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HURR/C.QNE <br />Mounting Bra lets , l ) Gauge <br />4-V2' x 4-V2-x 2-12" <br />Tr Back Cross Suppon <br />�" "Aav he cut tn wl <br />?tC AiK,t! t iE ltl 111,1- ! <br />\ flight Bracket o OaL.yer <br />112" Chia. A325 Gaut. # <br />pTtjt2.i 0 <br /># 1 A Sel(-f)o Ilk F x7 <br />a AiC Unit 3uttuln Edge <br />Hurricane Strap <br />�� { (Typical:3 in front) <br />Washprt *rn t Crocti Support <br />SeerLocking Nuts ii"i t)t` t-.)t tv W; <br />Left Bracket (16 Gauge) # 14 Self -tattling 5tr -wI 71vu Kim k 1.,1., h <br />Bark CroisSLptaortlnitn AIC Unit Bottom Side <br />f'P1)i A. 3 L,ad) r1 dti for hurricanci usc, <br />I f'., u,ltll4asln min uasun, ice lvu•hlnl.0h I, .h HLur-1C.Atc Mier., <br />c l.nKuei eed takc1 Z; Dotwing ardla6le tepee request <br />144411111.11141 fac wilt e"IN,p <br />Florida Depertrnorrt of Bumes3 8 Professional Regulation <br />8441ding codes and Standards, <br />Product APproval Application Detail <br />Diana <br />�, <br />RDIdLgE <br />MILM VKSl 111a'.rlrllgltlr11 <br />cmard anrrMraLrrr• YAM44.11, <br />Alflmplbn 2020 Sm,1 Ard A1odV11 .nc <br />hemea GrAlwn N1rri N-oP.E Locer9va•d., 1'C <br />ctcaeay. 8tn,ay.Ir nnLYvlrM, <br />(877)4414130 PE-73778 (33-4)3001 auo <br />suaatvisr. ow cis hrM <etl 64 A l!ealr of <br />nec ps✓tmNfWn100m <br />Nary Ta"I"W/y <br />CarpllrRr mw&.& EYaWban Repan som a <br />rk" Reproved Aidii eat a a Uea w4 Florida <br />r,.r.»ronr Bolleef <br />>Fd.d. <br />Pal. I of 1 <br />12/1or"I <br />*0 age CA Puld JIM <br />XaROM PaCAalrosW AD Sam <br />17'IW'?^•it, I`;lad26;0 1=61"20 Approved <br />iAMUL <br />wwudcars-16-a..PATINA <br />twagibudowcerealIrWaStaa,ore <br />y�g <br />a�4" <br />Buhl" <br />EUM&LI <br />1 <br />9ronVerlt ltodsl IMS40.510 <br />fa,•IF,mFOm Foodand V•nrAII-VMt <br />12e"12023 <br />•' <br />NrA <br />.100E too <br />' <br />:hneNWnt MaAr111S40-511 <br />IN .I r.,n.L„r mrdrnd <br />1 ODd 100 <br />3 <br />SmartYovrt Modal Y15401M <br />FlnnleU rl,"VMt <br />12A1721223 <br />yes <br />Y. <br />NAA <br />+100F 100 <br />4 <br />:YnrdAMnt 14otq 11340321 <br />Mari Flout'V."T <br />1201f2023 <br />Yes <br />Ya <br />NM <br />e100A too <br />3 <br />3rt 1~ Ltfdel e1510.324 <br />1eag4d;G-W Doer Fl... SlerA <br />I:1TV2o23 <br />Y. <br />Yea <br />NIA <br />1UA <br />6 <br />SrriwnV•ht FMssr114541,!111) <br />ardad Wrl In admitted Flood Vere <br />I./'Itl hl;a <br />Yn <br />Ya <br />N ` <br />•t•4u /c* <br />T <br />&""~I Nodal AT hAQ 6''4 <br />14,-Aqua: GNa/e Door Flood Venl <br />IJ.'1 :U,"1 <br />Ye+ <br />Ya <br />NA <br />r1;A <br />Florida Department of Buarross 8 Profosslonal Regulatlon I," I r I <br />Building Codes and SlandarGs 111 a 21 <br />Product Approval Application Detail <br />C" ----_- bill tar DAto 04, Die Pexft Dag <br />.11= Y__ tOLM LwruA.Ellta�a XAMN W ft YalWMfc U1211aag 1 rC Aram.. ealaarar i " <br />lau" oe 202o rlfo o WWI IM. )eP011 9a,nrtte Ziii R PA,A L"11, BOudm P.E. o8i 06ASW.G QBt2,WQX III,I N."K'n Approved <br />Crtgory*Rom"i SM 303-1511 PE14021 1no 14X <br />:1bCal.oi M041 Rooli ;tIairrnal deaxrtar Dom <br />COrpftWo alethod EwtlaWal Rnp Frvy,1 e <br />Flood. 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F,b•ryass Dade Cew WON Ve <br />Y.enn,l fldel le+uno.ingrD,n+lpr,g KXaoxxo <br />crnldu w v'+. <br />' <br />6Thenlu Tru nuer._Iwrt and fieaarr-aov <br />Nrrrynd 6aA]rleaaud.nada4ua, Oleea <br />12171 1P024 <br />N. <br />1, <br />lee <br />WA <br />C-P-4a Gdua Flbmpaee SNI Door <br />{"s (:Xxo+ res x1mtyul"M) <br />a <br />h. T1erri Tn1 Frb..I, Wttic end Smodlr-.57'Pr <br />NtrYvnr 8411 6 La,1nl MYwdAq r* rimed <br />I;IM.2" <br />No <br />Y. <br />f e+ <br />WA <br />carvoele E09. Rt-01010 anpP L pair VIN <br />adeue(/StIrWgKY4WPp:X0, 04a,oxn, <br />aW16p.IHIpaY1a1 <br />9 <br />1. rhareeTru Fiber-Oti end 9r 04!0 el <br />monno oa*x.s aWa,tnpa44agdd ,: gsR4'n <br />12R1710Z6 <br />W <br />Yea <br />Y'n <br />lick <br />c f!!!t Edge Mateo s Dwt✓a Em+ .WN a <br />M1r141A Sltlrtn tlrt/ew,pJEulaw,r19, %F d OXXo <br />carrqurrlma) <br />/0 <br />1 Tr--T.F4tw0-slcend,%T onR•r <br />Narsne 6&".,D qua:hpda+rua .I•xed <br />1b310026 <br />ro <br />Yn <br />Yet <br />Ilia. <br />CWr it o41e Edge Ftbegna Smpe Doc <br />(lteer4WourW116. X cmlgureden) <br />1t <br />III Rbo-Cswcan 8moottFaW <br />NWNnr AYMO aqua:MwdMNat clued <br />12A1a02fi <br />rh:. <br />Yee <br />Yea <br />PVA <br />W1Xw40e Edge Fiber" Single Door VAN <br />Frdr14.•t,r Itn,rrtlpfldrnrq XD. oK err oXo <br />12 <br />1 rllerreaTN FIPN2-itt, end 5r.W1r4r <br />NOtnnal 66111.14 '.: 4d100 elpudaWd GIANd <br />IZrli/m <br />No <br />a, <br />Yea <br />Ia. <br />Canpoin. 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'!n.nn4-1ru Flts-CbaLc aw SmmM-:w4. <br />NarNnr 68e19.6 dQad:rrpaMA:,alaf ": pep1• <br />t_,. •."1:9 <br />r•p <br />Yec <br />1„L <br />NIA <br />CenlpWle cope Rbaypes 8➢nra Dop'rdr <br />walod I'D. 9aslsnl flnmAno1oLtoong: Ito !,x <br />a Jli +lmdy'+Ilyr, <br />17 <br />4 Pro te-in Fiber -Clams crier SmMMh ''gar <br />Nm.nr 6aA:)9 6 Adam rl+wd&ma OP14- <br />+�Y31f.026 <br />Ns, <br />{es, <br />Ya <br />WA <br />Caroane Eope Froergloss (muds Car wKh or <br />'NAa4a GbcaO Mdtla Opa Sdahe+ <br />(d Wh11i�Ie'e1111. XX of 0X)CO rarllp. r.u<,I, <br />Florida Drpar6Tent of Busine3a 8 Professional Regulation <br />Peter al <br />Building Codesand Slantf:itt15 <br />1 <br />Product Approval Application Detail <br />alutt <br />Cgs& <br />'::.. <br />fl11tYar <br />at am <br />20PF14ma <br />_ <br />an <br />ng <br />Va iIQD <br />mad ErlarrPr a 1Y.4se "Have .a( <br />YaL'saFleliAdlitag <br />FDC At ue-al <br />Aw a nd <br />Rh4IM <br />2022 <br />PGT Medic)" <br />:arty kwd-siu taerN-Dads lY'�6'O C411 "aria, Dade CCCO- VAL <br />'1.I ,;:030 10126=20 <br />1'1.-4rv2o <br />Appao," <br />y: empaer anor Carol, <br />1M I 4 AA n, 10 [7111115 2500 <br />tbAtC44/nryi 6aa,g EYtw A„+rrMa <br />rowwxt'"MduVaea.c <br />G,n,plranterrnm-r_.rtlnarwn Wl+•J LYdIng <br />am <br />ya514t73 A'od i <br />-2-o, <br />Auwrerler <br />Aoae+.dforUae Ajareree <br />fa Is, <br />in Y <br />Prodict ro6t UM6. a Nw. <br />P wb4 neavlpeen caveat luiak.. Dde <br />F a1Mi <br />9ud* NVN7 <br />RNabr <br />PnnF(ra <br />6 <br />;DD-%7o(LA 9. Narlt trgwaU <br />V ry36,n0 Czar Door <br />0414,'2J21 <br />Ya <br />le'. <br />Yes <br />IJA <br />Marc[ <br />PRODUCT APPROVAL SPECIFICATION SHEET(2023) <br />As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please prov4de the information and approval numbers on the building components listed belaF;^: f <br />they Will be utilized on the construction project for which you are applying for a <br />Category/Subcategory <br />Manufacturer <br />Product Description <br />Approval Number(s) <br />Test Pressures <br />Exp. Date <br />1. EXTERIOR DOORS <br />A. SWINGING <br />The rmaTru <br />Fiber -Classic and Smooth -Star (NON -IMPACT) <br />FL20461.1 <br />+6710/-67.0 psf <br />12/31/ZC' <br />Therm aTru <br />Fiber -Classic and Smooth -Star (IMPACT) <br />FL20468 <br />+67.0/-67.0 psf <br />12/311 <br />The rmaTru <br />Fiber -Classic and Smooth -Star (IMPACT) <br />FL20470 <br />+80.0/-80.0 psf <br />12/31/2046 i <br />B. SLIDING <br />MI Windows and Doors <br />Series 420 <br />FL15332.1 - FL15332.5 <br />+40.0/40.0 psf <br />12/3112i0L-4 <br />PGT <br />Series 5570 <br />NOA 21-0205. 03 <br />+38.7/-38.7 psf <br />414 4/2026 1 <br />Pella Corporation <br />FL2646 <br />C. SEC11ONAL <br />Wayne -Dalton <br />Series 800018100J8200 #1105 (8X7) <br />FL8248.3 <br />+31.01-35.0 psf <br />12/31/_ 1 <br />Wayne -Dalton <br />Series 8000/810018200 #1123 (16X7) <br />FL8248,10 <br />+3010/-33.5 psf <br />12/311�_p_ �1 <br />Wayne -Dalton <br />Series 8000/8100/8200 #1124 (16X7) <br />FL8248.11 <br />+34.4,1-38.3 psf <br />12/31/1'- <br />D. METAL LOUVERED DRS <br />Curries Division ofAADG, Inc <br />607,707,7271747,and 847 Single & Pairs of Doors <br />FL,11537.1 <br />N/A (see inst sht) <br />12/311�::i�C <br />2. WINDOWS <br />A. SINGLE HUNG <br />MI Windows and Doors <br />Series 185 <br />FL17499.2 <br />+60.0/-60.0 psf <br />10,18/*2 <br />PGT <br />_ <br />Series 5500 <br />FL239.2 <br />NIA <br />713012%215 <br />Pella Corporation <br />Series 10120 <br />FL11206 <br />+35.0/-35.0 psf <br />6117/2027 <br />Pella Corporation <br />Leila 10 Series <br />FL16603 <br />+60.0/-60.0 psf <br />6122/2U'�3 <br />B. HORIZONTAL SLIDER <br />MI Windows and Doors <br />Series 188 <br />FL15351.1 <br />+55.01-55.0 psf <br />2116/202 <br />Pella Corporation <br />Series 10/20 <br />FL11161 <br />+30.0/-30.0 psf <br />3127/202, <br />Pella Corporation <br />Series 10 Sliding Window <br />FL12811 <br />NIA <br />51251203.1 <br />C. FIXED <br />MI Windows and Doors <br />Series 185 <br />FL15349.1 <br />+60.01-60.0 psf <br />4/3l21:j2C <br />PGT <br />Series 5520 <br />FL243.5 <br />N,IA <br />4130I21--12 <br />Pella Corporation <br />Series 10120 <br />FL6694 <br />+50.0l-50.0 psf <br />7I15/21:12 <br />Pella Corporation <br />10 Series Flange Fixed <br />FL16280 <br />NIA <br />5/2512'u <br />D. MULLION <br />MI Windows and Doors <br />Series 5764 <br />FL15353.2 <br />N/A <br />12/31/'-C-1 ,p , <br />PGT <br />Series 5500 <br />FL261,1 <br />NIA <br />5/26/2026 .. <br />E. OTHER <br />I <br />3. PANEL WALL <br />A. SIDING <br />James Hardie Building Prod. <br />Cemplank Lap Siding and HardiePlank Lap Siding <br />FL13192.1 - FL13192.2 <br />NIA <br />12/31/2102: <br />B. SOFFITS <br />Alside <br />Solid and Vented Vinyl Soffit <br />FL15272.1 - FL15272.2 <br />+75.0/-75.0 psf <br />12/31/21-_1,23 <br />Alpha Aluminum, Inc. <br />Solid and Vented Aluminum Soffit <br />FL16544 R5 <br />+54.2/-54.2 psf <br />7130/2:D_ Dt <br />C. OTHER <br />_ .I <br />4e ROOFING PRODUCTS <br />A. ASPHALT SHINGLES <br />GAF <br />3 Tab, Dimensional <br />FL10124.1 <br />N;A <br />12/161C:_ <br />B. UNDERLAYMENTS <br />Tamko (for Shingle Roof) <br />151b Felt Undedayment <br />FL12328 <br />N;A <br />6129/2102C� <br />Plyglass USA, Inc. (for Tile Roof) <br />POLYS nCK TU MAX _ <br />FL5259 <br />N1A <br />12/231 CC +I <br />-_ <br />C. ROOFING FASTENERS <br />NOT USED <br />D. ROOF VENTILATORS <br />Thompson Arch Metal Comp. <br />Off Ridge Vents <br />FL16918.1 - FL16918.4 <br />NIA <br />9191202ro <br />Florida Metal Products, Inc <br />Vent RV10 <br />FL21580.3 <br />Ni <br />_ <br />12131/_.024: <br />Lomanco, Inc <br />DA4 Exahust 'Vent <br />FL17202.1 <br />+97, 5/-97.5 psf <br />12/10/_:_I'1*5 <br />E. ROOFING TILES <br />Boral Tile <br />Villa 900 <br />FL7849.27 - FL7849.28 <br />NIA <br />12/31/ <br />Boral Tile <br />Saxony 900 <br />FL7849.16 - FL7849,20 <br />NIA <br />12/31/2'C' <br />F. METAL ROOF <br />Drexel Metals, Inc. <br />DMC 100NS. DIvIC 150SS, DMC 175S, DMC <br />200S, DMC 5``' <br />FL17679.1 <br />+0/-180 <br />12/311" <br />5e SHUTTERS <br />_may <br />A. STORM PANELS <br />Global Protection Products <br />Galvanized Steel Storm Panels <br />FL15076,1 - FL15076.2 <br />NIA <br />12I31/2C2�' <br />All American Shutters & Glass <br />Galvanized Steel Storm Panels <br />FL17869.1 <br />NIA <br />12/311C2" <br />6. STRUCTURAL <br />71 <br />COMPONENTS <br />---� <br />A. WOOD CONNECTORS/ <br />ANCHORS <br />USP Structural Conn. <br />see chart <br />I <br />Simpson Strong -Tie <br />see chart <br />B. TRUSS PLATES <br />ITW Building Components <br />Alpine Truss Plates <br />FL199911 - FL1999A <br />N/A <br />12/31/2,C2: <br />MiTek Industries, Inc. <br />Truss Plates <br />FL2197.1 - FL2197.5 <br />NIA <br />12/31/ C2 <br />C. ENGINEERED LUMBER <br />Weyerhaeuser <br />Rim Board, LVL. PSL, LSL <br />FL6527.1 - FL6527.5 <br />NiA <br />10/31/LC�.. <br />D. MATERIAL <br />Cast -Crete Corp. <br />High Strength Concrete Lintels <br />NOA 20-0630.15 <br />N,'A <br />9111/2Cl12i <br />Commercial Concrete Products, Inc. <br />High Strength Concrete Lintels <br />FL1774 <br />NIA <br />5125120� <br />The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of these products, the following information mus" '-'e <br />available to the inspector on the jobsite; 1) copy of the product approval, 2) <br />FI:)Fioi')ep>'lrle'I::fBoswness,i�'oretsonal4rg.,lat;lfl Peg•1da Cn <br />S'2,nd`or3s <br />I"dLw:l Approval Application Deta,l Q� Q <br />- .._.__. <br />YC C+1 �PArJ .Ir 1J'r" Y; liMCS C11�I'S 1PCf i� i^:r �. '!: !I t ., '• V20 20 emu PandilW i�.L <br />t r .Q-_. _> --iv �n� -1 as c D uteri si2ntC�A r5 Awroral �tlYt � � (�� � � /� <br />f ;; � •� •m:a' r,'- •r„(, 1rYI;VIC+�J Ac,I,'Y.rYd <br />ComplMr , �J „ <br />CIO (h <br />AOo�mv d�ro-yai AnommlfwUm O <br />-__ Gortr.Xf l Gr'••t cr n rIV,J PG1ftle HVIV Resistant Pns/NR /e� �l••� <br />.. ... Yaa Yea Yos WA CV O 6'I-- `V <br />L `V <br />Yet Yea Yea W4 . �/ E O <br />F S_ <br />L <br />t[ <br />g, : "-�,• ti.- ".l. r..,o . .l r ....1 :: r ,4 i1I i..t , d.,:t r r..1..3gn.'.. .-4., ....:,1.._.. Ya Yee Yea W4 O A./ /^ / <br />L u T rM•,a1e f n +[, r:d d s tl; Y ) Yes Yes YY WA <br />YN YM Fl/4 <br />,F <br />Yet Yet Yna WA <br />I "es rarer Yea, I.J4 <br />.. yta ., .,. - 'eo Yon Yea NA <br />rI YPt. Yea YAK WA <br />Yea Yes Yea WA <br />I ^wren le I r,u;ll ,,. <br />, <br />,.r. .rrn. „_ ..t �.;.. ...,. t •„ ;., r �,, v. 4. v , .: rr,.,I , • ves YeA vet Wtk <br />r :... r'J .. l i. • - '.1 ': S[::, 1 J.: IOe I'm Ybi rmA <br />Yh NIA <br />;n t <br />-' ,... Yet Yea Yea WA <br />.. 'foo Yea Yet WA <br />• 1 w . . r.l , c . i `- ,w, o , .. , el Yet Yea NIA <br />, <br />+lo f.rll N „r.P ­!e <br />I 'orrl 1 I 1 <br />he, 1,17A <br />P rr, 141 <br />Yes No WA <br />1• .,:1r p- ,as, <br />.., .. Ya Yea No WA <br />Yes Yes No WA <br />Yea No WA <br />r �.. . ,, .. �... y .r ,. nt1 p F r_..:a I . t -_; • Yea Yea NO WA <br />+ 11 V !T —lam, .+Ih," <br />Ycs IAa t'L'A <br />al MILL '., r}., , I ''Pa Yet I'- N,A, <br />Vu <br />^(r,V:vr.1 12f_Aa Yet No WA <br />... P ... :.�; 1.:. Yr Yes No WA <br />i Yes Yea No WA <br />Yes Yea No WA <br />r7wgln:, r..114n I', <br />Pegalar7 <br />122023 <br />P,t,xluc! Appr-A 4ppli, .lion D,.Iatl <br />r 1., <br />�Yt <br />Bea <br />pit Pending tilVs.� <br />r -I ,: <br />----- h Sri d „Y <br />1� <br />- <br />,. •., r... '1 u. ., <br />,0ebr7021) <br />1{110B/2o20 <br />1011Fa2020 1y1 <br />Geview <br />it ual As <br />Plans <br />st. Inc. <br />Review complete <br />f©r compliance <br />n ' roved <br />p <br />with the 2 <br />FBC nth Edition <br />by Debra Anne Kla <br />PX2360 <br />4NvUi ^s ,•.,-. <br />trnY IAfY <br />r Ia <br />114d1t1%t9_N' ulr l➢laa4l POW, <br />., I'I 1'.:."' Pf°„ulnl lwn •t .r[, I. <br />n ,,I cnr,Il,!•: CrpA:}Ip, 1'D.I+. <br />IU_dY <br />I._1tdCfi1.V!1i Rf.Mala II PtttAWl/ <br />-.'•.I' t'.,rl ." '.•'.:t'. '... <br />.. 7 " 1 <br />No <br />Yea NO WA <br />.',:�...:','... <br />::. ..�. I <br />No <br />Yea No NIA <br />Cn <br />F <br />Y. NO WA <br />I 4 <br />IT, <br />Yea No WA <br />No WA <br />r " ' .. In • - ".- Bar"an43s d r'r ::fAD;,id gal Rogujlzit M1 <br />Frp.l dg <br />-I ry C.::,4s lr)(t J arum <br />1lr2Att <br />4';'_,lu I Ppl ro''nl (1pp Nc3[lcx•1 Uet1fN <br />� <br />I. <br />----------- _ - <br />- ----- - <br />� <br />`/.a'�`] <br />C <br />lark <br />2a& <br />MR <br />:_ - <br />1 I C,wlrow d L:c y.�ln. _^:; Y <br />YilllttCt <br />idrtailti,01 <br />AOYIC1ad iYW <br />W <br />r v t , . ,. 1 <br />t+/121.'.: b+ <br />C'A29,7D20 <br />10/'3r2020 12AWM20 AW0, 4d <br />of N ! -. -. J <br />'yr'+9s •! �:1. ..,. <br />S. <br />CZ <br />nrI r p� x. <br />;r , a .. Ro•n, ... <br />I 1 , , R Y,1rs• <br />L <br />;I i <br />N hA9QlR4 1 ,If a l 'A" a � POD <br />Amain Hog <br />I].tLlRt <br />Ina <br />a�C�llz itaa tmY4 atom� <br />OutrdP NVNZ t�Ntf[t 1>,•ewre <br />CL <br />1 Y„ <br />tin <br />Yet YCR •S1 Qu .7Y fl, <br />a R11 - , ., ...: <br />PA. <br />Y•s Yes-30OJ1-3310 <br />O <br />A4ul p t I 34.) Ni <br />Na <br />yes Yes «Sa,a0Fa6.30 <br />4 trio n. M n, rYn� <br />- - <br />O <br />I:rid«D.part )or or Bus c._ cqu;.,1 r: <br />P.Wld, <br />H'.aAhnjCn•.I� 1 r•1u:�p. <br />Product Appruval Apphu,ttwn Oclo,l <br />1MfR1 <br />�Jr <br />1 '! <br />1?ale <br />i <br />. <br />III .iii <br />h✓ <br />E V <br />Rals <br />Idll331ari <br />rtalF <br />Fall <br />�af11, win <br />�..Out, IIl7�Ytm <br />T <br />„,,, <br />✓r'° ., I <br />.,,o :' <br />. :1 f."0:'0 <br />1121.11 r"xm Approved <br />M <br />W <br />v„d a a1• <br />gwq.VgV.rt. <br />I,- <br />AL-l"ored,•I un WIPAI_. Q43)a(1 <br />■ ■ <br />;.,., .. -.__'. _:.L ti._2 �� r;`. <br />I �••.. 11•sr _ , t . r,y,2 ,,,, _ <br />,611VHZ <br />Ya <br />puelee LU RarA= t'11hYY31 <br />Ya Yes WA <br />L�� <br />LU <br />L <br />rm.. 1'. ut •I + f IICop lr 111 4 :.- ur ,,na. RcrPllrf<:n <br />IIII i (,"}r1"1 rt21 r1rttlrCV:< <br />P4ge1a7 <br />Ifi+i02+ <br />< <br />'� <br />J <br />; 4„t-h <br />APPLICANT SIGNATURE DATE °r,, ;'., L•' <br />PIa'Kit I, p Appn'uv.41 A1)i)tic Alon Dpail <br />, 1 Data are Deer randn� got. <br />1,,014- W Yip EOa00nd RIal43 <br />L r,..a".:;,s - f1A 712020 ^1n72oh1 1T27r2020 As4Y4rP'1 <br />ri4:w 4h As,r..+m:e AmpwNdn'u ue A-ros.l Ia u+Na Dollar, <br />In NNf2 Olttsldi 11k9i�S 1CSFum <br />Yee <br />«6LY+96 <br />Z <br />Q <br />J <br />a_ <br />SHEET NO. <br />PA 1,0� <br />