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<br />CITY <br /> <br />STATE <br /> <br />ZPca:E <br /> <br />'::~~.~...,9iii:.'}.':".,""" <br />I~~';.(/I:\..\t...L:...;:..... <br />~~:~~>{i'::-'irr <br /> <br />IMPORTANT: .......... copy" CXJIIIIPOIdng kllorlllldlo.. ..... SIctIon A. <br />BWJING STREET AIDESS(hidQ1(t. LW. aiIt, lIIdb'BtV- No.)~ P.a. RaJ'lENlJ BOXNO. <br /> <br />... <br /> <br />. .'. .... SECJl)ND-SURVEYCR,ENGIEEI\~ORARaIIECI'CERI'FICA'ID(CCNIIIIED) <br />CqJ'ftd1s1dllsd..~~tr(1)carmdyabt (2) inIIIIaD~. R(3) llti1goM.~ <br />CCMoENTS . <br /> <br />"CJ Qled( hn if ~..nents <br />SECTION E - BUI.DING B.EVA11ON 1NFORMA11ON (SURVEYNOI'REQUII!D) FCRZONENJ _ZONEA(WIIHOUI'BFE) <br />FaZa1eNJandZm8A ~ BFE), CXlII1lIBlB IIBmBE1 tm.Vl 64,.IthlSlMibJCBtII/IcsISIs t8nd8d",..1tf1POI/kIQ ~tJr8 LaIA tr~ <br />SectbJ Cnutbt"",,~ ;, <br />E1. ~ CJalpIItau. -'~the~ dalPm aatsilWtJ"ld:t1gtrviti1lfisadlcal8.bBi1gWI~~_ ~6 and 7. 1f1lOcJ;van 8IXJJlrIJIiy <br />Nlpu.", IIeIdq, ~aslllthaP'4y."} , <br />E2. The~dlhelDDntaa(hillq lasemlII1laencDu8)dlheb.tiJ;lll _1t.(m) _iL(an) 0 abovaa 0 ~(dleciCJl8)the~QmiSJllk <br />E3. Fa 8IIdng DIQ'lInI ~ wi! qsilgs (see page 7), !he reel IiljIerftoaa EvaIIld 1Ica (8ab b) dlhellti1g II _1t.(m) _h.(an) abcM the /tiIlIl1tl$a1t <br />lJD. <br />E4. Fa 2mBNJcdt: IfllOqd_ runberll--'1s lhe~dlhe Idm IcafEvalsd i1 axxlI'daDwiDl t1ecmmJnly's ~ IIl8II8g8I1'I8IItClthn>>? <br />Dyes 0 No 0 ~ The local c:tIcIaI nllStad'ylfis .ioi.nSaa, iI SeclIon Go . <br />. . SECTION F -1"KUt'C:K1 V OIINER(OR <MNER'S REPRESENTATNE)~I'(lraoA11ON <br />The pcpertyOlOl'riOlll8l'sdlalzlld lepesentalYa.IAII~SdD~ B, and E b'ZooeA ~a~ _81 ac:amuily-.edlFE)aZaleAO rrui <br />lIilJl here. ' , . ,,' " " I . , <br />'rio, '-'<: :7.'" :, ; ;<~,/. <br />Pfa8UYC7IH!R'S~'~N.mmzS)'.~r'I-IJ'A_tMV i <br />~ ,.. " ." i' ....,~, '. <br /> <br /> <br />','~: I , <br /> <br />CITY <br />D\TE <br /> <br /> <br />STATE <br />Ta.EPHCtE <br /> <br />ZPca:E <br /> <br />AlD&S <br />Sl3NAnH <br />CCJ&ENIS <br /> <br />. ,. <br /> <br />''.,'.: ,i, ,S:'I~' ;/~ It...::.; <br /> <br />'/", <br /> <br />'.. '. "..' '. ~ ..'...,...J: '. <br /> <br />I:J Check here if atbmnents <br /> <br />SEcnoNG-cc.um'IFORIIATION(OPTDW.) <br />The local abIIw II dDIzBd I7t l8Iaadn1R:8 tJai.iiBllertheClll1'llldy'a ~ RIIISgI!IIJIlllItmhn::e C3I ~ SecllcxwA. B, C (a E), lIld G dtil8lMlbl <br />CerIIca ean.-....~IIn(s) and. b81art. ;" , <br />G1. 0 The .~~ '" SICIIDn C _1Ik8n ianCllw'ctx:Ll1'Illlllllon hih88 a.t IilPIQ lIld 8l11bas8ed b'f a Il:erB 8lJV8'IOI', ~. a IIdlIBct wil auIIatzId b'f <br />slBBalocalllirtJad'/eIMbI~.. (lrdaathelllllC8Gl dliItdl1e.. daIa in theCanml1lll aea ~.) <br />G2. 0 A CXlIII1'IdycA:lC"",..~sdn Eb'a Idi1g IacaIBd iI Za1eA{wIhlliaFEM.~.lssll8da~ BFE)a 1maNJ. <br />G3. 0 The bbrq au. (lame G4-G9) II ixDVkled b'aJIl'IIU1ly ~ 11BI8geI181t JUIll*'S. ' <br /> <br />I G4.PSMT~'_.'"~' '.. I ~ fJATEPERt.fT1SSlED I GS. D\TEa:RTFrATEa:~1SSlED <br /> <br />c;r, 'Oil parihabesllludb: 0"" CcDlludlan 0 SubllBIII8I ~ ' <br />G8. E18'1alilutadbMlsttaa{llWt1g__~dlheldqlll: : ',I _._1t.(m) 0aIlm <br />GO. aFE <<(kaZcneNJ) dllplui.mq.I1eIlti1g.111: _' ~ 1t.(m) DaILm <br /> <br />LOCALa:FICW.'SNMIi. TIlLE <br /> <br />~~..1 <br /> <br />ca.MNrYtwE <br />SlGNAnR: <br />CCJU:NTS <br /> <br />.> ,; <br /> <br />'I'BJ:PttlH <br />D\TE <br /> <br />,'" <br /> <br />o Oleck here I atIII:I1n8ntS ' <br /> <br />R=UA s:nrm "1_'\1 AlIA AA <br /> <br />RFPI Ar.F~ All PRF\llnll.~ RlmoN.c; <br />