HomeMy WebLinkAbout03-1981
BUILDING PERMIT
Permit N~
tfJ/
~6t..tJ
BUilDING
"
Ii '7
103'
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 780-0020
1981
0;' t;i)
PLUMBING
?D
70'::>
MECHANICAL
Date
L.{-1-03
if tJltp , (f'O
LIt 9. ll"'O
l fO ' 6'-"0
iJ.:t
q/q/O'J
Sewer Conn
Property Owner:
Job Address:
Parcel 1.0, /I
-t11aA1 ^-
PlUM
-Zl,.-2( -OO(O-D3~o{J-007 D
1tJ1~ R
4'1,
Water Conn:
Water Meter:
Zoning:
Descriotion of Work
. 'f., L-/f
~
s l :
NO OCCUPANCY BEFORE C,O,
FINAL
C,Q,
9- cf-C3
ATE
()~
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Inspector
t? L j- l{J'c)
City license Registration #
State Certified license#
Per~~.~ cCYJ
)o5ign~~
Company
Address
)O'elephone# '6l'3 i){;:L -()fol5(
Valuation or
Contract Price
"7 8, <6 7S ' ev
38'/
--r;;tt&-I 'J{ K tf-115s{)e~.
7Vll:,
111~ Ele-c.
#77
elECTRICAL
BUilDING _
t 8 oN,D j-_'-
Ftr. ;,; '-{- 2 (- {).3 I~o
Pre SlB ,,/'5 - "2. L - C) \4 --s- ."
lintel ~/ it--. ? -0 J !f::Jo
FRM. t,/ t -,2 0 - () 1 If.:JD
Insul. Cl 1;/ It. - 3C-(F3 /--1:50
WL
P/vlVther-s p/ S~~ .'euu24'\ h~..AR S ~
=tT b);:f-. illfS () # /7
PLUMBING MECHANICAL
/ - - 3 I? i/ IIJ6
SLB 1/ ,j -I ') -- 0 II ( /./ Breakers
Tub Set (./-{, ,ZfoV3 12(7 Ducts InsIL&2(r03 (-[To
Water Compressor
Sewer t/{r'l6- 0 ~ (,f:JO J- f?t 7 Final ,/ q - 9 - (. ..~ ;2.L I.fj // j.:
Final v (, -'/- c-) k.l.-l1
Driveway
Tp, Servo
Rough In ,/ fp ,,2 fI., - 03 (? LLI
Meter Can
Const. Pole ~ /1"3/0~#J5
I I
Pool
Pre-Meter ./ 8"/;1.') I 03 RL Y
Final i/ '/' 'i . ~? ~L-'1_\' ;:\t
~~r.Pvu:: rl' 6/13'/(,/1 V//l~~ /0; j~,IJ~
~j. I ~fj .,
((-03 RU-{ -3 +(So fP g/:J-'Itd311:38' J..-on<- t.::t
tJcJ) ~'6~- &-
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five 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,
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
, CIT:Y OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
II;Sf.--
I ADDRESS DATE PERMIT +1
_..J..j7~1 p~{J>I~ J,I--/~-~J /~ou _
THIS JOB HAS NOT BEEN COMPLETED, T~e following additiqns or corrections shall be made before the job
will be accepted.
,
DO NOT REMOVE
It is unlawful for any Carpenter. Contractor. Builder, or other persons, to
cover or cause to be covered, any part of the wor1< with flooring. lath, earth
or other material, until the proper inspector has had ample time to approve
the installation_
AFTER CORRECTIONS ARE MADE CALL
780-0020~ECTION
INSPECTOR
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
T
995532
- ~;;-~
PERFORMANCE BUSINESS PRODUCTS. INC_ 813-719'8008 FAX 813-719-7919
o
c'3~l~ ~ ~
CITY OF ZEPHYRI'fILLS
ZEPHYRHllLS, FLORIDA
WATER ACCT. NO.
DATE
L/ h;h ,
I ,
OWNER/
RENTER
Y1W len ffi:V1n
Q \() len&-;n \(, ~ ~Cc..:Ii'K_-.
3ST+d-Y 0.. <.s. ~ i)r
ZepY~r(nll\s, Fe 33~1
Lf73 79fvY\). sT.
Lo 1- 7
MAIUNG
SERVICE ADDRESS
SHUT OFF SERVICE 0
TURN ON SERVICE a/
INSTAll METER ~'
READ METER 0
CHECK METER 0
OTHER 0
~ATER
o SEWER
o GARBAGE
o...-{N CITY
o OUT CITY
,
I
--'-- No. OF UNITS
_ DEPOSIT AMOUNT
/
.~ i iJ$v~
-----'- AMOUNT lAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
i '
"Y- 7- c -
ORDER GIVEN BY
Retain white form in office at aU times.
Send pink & yellow fonns to Water Service Dept.
Water Service Depl. to sign yellow form & return to office.
Tenbrink & Associates
Lot 5/6 Plumb St.
SQ, FEET PRICE
MAIN OR LIVING: 1,414 $ 50.00
OTHER AREA UNDER ROOF: 327 $ 25.00
OTHER: - $ -
VALUATION $ 78,875,00
FEE SHEET $ 396,00
ADDRESS $ 30.00
DRIVEWAY $ 30,00
BUILDING: $ 654,00
CREDIT: $ -
BUILDING LESS CREDIT: $ 654.00
ELt;:CTRICAL: $ 103,95
PLUMBING: $ 92.50
MECHANICAL: $ 70,30
RADON: $ 17.41
TOTAL $ 938.16
SEWER: $ 1,616.00
WATER: $ 419,00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
3,153.161
3~
~J
C.-V
SIF'S: $ 1,694,00
97.5% $ 1,651.65
2,5% $ 42.35
TI F'S; $ 1,480.00
99% $ 1,465,20
1% $ 14.80
TOTAL: $ 6,327.161
OI'lNER I a HAJI1El vYLa.r- l<..nC Vl1o..nn
---_____...u__.....___._._______ ________.___.__._____ ....~~..._..____..____ _______. ___..
,TOB SITE ALllJRBl8S ._h_______ Pl~~tr~t____ ________
5/~
CITY OF ZEPHYRHILLS PERMIT APPLICATION
Bl1IIlDING I>EI?ARTMBlNT 5335 8th s'rREBl'r ZBlPHYRHIr,IlS, FL 33840
Phon., B1J -7 BO - 0,020 >Ox, B13 -7 BO-- OO~~'rR RR""IVRD _'j~_?:.:ItJ_'5
PI/ANS RBlVIIIJW rllllll_._______T
PHONE! CON'l'1Wr.? 1~_7E.qJ,; -?'-~_'J
--_.- '--- -.--... - - .- ---..........-- ._-- -- ._-- -.--
IJBlrJA L nBlSCR T P'I' ION: LOT (S)
--..--..--.------
BIDCK ____~~____
SUBlJIVISJON
PAR(I~t, III I#_____J 4- .~-~.~I--=IX1Q~Ci~loQQ-09( Q______~_~~~~~:~__~_R(~~_~~~:~~~.:.__~~~~_.~~~r_~~~_~._
WORK PRtJI?8Elllr M'i'lElN CONSTRUCTION [J AfJIn'nON []AI;rERATION U RElP1HR [J INSTAr,I,
--~---~-~~---_._- .-----..---- .-..-.-..-.-
[lawl1
o MOVE
rJ DElMot,ISH
PROtJ08FJn USE: I ~GI, FAf'olIIJY DWEL,I,Ilm
Ll~1UL,1'T - FM1Il,Y
[]# OF IIlH'I'S
[JSWH1~lING POOL
U M081I.S llot1El
[] OTHEllR
[J Cot1MIlJR(! JAI,
o INDUS'l'RIAL
CJ ReI8'rAURAN'l' & HEALTH DElPARTt.1BlNT APPROVAl,
IlESCRIPTION OF NORK ___~~1T~~ s.~L~..t!l'_~ bl~y.!S.i.~~~_..____
BlJlr,nrN(~ SIZEl SQUAREl FOOTAGE 11Lfl
---------_._-~_.._-_.-.._---_..... ~._--.
------..---.-. -.---------...
-""- ----------
HElWHT
,..: "-----.... '----~-----
RBlBIDElNTIAL I A'I"rACH (2) PI,O'1' PIJAlIB & (2) BElTS OF BtJII,DINl] PI,ANS & (1) SElT ElNElRnV FORMS.
Cm1Ml:!lR(!IAIJ I A'r'tiAcH (J) SE'ra OF BU!LDING PLANS & (1) SET ElNElRny FORMS,
PROPElRTY SURVEY REQUIRED FOR AI,L NEN CONS'!'RUCTION.
r{ BlJII.IJIN<~
r~ EJr..JBJCTRICAI,
r;{'PI,IH1BING
~ERMITS REQUESTED
$_____'tP~____._........; VAl.UATION OF' TOTAL, CONSTRUCTION
----~_CK2.____ AMP ~ERVICEl ri( nORmA POWElR [J W. R. E, (~.
~-1H:UH1\.N WAf,
$_~?l-'OD .lJO ___ VAI,UATION OF t-1ECI!ANC IAT I UlS'tAI/lJATTON
[J GAS
LJ ROOFING
[J SPECltAI/l'Y
[J OTHER
TYPEl OP' (~ONS'I'Rt1C!'rrON I r1' BLOCK
[J FRAJ1EJ
[) STEEL
[J OTHER
FINISHElIl FI,OOR ElI,ElVl'.TIONS
~--------_.~---
I.9 PRrxmCT IN noon ZOl'TE AREA. rg/VffiS L1 No
BlUICTRI'
8tJILOlllR Cot1PANy..T~-!.1~!'Y1k..4-_A~Q.~..:~~:________. .__
~.. "~ ~ 1.11 J. Y STATE! CI1JRT OR RE!(]I8T #: ..--~Q~J:;J:l{3-4J:~., ____ __.
SIGNATURE _..--.._~~~----t-~.&---_ CITY PROCE:SSIN(] it_~&'l~. __.._______ __.___ ._____________
~~~***~*************~**********************************~******~***
-a:d.L___
cor'1PANy__J11~-.r:j:L0.._ ~~~.-J::r::i~._.__ ._____ ____.~_
STATE: e'ER'!' OR RElGT8'l' #~~J3-~O}.3.R3_ H_.h_...
cay PROCESSING 1#_-'lJ..__________.___ _ ______.______
.""HlIRR - ~ ~~~,~~t1~~~j~;~1;-'tE~~~~::~u
e WIlAT". e -_ ..__ __ _ -.. --0--- _ ____ ___ '!ITY PRnCIDee IN" # --18!l9 --"_m ____.. _._ __ _ __
~..........................................i..........
MBlrIHANICAI, CtJt\1PANY__~...r..5>_J4__~. .____ _ ______ _._.__
~ ( ~ STAT' "IDRT OR RIDOm #Q1kQ't~'lY~___.. ___
elm!A" ,~. -~-::P.:::: .~:~ . . . :: . . . . ::=. ::':'::. :P:~(::S.: I.~: .~:?-:::~~:-::: .---- _____
OTUBlR
-.--.---.---....----.-..---.----
C'()~'IPANY
STATE CEJRT OR REOIST ~
CITY PROCESSING 1#
_.--....._~-_.._.._.._--~----_.__.~--......__.__.._-~---------
SWllA'I'lJREl
--_.._~. -------..__.._-~---- .-......--
--'-- .------ ---_._~_._-~--~ ---
********************~**************************************~*****
.- ----.----"-- ..-.--.-.------___....._4_.'--- ... ._.. __._ _.___
COHDI'l'IONS OF PERMI'I' AFE'IDAVIT
A. NOTICE OF DEED RESTRICTIONS
'l'he undersigned understands thqt this permit may be subject to "deed restrictions" which
may be more restdctive than City regulations. The undersigned assumes responsibility for
compli,mce with any appli cable deed restrictions.
B. U1H~lCENSEf) 'CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
If the o\Vner has hired a contractor or contractors to undertake Hork, they may be required
to be licensed in accordance with state and local regulations, If the contractor is Ilot
licensed as required by lav~, both the ovmer and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to wllat
li censing requirements may apply for the intended work, they are advised to contEl,Clt the
City of ZephyrhUh Building Depa1:tment, 613-766-6611,
Furthennon:!, if the owner has hired a contractor or contractors, he i.6 advised to have the
contx.actor (f:l) sign pOl:tions of the "Contractor Sections" of this appU.cation for Hhich they
vllll be n:spollsible. If you, as the owner signs .:is the contractor, YQ\.i are indicating that
you, rather than the contractor, are responsible for the Hark. If the contractor wishes
you to sign as contractor that may be an indication that he is not prope~ly licellsed and is
uot entitled to pennitting privileges in the City of Zephyrhills,
C, 'l'RANSl-'Ok'l'ATJON IMPAC'!, F'EES AND UTUl'I'Y CONNECTION FEES
lJ, CONS'rkIlC'l'UION I,IEN LAW (CHAP'l'ER 713, FLORIDA STA'rUTES, AS AMENDED)
1 certify that I, the applicant, have been provided with a copy ot "Florida's Constrllction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affal1:s. If the appli.cant is someone other that the "owner", I cerity that I
have obtained a copy of the above described document and promise in good faith to delivel:
it to the "owner" prior to conmencement.
ill. CON'l'AAc'!'oR' S/OWNER' S AIrH'IDAVI'l'
I certify that all the information in this application is accurate and tllat all HOl:k will
be done in compliance with all applicable .laws reglll ating constnlCtion, zoning, and land
developmeut.
Applioation is hereby made to obtai.n a permit to do Hork and installation as indicated. I
ci::q:tify that no Hork or installation has conunenced prior to issuance of a permit and that
all wo~k Hill be performed to meet standards of all laws regulating construotion, City
codes, zoning regulations, and land development regulations in the jurisdict1 on. I also
certify that I understand that the regulations of other governmental agenoies may apply to
the intended work, and that it is my responsibility to identify what actions I lllllSt take Lo
be in comp.liance. Such agencies include but are not limited to; *Department of
EnvirolllTlental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens.Jtive
Lands, Water/Wastewater Treatment
*Soutllwest Florida Water Management District-Wells,Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable WaterHays
*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*II.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill matetial is to be used in Flood Zone "A" or "A, etc.", it is
understood that a dralnage plan addressing a "compensating volume"'wi.ll be submitted Hhich
is prepared by a pl.ofessional engineer registe~ed in the State of Florida pdor to permit
issuance,
A pe1:mit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alte1-, or set aside any provisions of the technical codes,
nor shall issllance of a permit prevent the Building Official from thereafter requirillg a
cor~ection of errors ill plans, oon~truction, or vio~~tions of any code. 6very p~~mit
is~ued shall beoome invalid unl~ss the \to.rk autho.rized by 5uch permit is cOllulIenoed within
six months of issuance, or if work authorized by the pel:mit is suspended or abandolled t~r a
period ot 6i)> months after the time the work is commenced. One 90 day extenaion of time
may be allowed f01: the permit with fee charge of $15.00, The extellsion shall be ~eqUeated
in wr1 ting to the Buildi.ng Official, An approved inspection must be logged dll:ri!1g each' /:IiK
lllonth period, or the project Hill be considered abandoned,
WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A No'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE Ji'OR IMPROVEMENTS TO YOUR PROPER'l'Y, IF YOU IWl'END TO OB'rAIN IfINANqrNlf. ~qN~UI/l'
Wr'l'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I', ,1OBS UNDER
$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POS'!' A "NO'nCE OF COMMENCEMEN'I"'.
,./~.dt
SlGHA'I:iJRE: --~~~ ./
CONTAAC"O~-~~
STA'I'E OF FLORIDA
COUNTY ()l!~
The foregoing instrument w~s aoknowledged
Before me this -----Pay of--, 19....-:-_
by
(name of person acknowledged)
Gho i.s personally known to me, or
S'rA'l'lil Olr FIf?(J~~DA
COUNTY OF - c....~___
The f01:egoing instrument was acknowledged
Before me this -Z-__ day of ~~_, ~
b y ~--.--C0 o....>r \ -c....n e.. VV\ O-M.. "'-
r:-/. (name of person acknowl~dged)
~who is personally known to me, or
o who has produced
(type of identification)
and who[] did [Jdid not take an oath,
~~~knOWledgernent
o Hha has produced _____
(type of identification)
and v,ho rJdid [}Hd not tal.e an oath
Signature of person taking acknoHledgment
Hame
>> JAMUMlIR
, . : -. ~ ~SIWil<&tl e
;i:;. ,"~ ~ES:APril27.200~
-'''.,cfi.\il.. BondId Thnl Notary PubIc UndeIw!ilm
Name typed, pd nted or stamped
State of JI~,clA.
County of
1111111111111111111111111111111111111111111111111111111I111I
2003057845
'-P~LO
NOTICE OF COMMENCEMENT
THE tmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Descr iption of Property: Parcel No. 1Y.~lo-;tl- tolD -D'~ 00D-{)(J7D
s.<~,
Sc..d.1 ~ ~ '. Let S LE.SS~e.. N.;lc/ *- Let ic Lf:.SS-Ht ~. Iq.~' 8tock.-~ -)
(Legal the property an street a ress 1 ava1 able) ~
2.
General Description of Improvement
C!5YlShrI.LC+ SltJj'e +h.rni'~ J loiDck...
h()yY1~ .
Rcpt.: 668441
OS: 0,00
04/02/03
Rec: 10,50
IT: 0,00
____ Dpty Clerk
3 .
Owner Information: Name
YYll.lY \~ VYUn n
7e..p~(h,l(s
State k333-10
l~ddress 391S1 lJ:Wl1~ Dr. City
Interest in Property: Ci..-Un-e..""'-
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN~ PASCO COUNTY CLERK
04/02/0j. 1",,: 33am 1 of 2
OR BI< ~298 PG 1647
Address
City
State
R4.
Contractor: Name -.J'O" BYI'nk--1 ~~OC. ''IvtL.
Address.sS4dY tltt-eskv tdr-. CitY~Vhl Hs
State F(.. -SSSY J
5, Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
713.l3(l)(u)(7), florida Statutes:
tJ"mc
Address
City
State
8. In addition to himself, Owner designates
of
Lienor's Notice as
to receive a copy of t~e
provided in Section 713.13(1) (b), Florida Statutes.
<) .
r--xpirn1 .I.'Jn d~te of ?ICJt..ice of Commencement (the explratiCJn date is 1 year
fr~m the date of recording unless a different date is specified.)
SignatureofOwner: ~./'f-~
Sworn to and subscr. bed before me this d-~ day of
20 O~
Notury Public: ~. ~~
My C::J:i1,Ol.i ssion Expires:
CL{~'
,
.,'l't'ii! ~" .JI\M1l: L, mur
l~i1"J."f~ MY COMMISSION j/ C.C 799573
5":, :1 EXPIRES: April 27, 2003 .
~f.'"1L''' Bonded Thru NoIary Public UndefWrilers
,Rt...,,'
PC93053048/A
OR BK 5298 PG 1648
2 of 2
VYIotv-e'~ j:. IS t- A:lcld1'OY1, as ...-c..LOldecl ,'vi 'Plot Boo~ , I ~:J 57 I
PuJo\~L Re.uY~ o~p~cc ~ I Fi... ,
STATE OF FLORIDA
COUNTYOF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT Copy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. W9'NESS MY
HAND A.ND OFFICIAL SEAL THIS~ DAY OF
.. /If/I? 2~
JED PI M Ci.ERK OF CIRC IT. COURT
BY 1 'DEPUTY CLERK
J
V
\J
WEST
Ten Brink & Assodates, Inc.
Mann Project - One Lot: 5/6
SectIon 14, TownshIp 265" Range 21 E. Pasco Cty, FL
Legal Descrlp.: Lot 5, LESS the North 20.00 feet, AND Lot
6, LESS the South 19.50 feet, Block 36,
MOORE'S FIRST ADDITION, as recorded in Plot Book 1,
Page 57, Public Records of Pasco County, Florida.
~
~
15'-lJ" atY-lJ" 15'-lJ"
SOUTH NORTH
!?
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EAST
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PASCO COUNTY, FLORIDA
Builder Name/Owner Name 1/11 ~Jt...e. /l1/l41t1
Permit No. /1 g- /
Date Permitted Lj-7 - f) 3
Control #
County Parcel No. J!i - u.~ -J (- 00(0 ~()3~oo __ OO? 0 SubDiv:
Address/Location L[ 1 J I'J P Jv I'\A. S y.
ClasslflcallonfTypeofUse 51~~ f~ r:tM~
TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit:
Exernpt [J Y es ~o How Determined
Impact Fee Amount $
I ( LifO
Zone No,
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached HOllse
(057) Mobile Home
(058) Other Residential
J) 23) C2!!e9R6n Fee
Exempt [_.I Yes f._dMo How Determined
Amollnt
.
$ __iL~J!L_.~____
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
ecreation Total
Zone
TOTAL AMOUNT -L______.__
How Determined
Land Credit Land T
Facility Account
Facility Total
&xemPt [J Yes [] No
How Determined
Total Amount
--
RESOURCE FEE
TOTAL AMOUNT _ \ t Q \ '\3
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does 110t Imply acceptance of concurrence, but simply receipt of a copy of this form, plaolng
the building permit owner on notice of this assessment and the conditions of payment for same.
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DATE RECEIVED BY
RECEIPT NO. ~C{ 'l) 1 DATE "\ - l 0- a3 BY ~~....... -: