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HomeMy WebLinkAbout7345 W. 34th AvenuePERMIT:CoD/-�l%3/'7S ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 '`**For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:OC'I'1-7/,q/ ADDRESS: Z!).�Aji-7- JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential ough Plumbing Commercial FS35 howerr Pan SEE OVER FOR ADDITIONAL INSPECTIONS CITY OF WHEAT RIDGE A Building Inspection Division (/ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC Inspection Type:' Job Address: Sq, Permit Number:_�0 ❑ No one available for inspection: Time 6 - 6C�) AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at303-234-593 Date:Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division - (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -30(.- 111 . J Job Address: -7 3 L4 S7- 1n; ?, 1-) +1 /} ye Permit Number: _ o ► -7 0 9 1 -7 S— WAU� ❑ No one available'for inspection: Time AM� Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: 1 If/30 /`7 Inspector: -T-b DO NOT REMOVE THIS NOTICE ®,A City of Wheat Ridge Residential Roofing PERMIT - 201709175 PERMIT NO: 201709175 ISSUED: 11/21/2017 JOB ADDRESS: 7345 W 34th AVE EXPIRES: 11/21/2018 JOB DESCRIPTION: Re -roof of asphalt on house, garage, and shed; Owens Corning Duration; 16 sqs. TPO/EPDM EPODE; 14 sqs of flat roof . 1/12 of flat roof and 4/12 of pitched roof. 30 sqs. total. *** CONTACTS *** OWNER (303)895-9518 ROBB KELSEY SUB (303)758-0505 Gordon Sessions 160209 All Angles Covered, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,500.00 FEES Total Valuation 0.00 Use Tax 199.50 Permit Fee 204.30 ** TOTAL ** 403.80 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge 11 �Residential Roofing PERMIT - 201709175 PERMIT NO: 201709175 ISSUED: 11/21/2017 JOB ADDRESS: 7345 W 34th AVE EXPIRES: 11/21/2018 JOB DESCRIPTION: Re -roof of asphalt on house, garage, and shed; Owens Corning Duration; 16 sqs. TPO/EPDM EPODE; 14 sqs of flat roof 1/12 of flat roof and 4/12 of pitched roof. 30 sqs. total. I, by in signature, do hereby,attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes; andll applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the Igai:iwner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this e� It: I furthenattest that I am legally authorized to include all entities named within this document as parties to the work to be perp ed and that all wok to be.performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit s issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuagce.or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Monday, November 20, 2017 11:10 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home L% are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 7345 W 34th Ave Robb Kelsey 303-895-9518 kelsey.robb@gmail.com Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Robb Kelsey contract.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) All Angles Covered 160209 303-419-8784 3001 S Monroe St Denver Contractor Email Address ryan@aacroof.com Retype Contractor Email ryan@aacroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) 30 9500 No Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or greater) z What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Type of material for the FLAT roof: What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 1/12 14 epode TPO/EPDM 4/12 16 Owens Corning Duration Asphalt House, garage & shed SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 3 to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Ryan Benine Email not displaying correctly? View it in your browser. Nov 08 1706:23p Tracy Seaman P.o.� 6o 1,6 7 ALL AOJMGLMS OMMERED —ROOFING P_ m oral/ Contract Date: October 1'9, 2017 Proposal submitted to: Kelsey Robb 303-895-9518 Job Address & Location: 7345 West 344, Ave, Wheat Ridge, Colorado 80033 720-949-1390 p,1 We hereby propria to pedo= the fodm9mg N oik (%Volt) by fumishwg materials aad labcx as nocmary for the wmptewn of A Remove one asphalt layer on house, gunge and shed B. Apply ice andzvatershieid around perimeter 24" and synthetic felt throughout C lnsmU pre -painted white or gray edge metal along eaves and rake D. R & R 3 plumbing vent pipe flashings, two mechanical + 3 rain caps and collas. E. Flash all walls and evaporative cooler. F. Install shiagies and tmco Ve w7t4 6nads w Mxru&crunmes rec ommendatrons. G. Detach 2ndmset emporad�E coolerandsat+ell m- &d ;b. - H. Cut and install 6 attic vents R1155s and paint an roof penetrations. I. R & R modified bitumen/90 lb flat rooting with a Polyglass modified or LPDM (additional for taper system if required by code) Drip edge metal is required j. R & R 93 ft of gutter + 20 ft of spout and detach & reset 40 ft of spout is gray or white. K if space roof declang has one' /a" gap, new sheathing will be required ($50/sheet or $161 /`� I_ Work xauslup is guaranteed for five (5) years from date of completion II. Matenais are guaranteed by the material manufacturer, pursuant to Manufactur&s Warranty. III. All Angles Covered will buy a buRding permit and schedule the inspection Add Permit fee to pace IV_ All Angles Covered, LLC will dean up and haul away all debris. Costs & Options: V. Owens Co=mgTru Definition D m6on shines $9,784.09 Co f D r =1r E-5 -4-,r-,+Q- G m Y VI. 5 inch searnless gutter and 2x-3 downspouts in ah minuet $98920 VII. R & R front, side and back flat roof over heated space -with a modified or EPDM system $7,105 TOTAL= $17,87829 (New I/ ' 05B sheathing if required would be added) Payment terms: iib o due at the completion to All Amies Covered, LLC C Ad mattmi is guimne rod to be ns gxnfed All wade to be ooa pieted in a aibMuitd wvda> m=wiar aea mling to spem6mdaas subm:aE 4 pcf smndud industry par yes Any alts tk m or deviation bora dic abort spedfieuxms aNdt rcmhs in ecaa labor or mzmdat dRm wait bwonv aacaro rlmge overwd nbrne the amount of the canttxt, which ast>tutp shad Le t3knapocn�d"srY of the ti7rs'totnet uprm eorr>Ftleorrt Pts%nnoe of the \i4`orh s mnfi°gent uPo° sfr�n�s, ac>ddeae ortl;fays b-}ronct our mntrd Owner agmts rotray? hvmeown&s and otitec ncassary ia%=xr- 12A*CPxrA L1.LCwM ncx be hrkl liable 6or2rty vA=uce movc me M 9ct8ing rrscJs m dry teal or d>ivew ay due ro rbc Work ork*&W of the matni:r3.s F=ncc drargo of i rh percent per month will be added roanv unpaid blare. In the event legal. rasions tabes to recover paymsrt uru{er this agrarnent,flB..4rg+fr Carew L�shsd be e:ditkxi to r�amFie attaint.}• fens and crbt; ireuaod in such k�l artirM. r3GfLger CaavxlI..LLmay aittx°cnv tlrs pngx*aL if not WiffiT q Z .ft1CANZEUUS, AgAagles Cover4 LLC G&Phone: 303.886.5631 Fax 303.757.6W erall a90�nm.com Acceptance of Contract n- PmPosed Price, q=lfieanow and WadMOM are satisfitcrozy and ate hare4 accepted bs Cnsrornm tldr!** C rod, LLC, hereby anti med to do the -murk as speck rl and paymmr-,va be made t041jELrgkr r"4rV* LLCas oudxwd hexta DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 9349 8/20/99 Property Owner : Property Address : 7345 W. 34th Avenue Contractor License No. : Phone: 303232-4127 Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.CJ and all other applicable he Ride Fdinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNE ~DATEdK/~/Y~ Description : Patio cover Construction Value : $700.00 Permit Fee : $29.60 Plan Review Fee : $0.00 Use Tax : $17.50 Total: $47.10 Use: Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) 7his pertnit was issuetl in accordance with ihe provisions set krih in yopur application antl is subject Yo the laws of the State of Colorado antl fo the Zoning Re9ulations and Building Cotle of Wheat Ridge, Colorado orany other applicable oMinances of the Ciry. (2) This permi4shall expire if (A) the work authorized is not commenced wi[hin six1y (60) days from issue date or (B) ihe buildin9 authorized is suspended or a6antlonetl for a periotl of 120 days. (3) If this permit expires, a new permit may 6e acquired for a fee of one-half the amount nortnally requiretl, provided no changes have been or will be Fnade in the original plans antl specificatlons and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or Abandonment exceeds one (1) year, WII fees shall be paid for a new permit (4) No work of any manner shall be done thatwill change the naturel flow of watercausing a tlrainage problem. (5) Coniractor shall noliy the Buildin9 Inspector iwenry-four (24) hours in advance for all inspections and shall receive written approval on inspection rard before proceediingwithsuccessivephasesofthejob. .S- (6) The issoance of a permit or the approval of drewings and specilcations shall not be construed to be a permi[ for, nor an approval of, any violatio~i of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Building In ctor DEPARTMEN7 OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATI o N Property Owner : A A) Zc h a C? Iv f 'U J ~ ~Z Property Address : 9,3U S"W 3q rIA A) ae r,l//~' al, kai3_3 Phone : 303 Contractor License No. : Company : Phone : OWNERlCONTRACTOR SIGNATURE Of UNDERSTANDING AND AGREEMENT Construction Value : I hereby certify that the setback distances proposed by this permit application are accurate, PefRlit F2@ : and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this USB TaX : application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable W t dge ordi ances, for work under this permit. TOt81 : ~ (OWNER)(CONTRACTOR) SIGNED LLd DATE ~ 7 US@ : Description : e, 4 , oU BUILDING DEPARTMENT USE ONLY Approval: (C~C Zoning Approval: ~ _ Approval : Occupancy : Walls Electrical License No : Company : Expiretion Date : Approval : L~tY1p~.QS • a, ~C,~S U Roof Plumbing License No : Company : Expiration Date : Approval : Stories -J U t7 SIC : Sq. Ft. : Residential Units : Mechanical License No : Company: Expiration Date : Approval : (1) This pertnit was issued in accordance with the provisions set Porih in yopur application and is subject to the laws of the State ot Coloratlo and to Ne Zoning Regulations and Builtling Code of Wheat Ritlge, Colo2do or any other appliwble orUinances of the City. (2) This pertnil shall expire if (A) the work authonzed is not commenced wiNin sixty (60) days from issue tlate ar (B) the builtling autharizetl is suspended or (3) If this permit expires, a new pertnit may be acquired for a fee of one-half the amount nortnally requireQ provitletl no changes have been or will be made in the onginal plans and specifiw6ons anC any suspension or abantlonment has not ezceetled one (7) year. If changes are made or N suspension or abandonment exceeds one (1) year, PoII fees shall be paitl for a new permit. . (4) No work of any manner shall be done that will change the naN21 flow of water causing a drainage prablem. (5) Contractor shall no[iy the Building Inspector twenry-four (24) hours in atlvance For all inspections and shall receive written approval on inspectlon card betore proceediing with successive phases of the job. (6) The issuance of a pertnit or the approval of drewings antl specificadons shall not 6e wnsWed to be a permit for, nor an approval of, any violatlon of the provisians of the huiltling codor y other ordinance, law, rule or regulalion. Chief 13uilding Insp r ifice Box 7an . WRFN RECORDED b1AZL TO WESTERN SUNAZSE MORTGAGfi CO., P.O. BOX 760 R2,D7CH0 CORDOVA, CA 95741-0760 5f9__" LIMITED PARTNERSHIP 3e~5 Q 1l05 I - i J ~ RECEPTION NO. 94016154 30.00 ~ RECORDED IN COUNTY OF JEFFERSON STATE OF COLDRADO i/24/94 12:05 ~ LOAN 0001213172 [Space Above This Line For Recording Data] DEED OF TRUST L o 0-0~ CD mto 0 m -i z r `v N r 0 ~ , , 7~~0 ~ r~ o ° cp r cn , o ° cv m z ~ Gm - THIS DEED OF TRUST ("Security Instrument") is made on JANIIARY 14, 994 < , among th € J JOHN J. SCHOENINGER, AN UNMARRISDMAN ("Borrower"), the Public Trustee of JEFFHRSON COllllty ("Tnistee"), and the beneficiary, WESTERN SUNRISH MORTGAGE CO., W LIMITSD PARTNERSHIP + which is organized and existing under the laws of CAr'=FORN=A , and whose ~ addressis 2865 SIINRSSE aLVD., RANCHO CORDOVA, CA 95742 ("Lender"). Borrower owes I.ender the principal sum of ~ FIFTY THOUSAND & 00/100 Dollar5,(U.S. $ 50,000.00 This debt is evidenced by Borrower's no[e dated the same date as this Security Instrument ("Note"), which provides for monthly payments, with the full debt, if not paid eariier, due and payable on FEBRUARY 1, 2009 . This Security Instrument secures to I.ender: (a) the repayment of the debt evidenced by the Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all other sums, with interest, advanced under pazagraph 7 to protect the security of this Securiry Instrumenr, and (c) the performance of Borrower's covenants and agreements under this Security Ins7ument and the Note. For this pnrpose, Borrower, in considerarion of the debt and the trust herein created, irrevocably grants and conveys to Trustee, in trust, with power of sale, the following described property located in J3F5'3RSC"7 -Couniy, i.0i•Jiadil: LOT 7, CONNHLLEH SVBDIVISION, COIINTY OF JEFFERSON, STATB OF COLORADO. which has the address of 7345 WSST 34TH AVENUE, WHEATRIDGE Colorado 80033 ("Property Address°); [Zip Code] COLORADO-Single Family -FNMA/FHLMC UNIfORM INSTRUMENT (0-611(CO)(e20e)- Form30061/91 a Amended 9192 VMPMOPTGAGEFORMS-(313)293-8100-(800)521-7291 , Pape 1 oi 6 Initials: /I N+ v [Street, City], , ~ m q N 0 ^ ~I V - - . - ` l H ~ W ~ a _ r V LL - ^ " ,d >w W Z Z tC m V l~ - OC N W OO o O - ' Otu~- ¢ ~OUa ~ X z U a m Z o O 0 oe O z° ~ Z~ ~-C - Vf a 0 h w = V Q J ~ w W T-' LLL:., e > ~ c - U p = ¢ 'Y+n V ~7 - < j Q O ~ C Z im ^ Q O y V W < ~ a ^ rc ~ < - n H ) g ¢ < ~ t _ . _ _ _ ~ 4 L •o6i - _ _•3 . ~1 I ~ y Y C I y~ 1 Q .L • . s f~ 1 r Z ~ n~ r, ~ Y a~lx { ,L'o6t ~n i ~ u a { ~'Y7 n N'S (5 u% V ~ 0 ~ N ~ / M' ~ ~ r ; ~ ~ ~ fP 3 N y ? , ~ 1 ~ v _ _ CM) ~ I I - r ; ~ - v-- - r ' - _ r - ~ , i . . , . . _ ; , ~ ~ ; . . :.=...t_ 'x`-,., ~ W I' / ~t x ~ c ~ Gr r: c. , /r . 1 ~ U fi` t~ o rt,Lx V ~ . _ . . ~ U ~ r ; Cn 57- ~ _ . . _ . . . . . _ . . . . . , _ _ , . . ! . . . . 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