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DS-13-2246 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone:(305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-202416 Permit Number: DS-10-13-2246 Scheduled Inspection Date: November 05, 2013 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: BOOTHE, LEONIE Work Classification: Addition/Alteration Job Address:26 NE 110 Street Miami Shores, FL 33161-7044 Phone Number (305)947-1439 Parcel Number 1121360040340 Project: <NONE> Contractor: RIVI CONSTRUCTION Phone: (305)253-4462 Building Department Comments REPAIR AND REPLACE EXISTING CONCRETE AND Infractio Passed Comments PAVERS INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-200460. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 04,2013 For Inspections please call: (305)762-4949 Page 27 of 40 PERMIT# S l CONTRACTOR: 21 V!7 SUBMITTAL DATE: 16 ADDRESS: 426 AJC- NAME: RESUBMITAL DATES: PR94CI TYPE: Gtr' c rie �"lloe� . ( WC Zq F FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL BLDG Miami Shores Village , Building Department OCT 0 4 20,E l 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 ° INSPECTION'S PHONE NUMBER:(305)762.4949 y ��P k-0 co, l 4 FBC 20 BUILDING -7S � — V qA - 0 � ` Permit No. PERMIT APPL Master Permit No. 13 °Z Yj� Permit Type: BUILDING )�� ROOFING JOB ADDRESS: �V `-e, C � , — City: ami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:NanXqFee Simple Title lder): Phone#: A ss City- � /I1�� 1 State: Zip: Tenant/I.essee Name: Phone#: Email: CONTRACTOR:Company Name: ^ Phone#: S - ®� Address: 2 �W\� V ®1 A City: k State: Zip: 1 6 Qualifier Name: P,,e r k 0��A &4'-c k Phone#: State Certification or Registration#: Certificate of Compe cy#: Contact Phone#: - - 64 1 Email Address: 61 ilk DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ 060 Square/Linear Footage of Work: Type of Work: ❑Addition OAlteration ONew eplace sUDemolition Description of Work:®!r - ' Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State zip l� Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. �i Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 0 The foregoing instrument was acknowledged before me th0c) f day of ,201'3,byL- C ",B O.51H day of ,2d 3 ,by ctC vt (31 C-1- who is personally known to me or who has produced t who is personally known to me or who has produced As identification and who did take an oath. PCn1U4tkq LLAj A A as identification and who did take an oath. NOTARY PUBLIC: ��ul� �+++lri/�� NOTARY PUBLIC• .0 Sign: °' o y Sign: Print: = > d°' 7 ��� = Print: My Commission Expires: 'a My Commission Expires: I I f I i�����\\\�a ,w Notary Public State of Florida Expires 04/11 DD981871 �� f APPROVED BY Plans Ex Zoning Structural Review Clerk (Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) E"J_ ^ � .z° - ✓/f.✓r#".A�,f®NF�ars � � � �e'�x✓ � s€ _ i '� � �. 'll - �+"�" *� ".+3'�:a �_ r✓6d°��,sa/f�J"r3�`z��`�rr?,or'aar rrar �rra�,a�;7sA ✓ _ .� � err �,ra1'.?�"t✓e'JJJirr✓n�F�>� ` - � - — — - Ac` ' _ gF.,F „r �: _ - � ,v„{aar �lt�%?r'�`` s"�5✓,*,�rx1p5A�1*7x,dr.r/ r.�.�a'� Ja� - '�'�'�.:� - /r"!/ � ram _ 2 - < n , sr`lssrrr"`ttt Je - - rI — Ili i A f x� - Now - - — r � i THIS bf CUMENT HAS A CAK76REG,SACKGROUND a MICRPPRINTt *LINEMARK",PATENTEC?PAPER` DATE BATCH NUMBER 0 # e - r • w • o - e p ` p& i 4 0 i a'L� E \ �?;� a a�z F�°« €� \ �,�,: {� `• i E,M Z�.. a\ ��":n.::r.,,p�t�, z "� 'y ••r" '�\'..�ve / r as y w fir' c pa }• t ,y �z �+ 35 F y/u �' �� '-- \. ✓iii rr � \� \ '3'Y. wry �-� '\- �y yr •� \� � -y/% � � � ®\/ �\ � ///� \ F r?,s _�°a� •;:: r' F f \< is _y _ E ._..: � ',: .. ,� .. :: /i \`� -�y a .,.�\ y r \�a'\a s�,\\ZZ�q�� - % `: w \\ / \air �. \to \ r\ ;(• �/s �i: 6 r ,5"t' 3?< � � ,. y w \O\ sa�s� / � �n:<• ,�f� \ � a� / E\pw z � % �E� ��,1i � � � `z.€ '/ \\\ \� �_ \�w,ri \ / /i rte: Ell 3 •P Wr €x€ lsz�'' �wf� s �- �`�'\\ � 1.. Wiz•\ ,�y� s /ic!�€ S � � -ni/ y,� ,i ti a �•,., y t�.,� � \ fir� z.. \\ ,: \\4 : t \ \uf� ,r;, � �# �` 5: � '\.�,€,,y,�s`\`\ \sue •�\._���. � �t a �P'�° =�\ \\�`' �\S\ �'� , \ 1 • � i /3/ s , CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 11010312013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT A.B.S.Insurance Consultants PHONE 305 592-4144 FAX No):(305)715-7227 11402 N W 41st Street -MAIL Blas@_absinsurancefl.com Suite 213 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33178 INSURERA:State National Insurance Co Inc INSURED INSURER B: Rivi Construction Inc INSURER C: 13375 SW 128 St Suite 108A INSURER D: Miami FL 33186 INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MOM/ LIDD EFF POLICY EXP LIMITS y GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 CLAIMS-MADE ®OCCUR NS1213966 1-16-13 1-16-14 MEDEXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PR DUCTS-COMPIOP AGG $2,000,000 x POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) $ ,t HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ d $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILI Y YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ ( If Yyes describe under D RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space is required) k r. �I I t CERTIFICATE HOLDER CANCELLATION City Of Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave. ACCORDANCE WITH THE POLICY PROVISIONS. €g N Miami Shores, 33138 AUTHORIZED REPRESENTATIVE ttt{{{ Phone:(305)795-2204 Fax:(306)756-8972 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD X Collector it MIAMI-DADE' COUNTY TAX COLLECTOR • a 140 W. Flogler Street Miami, Florida 33130 , Please keep your receipt for future reference.. Thank you and have a nice day. 1/9/2013 1300/222/001MOM 0010-0001 Last'Seq.#:0001 WI LBT#:00 606744-1 Local Business Tax $93.75 CAL B U SIN E J CA $94.00 CHANGE business,please nl $0.25 any information sh MIAMI-DADE COUNTY TAX COLLECTOR Ienalty provided by-law; LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - ist Floor I Miami , Florida 33130 /or City:Business Tax Ri LA TEMPORARY RECEIPT e go to www.miamidadl 2012-2013 1 y by mail make check p LOCAL BUSINESS TAX I-Dade County Tax l Local Business Tax#:00606744-1 { 140 W Flager 5t 14 Fl� State/CC#:CGC15i1384 Miami FL 33130. Issued to: RIVI CONSTRUCTION INC 0 270-4949 fax(3.05) Type of Business: jg the bottom portion of 1 GENERAL BUILDING CONTRACTOR �c b Up to a minimum;of 50, i THIS RECEIPT IS ISSUED DA S EVIDENCE NGE 0 F PAYMENT FOR YOU R LOCAL BUSINESS TAX - OR PERMIT. YOUR OFFICIAL RECEIPT WILL BE MAILED TO YOU WITHIN 10 DAYS FROM THE VALIDATION DATE ON THIS RECEIPT. Payment Received as Certified Above Miami-Dade County Tax Collector Miami Shores Village ` Building Department ' logo„ 10111M 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 ORIUA Fax: (305) 756.8972 OCTOBER 10, 2013 Permit No: DS13-2246 Planning Critique Sidewalk in side yard cannot exceed 3 ft in width. Sidewalk in si de ya r d should not be placed closer than 1 ft to side plot line and/or must be sloped away from neighbors yard to own yard. David Daquisto 305-762-4864 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. Sep 241310:39a Lee's Progressive Home Cr 3059471439 p.3 9 .liVil41I.�Nr RGF/w�Y(fG SY�[ �� LW oW x200 �NXTVt�i ,. ur XrgarS Bnr. r f",(3oo Zee-ors+ LAND svffaroft s rrra,_17 OP_A- DRAWAf BY.AL BOUNDARY SURVEY IT,Mt RE 971-VED ®el o z®t ON.E. 110 th '�STREEl ILWASPMLT PVVrr. f. 2&aa PVW F.LP 1!2" MW 7sA0' 1039 O CAP 10.91 19.72 NO A ■ /' NO CAP � " _ L LoAer -e- 10.� 1a91 caw- 18.09' L .9T � •. Yir 90 74' 23 SS' F.F E=1'J.37' `O 1106 LOT-4 c : LOT.? pp STORY �L.?Z - $ BLOCK-2 �Cte� _9L13CK-? 0 2� ' 0 W LU p �g aA3�x Lor-a x1.70• t�te� z w 10.99' 24LOW 112a r` O y bpi EL CL -j.v, sy y - 1t.12 v+ VVaD ..z aeora. 1as1 o.a. 1o,66 f-o taw. --7 --�- m . 10.65 $ F1 P tIF �pP N f--' w.Pd nlU CAP CO) AP 1110 CAP 8.50' i'�• U.P. 1800` 10.84 .d M ASPHALT r. WLLEY IALA.Rj r�Fli w PVN tOT-20 LOT-29 BLOCK-2-2 LOT"31 BLWK-2 BtOCK-2 . S�,KY Th ow be be VOTE: - axa maq gobtne:+ts:eomdad in tpa Pnblue Reooxls aoE sLura on tide gntvay. 2000 S}]OAB"Lis VAOM XV81 WOT CT/VZ/90 Sep 241310:38a Lee's Progressive Home Cr 3059471439 p.2 a , mau RING FFH 8TR EST;BaT @10! W-0001854-2 Nava Surveyors, Inc. SINRYEYND ` PAIDP9Ma.oae awl►vNeY:Aa LAND SURVEYORS sFrNO of 2 SURVEY OF LOT 2,BLOCK 2,OF COLLEGE HEIGHTS,ACCORDING TO THE PLATTHEREOF AS RECORDED IN PLAT BOOK 42,PARSES.OFTHE PUBUC RECORDS OF MIML WADE COUNTY,FLORIDA PROPERTY ADDRESS 26 NE 110 ST,MIAMI.FL 33161 FOft LEONIE BOOTHS LOCATION SKETCH a t 9 as .9 6 7' d 9 /J Ia fY a3 /4 ;A tG i 4 Pa 40 $ 5p ,1 x� • d 11 F+RaPERri l�. I! / A� •} 5 I 6 7 Q 1` 1 Att�_� 1StI R 87 lea. EO et ra et 1 H a7 ASOPAWTWX AND MEANING ILEGTVPIGAL A.ARC FNIP.a FEDERAL NA=NALINBURAMM RARvRADUS OFR"AL __w_OVERHSAU UTLY LINES AM AIRCONGT1ONERPAb PAOORPM NONE. nND'.l(CBM A +mom EASEMef" ALBL4+NGRUS ANO EOR901; RP,.RADSPOW C.&S. AIR•ALU 1611"ROOF EAS&AENT R.QE.a ROOF OURIBO LG .al-!P CIF.•CNAUL LDOL F'EACfi NS a AL1,008 A31HED LFA.LONUTWIPLOORELEVATION EASENENf AWN.a ASPHALT LLLE.•LACVAWMKA=EASEMENT W W+R10HEOFA4AY -0-6• LF.•UUIN FENCE &C-R BLOCK CORNER L.P.•LIOHTPOLE BEC+SECTION B.R• 8- GROWARD UMMY RECORDS M.v MFASUMO DISTANCE 60.+SET IRON PIPE L.B.0" A-a w F.+WOOD FS NCE &M.MMCH up" WM.MANHOLE SRMIC=SIDEWALK .pAp alX18TN0 FiLVAT10N8 &O.B.•BASIS OPSEAIMM NAP.a NOT PART OF T=TANGENT C=CALCULATED NOVD•NATIONAL GEODETIC YERFICAL Tva aTOV HIP WELL CATCH BASIN DATUM U.E.a UTU.ITY EASE141sm C.0 W.wCONCRETE BLOCK WA.L N.T.B.•NOT TO SCALE U P..UTILITY POLE s1IRVEYOR S FIDTEB CH-CHORD MILL•OVERHEAD UTILITY LIM WA7.-WATER METER A)IF9NONN,SEARINSSAREREMROOTOANASSLDAEO CRO.+CHOROBEARING CLREL OFFICOU.RECORDDtmR WA-WOODRDOF MERlD1AML BY BRIO PLAT STTHSOESCROMON OF TEE CL-CLEAR 00 OFFWT WS.•YIOOD= PROPERTY.IF NOT.TI-xN EEANWWA�RED TO C.L.P.+CHANLDdIFENCE OYH.<OVERHJUQ $v ANGLE CGVI",TOWNDW MAP& C.LIE.+CANALMWNTENAI= P.B.•PLATWOK ,TITHBISA ICPURPOWSURVITY• EAGMENRS P.C.aPONTOFCURW O•CENTRAL ANGLE :I)VHE CLaWAr INTM SOUNOARY SURM fi ABOVE COR.O.a COIN�TB P-CC.v PONT OF COUIPOWLO CLRVE 6 a CENTER VNE 1:7800 FT. C.P.+CONCRETEPORCH PL PLANTER 41 IF SHQVW,FiEYA71ON0ARE REFE1DiEDTO i C.S. CONCRE BAG P.LS PKOPRSWRALLARD, DgNUMENT LIKE MIAMIDAD COUNTY. QE v ORASNAOE EASEMENT SURVEYOR DILS. OPAWROEMAINTENIJItE PAUL.v POINT OF DEGNO14G gMp EIEY. FEET OF NQV.O.OF'IfTli.. EASEMENTS P.O.C.�POItROF COMNENCEMRENT ORNE o ORNCWAY P.P.a POWER POLE @ICR.•ENCROACHMENT P.F.S..=POOL PUMP SLAB FF.E.+I7PINNEDCF�EI.E�VATION PPRM.PEPERMANEM REFERENCE F.H. FWE HYDRANT MONLAtENT RI.R-FOUND RON PIPE FT.•P00ITOFTAMw CY a1GFV[A8 C8R1FICAn N F.LR.a FOUMAON9OO PVW.c PA%MawT IWNW CERTIFY:THATTHIS'BOLNGARY SURVEY'OF F.R.-FOWA NAIL PAR PARKWAY THE pRppERTYDESGRISED HEREON.AS RECEMLY F.N.O.a FOUND NAL&CISlt R=RECORD DISTANCE stoMYED AND DRAWN LMERMV SUPERVISION, TO A=10PANY SKMH OF LLT�'CAMET'I: AS SET FO WITH y THE NBfWhOQAROO-STANOMOS ASSET FORM BY THE flOR10AB0ARD OF .THERE MAY BE EASEMENTS RECORDED W7775PUSUC RECORDS NOT SHOM ON THIS SURVEY. PROFE881OUpUSyp MtZ C.YORL INEHAPTER 51017.8, -THE PUM-OSE OF THIS SURVEY IS FOR USE N OBTAINING TITLE IWIRAWCE ANOPANCING,ANO SNCULO NOT BE FLCRIOAATATUTITRlO&E CODE p11A611ANTT0•N77.m7. USED FOR GONSTRUCT10N P1MPt� FLORIDA STATURES. EXAMNATLO-VS OF THE ABSTRACT Of TITLE WILL HAVE TO SE MACE TO DE7'ERMNC RECORR}FO WSTH11M1t�fIS.IF AN'r, AFFECTING THE PROPERTY.THIS BLTLVE YL 8 SU0JECTTo DEDICATECN&UMITATU)N%RESMU;T0N%REBERVATIONS OR FASi95SNTS OF RECORD.AND LWPL.DEWRUPTION8 MOV=D BY CLIENT ON ATTESTING TITLE COMPANY. BOUNDARY SURVEY MANS A ORAMINOAND)OR A GRJMINIC REPRESEMAT ON VINE SURVEY WORK PERWRME'!N -THE FIELD.COULD BE DRATIN AT ASHOWN SCALE AND I ORN0TTO SCALE EASEMENTS AS SHOMN ARE PER PLAT BOOK UNLESSOTHHERYdw S"Mm. TiOHERTTBAIt1�"-`rZ •THE TERM RNCROACWMNrW.ANBYSRBLEANO ABOVE OROUNDENCROAMMNITS -AROHIIECTS SIIALLVERIFY ZONING REGULATIONS.RESTRICTIONS AND SETBAACa.ANO THEY PILL SE RESPONSIBLE .FOR SCSMRTLTO PLOTPLANSNRTNTHECCIMEC'T NFORMATIONFORTHEVI APPROVAL FORAUTHORI7ATIONTO PRCFESSIONAL lABD SURVEYOR NO.5167 AVINORRESIN KEW CONSTRLICITOFR.L".EELS OTH4RNISE NOTED.THIS FMHA8 NOTATTFWFTEATO LOCAU STATER OFD NAUDCOPIES OF THIS SURVEY WLL POOTING ANIWDR FOUNOATINS- SFA IIieg SFALOFTHEATTEBTYOLAWO FENCCO%NERSHP 07 CETEISNNLED. nexrOR1 -INS PLAN OF SURVEY NAG BEEN PREPARED FOR THE SRCLVSINE 115E OF THE ENTITIES NAMED. -NSEO ,Ey,E171FICATE00SS NOT EXTOWTOANYUNNANIFDPAWY. .THESURVEYORMAgLS NO GIW7AMEESASTO INS ACCURACY OF THE BffORva 0EN MTW THE LOCAL FEHA REVISED ON: • AGENT OBEuLI2BE Z��NME k� COEAMLAtTYITHE P MAPS 49SHNT 0��REED BASEK*W H-EVATOlt WA Rmn=OR8 N GEWIFIEO TO:LEONIE BOOTHE '•5 STATE OF j>� `7-� �'.tv� SdIRVEVOR'S SEAL 9 loco 9IIOARAN09 VAOI1 XV8 11r:01 E7/VZ/SD