ~ ..lee.. AC'Ch) t\1~ ~c i ~~
2.
3.
Owner Informalion: Name \J"v',S
Address 371/::< I o~ 'I R I ~::J~ C i "c tc2,
Intere5t In Property; S)e~ \ 0 p~(2.
Name of Fe. Simp'. Tltleholder:--E
(If other than Owner)
Co ~1~C+l "'~ ..L t\J~.
CitY~r.Jp C; +/
(; l.-..) N €.. Q
StDtefJ~
/
.
Actdress
Contrac;:tor; Name-.Ac Me.
Address 3' la<<t,p E b 0 y'o.o'11 Dr.
Suret.y: Name
A(JIClre:n,
AInount of' SOnd = .
6. Lender; Name I'J", A.,
CI~~
fi)
City Z l)t!$" ley (/..alJel
I I
ClI.
Stare
f~,.Jc~
Stat.
s.
City
State
Address
Clt"
State
7 - Persons within the State of Florida deSignated by Owner upon whom no"ces
01'" other documents may be served as provided by Section 71 ~ _ 13 (1 ) (it) (7). Florida
Statu~s :
Na....----.f\p\J ~ ~ ~O(V\.QS
Addr18ln V 7..s 0 T7 ()1 b er- ,~ ~"'I City 2~pk, r l. l) 5 State FL.
I . .~...~_._ k . '<"'j"'\
8. In addiUon to h'mse". Owner des'gnates-R-.Lo4l<. rYfI~.'U~ e....;, .-..) ~ r.,tl r""~ <;
of Z~~""'~rh.: ,~s . to receive. copy of the Llenor"s Notice
as prov de In Sect. on 713. 13 (1 J (b). FlorIda Statutes,
9. Expirat.ion date of' Hotlce of Commence"","t. (the expi".Uon date Is 1 year from
the date of' recording U7e s a dlff'erent date .s Specified.)
Signature of Owner:
day of ..Dtc;EllIL)E..t.
0..-/
Sworn to and SUbSC,.~ed before ~e th.s
(;~ /S ftl0(f.liLL~! 1{1J,,\,~:A;.
19 7. . I 7/ /1
11E 'fl.,." I.' ,.J
Notary PUblic: ----I-~ {1 ~i .:L_.1 t:- J~v(" ....JC r
My Commission ExplrA,"~ (,/rk'1 II fDJi)Ci~St.tJ
S~f';\ TE (;f" rL.C'f;,: ;,"~:;~,
, "1~;'JtINTY ,')f ~;'.)C.D
T:iF :\ 1/; ('~f '~:;rr;,( ;;.:~: i "if";>. "!):;'~".y~_:,-".
,1#' ~ Mary K HenderSOn
.. l"'\ .
*~ *My CommiSsion CC705964
....,.. ..'.t'o Expires February 6. 2002
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Frolll: ACME FENCE:AJ Lanier 813 907 9877
To:
10/23/98 18:31 P. 003
CONTRACT
AGREEMENT made tJtis J.,'1- day of ~,19~, by and betweell ACME FENCE hereinafter
referred to as "Acme Fence" and . ()f\ u i ~ {n..rl-,. <, r'-\- '~ . hereinafter referred to as "QL'litolllcr."
In consideration of the mutual convellants colltained rem and tile consideration to be paId by cu...toDlcr to
Acme Pent.:e, it i:'i agreed as follow~: . . 9 ~
1. Customer shall pay to Acme Fence dlC sum of $ --'J, oJ iJ O. for the work described herein.
Payment shall be made to Acme Fence by the Customer upon compledon unless OtherwibiC ~pecificd.
2. Acme Fcnce agrt'.cs to fumish all necessary labor and malcrials to consb1Jct the improvements described
herein as per the specifications and drawings, it any. shown on the reverse side. Acme Fence fDlther wamlllts all
materials will be as ~l'edfied and tJlat all work will be completed in a wodcmanlik.e manner according to standard
prdcUC\.:tl.
3. if this is a residential job. Customer represents and warrants that he is the owner or lb.e property dc~dbed
hen:in. If this is a commercial job, Customcr represents that he is the o~l~r of the propeny deSCribed. herein. or a
contractor who ha.<; a comrau 10 Improve property owned by ,'~1/!! "_
and that pari of the impmvemeuts contracled for by L1le owner include tbe wort. described hereilL
4. CusLomcr agrees to Jocale, relocate, stake and dear lence line!!;, aud assumes full responsibility tor same.
Customer agrees to indemnify and hold A<..me Pence hanuless tor any liability or damages tllal m.,y J~5uh from
Cu..<;t(lIncr's failure to property locate, stake and dear fence Jines. Customer fur1her agrees to advise Acme Fence of any
deed. subdivision. 01' other rt'.strlctions which may affe<.."t constroc.;tion of the fence or other impmvements to be
const.nlCted by Acmc Fence. and agrees to indellmify and hold A<.....IC Fence hannless from any liability or damages that
may l'e~-wt because of tile failure to l:omply with deed, subdivision. or other re.~trictions.
5. Acme Fence does not assume allY responsibility or liability for any damage of any natu.re to underground
obstl\Jctions. Customer agrees 10 clearly mark and advise Acme Fencc of any underground obstructions in the area of the
fence Hne or the improvemellls to be constructed by Acme Fence. Customer assumes responsibility for any damage to
uuderground obstructions caused by CustolDer'K failure to mark or advise Acme Fence of lheir exislCllce. For purposes of
thiN Agreemeut, underground obstmctions Include but are uot limited to all improvemcnts constructed un~rground
including utility pipes, cables. foundatIons. lUllllbe like.
6. It is agreed by and between tile panies, that my alrcration or deviation hum the above ~-pecifications involving
ext", cost is 10 be perfunned by AClne Fence and will become an extra charge over and above the price staled herein.
7. Customer agrees to pay in full thc price stated herein upon completion of wot1c:. Any failure to pay within
seven (7) days after receipt of the invoice shall be considered a default and Acme Fence shall be enlirlcd to recover tile
full amount of the invoice plu:; interest (flnallce charge) at the rnte of 1 1/2% per month (J 8% per annum) unLil the
contract price is paid in full. In aile event it becomes necessary for Acme Fence to take conection action. Customer
agrees to pay all costs of collecllons including reasonable auomey's fees and cost...
8. It is fuIlller agreed between tllc parties that the fencing materials shall remain penonal property until tile
contract price i~ paid in fUll. In the evellt the Customer faits to pay the cOlUract price, Ac."IIlC Fence shall have the riahl to
peaceably repossess and I~move all materials installed by il Oil the premises. Customer further agrees dJat Acute Feuce
shall have all uf rhe rights of a I)ecun~rl parLy. as the same is defined wider the Flol1da Uuifonn Comlllen;juJ Code. and
that said rights shall be cWDulative and In lllktition to any other rights which Acme Fence may have in accordance witIl
Florida Law.
9. nus agreement is the entire agreement of the )Ydltics and cannot be changed except ill wdtlng signed by both
parties. Tbere are no warranties or repl'esentalions except as are cxpressed herein. Acme Fence specitlcaUy disclaims all
EXPRESS and IMPLIED W ARRANTlES, including any WARRANTY OF MERCHANTABILITY or FITNESS FOR A
PARTICULAR I'URPt."lSF..
IN WITNE.'5S WHEREOF tlle parties have hereunto signed dlei.. names on the day and year first above wriuen.
(f) '1ec,,{. tV.!A.(.((;.,..-f, vl"\
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By:
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Froll.: ACME FENCE:AJ Lallier 813 907 9877
To:
10/23/98 18:32 P. 004
ACME f4'ENCK
31116 EJoian Drive
Wesley Chapel. FL 33544
(81 ~) 973-0R26
PROPOSAL AND CONTRACT
CUSTOMER __~ fe.y_e., '7/'0 I'.V'\ a..S (Q A '(.J' ~ C.OI-'\ +~~)
AUUHt:SS __.3 7 4 ~L2J< ~-L!4,e.. ,_~~,.. c_~ 'f]
Joe SITE .,~'vb:. d.. vR-t.te.~h'~!" Po.... J ,_ .~OVt'l..-+ Sb' ~~I..'II$
QUANTITy
J~!_po L~,.,,~>-U",I..._~
.. .l,o' K. l~'\. ~ -In. J I~.d
I L~ r--t, w: J~ Douhl ~.
"; 0.. :1:e..
--:j - I · ., .; r-: ~ 7 (I g" "
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~ -.
S"~(;IFICA nONS
-9"' O.L>. Total Hejgln ~
:;.c.h LlO ,
Line Post I '113' ~O.D. Post Spaced 10 "'If k
,
~nd Potil ,.~~ ;J'-L 0.1). Slyle Fence ~'1. K..
~. I, '1 }. , G
('.ome.' Post ''';0 ~O.D. Fabric: 'J 6...
P ..bo-
Walk Gale Posts _O.D. Residential
<d. '1~ ~
Dlive GQOO Posts ). z. 0.0. Indust11al
Gate Fmm:;J.. "(0, I f/.( O.U.
Top Rail
./
Walk Gale
ft/
K"'
Wood Prlvacy_
p'"
Ron Gate
Double Drive
Oale
,
I J. 1.,).
CONSTRUCTION NOTES' t1 {I eg;t Sc.t.
'\V\, L'On (:.,.({ t'!A~ - ~* Q,..... .f,
f.b(' -r~~; ON W.tC<.i....cJ"'cl,<...cl.
DATE
c;/ ~ oc.f 9?'
tiOME' PtiONE _7. 8" 3-.3/~
9U9IN~ PHONe
Fax NO. '7 I 5..,._(;. 5 €,. V'
ZIP 3 :> :5 ;), .2___..
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DIRECTIONS: ':' I . '.
o (\ ~ ~\_\, ~(O ~e. (~_
r"'5 PROf'()SAl MAY N! WIT_/l".... .n 116 IF Nor ~TeD WlTHIt4 1& &/lVS,
THIS f>OlOPO~AL _AU. lMCOW4I .. IlllNDlNO CCN'~' VfoQfl ACCGPTANeIr,
""~ foE"""$!!! Sloe I'Of' "._ OF eOUl'IUCT.
Frolll: ACHE FENCE:AJ Lanier 813 907 9877
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End PO"l
To:
10/23/98 18:31 P. 002
ACME FENCE
J 1116 Eloian Drive
Wesley Chapel, FL 33544
(813) 973-0826
.'
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"I ~'-I O.D. Fabric: p,T:
PROPOSAL AND CONTRACT
CUSTOMER S-1-e._v e...L{g,~, (t>AV ~.~.~.!-+.(.o..c..~(:~~()
ADDRESS _. ~_-,~., ,s.K.1- .R_~ dl)L -JL!lj.<, c..jil_. "_
JOB SITE .~,-A.>. -d ~V.'_ (.ou tt. + 5~v~" '2:". P\.~1 ft~,; ~ \ ~__
O':'~NIHy'
SPE(;U'JCATIONS
I YL1 _0.0. THlm HeighT
R.<< CJ " ,
Lf~'-I n.D. PolOt Spacl....1
1-) )( l/ O.D. Style Fellce
Walk Gale Posts
(.Y'
--=-O.D.
H/O.D.
~'
_0_0.
~
Drive Uate Po~ls
Ga~ FCMles
waUc Gate
nOllhlc Dove
Gale
..8/
Residential
..L.
H
Industrial
Wood prlv;K~Y_,./.,
Roll Gate
/
CONSTRUCTION NOlES: A /I ""'t.. +Prt.LI.
. f :r: ...J ~ tt.... ~n\ \I. 1IJr. ~ \ ~ .
DATE ;1. 3 oc- + 9JY_.~"
HOME PHONE ..:2~.ZL~
8USlNESS PHONE_.__..
[51-,.1"
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...)
Fa. NO. _. 71:5" ~ f::, 5& '/ ._.
ZI" 3 ~ 5;z 5__,,,__
-5 ~L- MA-t I\lTt\-tAl' GULA tL
$ \ \Fa- --rrq ll\-I'iv-UU 1fT
II\1~klt~ of
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'-'9. 1./4 ;"
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100 '
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