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PL-15-691Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234109 Permit Number: PL -3-15-691 Scheduled Inspection Date: May 07, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: LONGMAN, JOHN Job Address: 333 NE 92 Street Miami Shores, FL 33138 - Project: <NONE> Work Classification: Gas Phone Number ()_- Parcel Number 1132060136370 Contractor: SUBURBAN PROPANE LP Phone: (305)635-4427 tsunmmg uepanment comments RUN GAS LINE SET FOR 3 LP TANKS Infractio Passed Comments INSPECTOR COMMENTS False TO CANCEL PERM IT#PL-12-1805 r �Y rift Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-231929. CREATED AS E6 REINSPECTION FOR INSP-231136. INSTALLATION NOT PER PLAN 3 TANKS INSTALLED PLAN CALLS FOR TWO REVISE PLAN OR MAKE CORRECTION Failed ❑ not ready 5/5/15 SUBURBAN PROPANE 1491 NE 130 ST Correction ❑ Needed NO MIAMI, FE 305-891-8393 DROP TEST Re -Inspection Fee WE - / 2- S0ATUIR No Additional Inspections can be scheduled until AA \\cc re -inspection fee is paid !L May 06, 2016 For Inspections please call: (305)762-4949 Page 31 of 42 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 333 NE 92 Street 1132060136370 JOHN LONGMAN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell JOHN LONGMAN 333 NE 92 Street ()__ MIAMI SHORES FL 33138-3133 333 NE 92 Street MIAMI SHORES FL 33138-3133 Contractor(s) Phone Cell Phone SUBURBAN PROPANE LP (305)635-4427 Type of Work: RUN GAS LINE SET TWO LP TANKS Type of Piping: Additional Info: Bond Return: Classification: Residential Scanning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 Valuation: $ 900.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -3-15-54958 04/06/2015 Credit Card $ 165.10 $ 0.00 Available Inspections: Inspection Type: Final Press Test Review Plumbing In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformlkviith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume re on ' ility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, P BIN, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT• Icertify th foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo ng. Futtm ore, I authorize the above --named contractor to-do the work stated. April 06, 2015 Authorizpd Signature:O / Applicant / Contractor / Agent Date Building Department Copy April 06, 2015 1 17 '2\4-� �' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING FBC 20to Master Permit No. Q : G PERMIT APPLICATION Sub Permit No. Q ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION 4W EXTENSION RENEWAL OPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 333 NE 92nd Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-6370 Is the Building Historically Designated: Yes NO Occupancy Type: Resd Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): John Longman Phone#: (305) 753-6019 Address: 333 NE 92nd St City: Miami Shores State: FI Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Suburban Propane Phone#: (305) 635-4427 Address: 3800 NW 59th St. City Miami State: FL Zip: 33142 Qualifier Name: Alex Brito Phone#: 9305) 635-4427 State Certification or Registration #: 01196 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: / City: State: Zip: Value of Work for this Permit: $_ �l Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace I Demolition Description of Work: Run gas line set two LP Tanks ® Sc ( ?�-- [z-'" 805 Specify color of color thru tile: Submittal Fee $ Permit Fee $ f l 54, Z11 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ • E (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 approvedgpd ejreinspection fee will be charged. OWNER or The foregoing instrument was acknowledged before me this 107 � day of March 20 15 by d6%j'i Z® aR/YP-4,i • , who is personally known to me or who has produced�`�� identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of March P20 15 , by who is personally known to me or who has produced G !�%?, VQIij �iC.eti S.� as identification and who did take an oath. NOTARY PUBLIC: Print: Print: Seal: o4o¢y NO, Notary Public State of Florida Seal:?aPp`A`c+'L AXIS OSES Joanna M Feliciano _ Notary PublIC - State of Florida My Commission FF 082753 My Comm. Expires Jun 7, 2016 Expires 01/1212018 0,��0 Commission #t EE 206074 **>k**+N APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami shores Village Building Department CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. � COPY OF QUALIFIER'S STATE LICENCES 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ........................................................................... ............. BUSINESS NAME: Suburban Propane BUSINESS ADDRESS: 3800 NW 59th St BUSINESS PHONE:3( 05 1 635-4427 CELLPHONE 05 ) 775-7338 QUALIFIER'S LIC NUMBER: 01196 CITY Miami STATE FI Zip 33142 FAX NUMBER (-305 ) 635-7863 QUALIFIER'S NAME: Alex Brito Florida Department of Agriculture and Consumer Services Bureau of Liquefied Petroleum Gas Inspection P.O. Box 6700 Tallahassee, Florida 32399-6700 License Number: 01196 Business Mailing Address SUBURBAN PROPANE, LP 3800 NW 59TH ST MIAMI, FL 33142-2032 Licensed Location Address SUBURBAN PROPANE, LP 3800 NW 59TH ST MIAMI, FL 33142-2032 The liquefied petroleum gas license at the bottom of this form is valid ONLY for the company located at the address on the license. Each business location of a company must be licensed. All LP Gas licenses must be renewed annually. Any license allowed to expire shall become inoperative because of failure to renew. The fee for restoration of a license is equal to the original license fee and must be paid before the licensee may resume operations. IN THE EVENT OF AN OWNERSHIP CHANGE AT THIS BUSINESS LOCATION: This license maybe transferred to any person, firm or corporation for the remainder of the current license year upon written request to the department by the original license holder. License transfers must be approved by the department. All licensing requirements must be met by the transferee and a transfer fee of $50 will apply. To apply for a transfer, contact the Bureau of LP Gas Inspections at (850) 921-1600. Pursuant to Chapter 527, Florida Statutes, LP Gas licensees must present proof of licensure to any consumer, owner, or end user upon request when engaged in the business of servicing, testing, repairing, maintaining or installing I_P Gas systems and.Jor equipment. For future correspondence, please make any needed corrections or changes to your business mailing address and/or your licensed location address and return the UPPER PORTION with corrections to: POST LICENSE CONSPICUOUSLY Florida Department of Agriculture and Consumer Services Bureau of Liquefied Petroleum Gas Inspection P.O. Box 6700 Tallahassee, Florida 32399-6700 Cut Here State of Florida Department of Agriculture and Consumer Services Division of Consumer ServicesLicense Number: 01196 Bureau of Liquefied Petroleum Gas Inspection Expiration Date: August 31, 2015 (850) 921-1600 Date of Issue: September 1, 2014 License Fee: $425.00 Tallahassee, Florida Type and Class: 0601 Liquefied Petroleum Gas License CATEGORY I LP GAS DEALER GOOD FOR ONE LOCATION ONLY ANY CHANGE OF OWNERSHIP OR SALE OF THIS BUSINESS RENDERS THIS LICENSE INVALID This license is issued under authority of Section 527.02, Florida Statutes, to: SUBURBAN PROPANE, LP 3800 NW 59TH ST ADAM H. PUTNAM MIAMI, FL 33142- 2032 COMMISSIONER OF AGRICULTURE Ll City of Hialeah Business Tag Receipt 201445 �@aebens�� Mayor Carlos Hernandez No: 454312--47 (OLD -5719-46) Amount: $ 100.00 The person, firm or corp. listed here has paid the business tax required to engage in or operate the business specified subject to the regulations and restrictions of the City of Hialeah, Florida Owner: SUBURBAN ENERGY SERVICES GROUP LLC - ELMER DA 7)pe ofBtainess: Liquefied Petroleum Gas (Battled Gas) Dealers SUBURBAN PROPANE LP 3800 NW 59 ST MIAMI, FL 33142 Validating No.: 356995 THIS IS NOT A BILL Business Location: 3800 NW 59 ST Expires September 30, 2015 A�� o® CERTIFICATE OF LIABILITY INSURANCE =012015°"YYY' 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 policy(les) must be endorsed. If SUBROGATION IS WANED, 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 MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07962 PHONE: 973-401-5000 ONTACT �E• PHONE Fax Arc NO: ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A ACE American Insurance Company 22667 J08990-ALL-GAW-14-15 CIJE INSURED SUBURBAN PROPANE PARTNERS, LP. 240 ROUTE 10 WEST INSURER B, Indemnity Ins Co Of North America 43575 INSURER C ACE Fire Underwriters Co 20702 INSURER D: WHIPPANY, NJ 07981 INSURER E • GEM- AGGREGATE LIMIT APPLIES PER: )( I POLICY PRO-JECT LOC INSURER F $ nn�iL�w/-Ce r-CDTiM^ATC lI"UMCD. NY(:.NKAQ&ux41 I KCVMIUn1 NU1111DCMZ 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. INR LTRPOLICY TYPE OF INSURANCE ADDL SUER NUMBER POLICY EFF D POLICY EXP D LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR of Marsh USA Inc. HDO G27336978 10/01/2014 10/01/2015 EACH OCCURRENCE $ 2,000,000 DAMAGE f0 RENTED 250,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEM- AGGREGATE LIMIT APPLIES PER: )( I POLICY PRO-JECT LOC PRODUCTS - COMP/OP AGG $ Z080,000 $ A AUTOMOBILE LIABILITY X ANY AUTO SCHEDULED X ALL OWNEDrx X AUTOS AUTOS NOOWNED HIRED AUTOSAUTOS ISA H08827990 10/01/2014 10)D1/2015 ad� SINGLE LIMIT 2,000,000 BODILY INJURY (Per penwn) $ BODILY INJURY (Per acddent) $ PPs°ae DAMAGE $ $ B A C UMBRELLALIAB EXCESS LMBCLAIMS H OCCUR MADE N / A WLR 048019985 (AOS) WLR C48019985 CA MA) ( SCF 048019997 (WI) 10/01/2014 10/01)2014 10/01/2014 10/01P2015 10/01/2015 10/01/2015 EACH OCCURRENCE $ AGGREGATE $ DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIErORIPARTNERIUECUTNE YIN N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yesdescribe underE DESCRIPTION OF OPERATIONS below $ X WC STATU-_WM OTH- 1,000,000 E.L. EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE$ 1,000,000 L DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is requited) RE: LICENSE #. 01196, LP GAS DEALER "m I Irm pi i C nVLNCR MIAMI SHORES VILLAGE ATTN: BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. NORTH MIAMI BEACH, FL 33138 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjeeµ�I"" .. wi.nn^®A"P%U All dw64 .neft-A W -I 000'GV S rivvnv —11 vv+••v.. .-.....a— .---• --- ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD "4 MARSH To: Insurance Certificate Holder Date: October 2, 2014 Re: Suburban Propane Liability Insurance Program Marsh USA Inc. 11601 Lakeline Boulevard Building 1, SuAe200 Austin. TX 78717 +1512 378 4800 WWW.marsh.CDM On October 1, 2014, Suburban Propane changed the renewal date for its insurance coverages. The new coverage program runs from October 1, 2014 to October 1, 2015. This replaces the previous program which ran from March 1, 2014 to March 1, 2015. Both the limits and insurers on the program remain unchanged. Attached to this memo is a Certificate of Insurance as evidence of our required insurance policies. If you have any questions, please call 973-401-5000. Thank you, NAN SOLUTIONS-.DERNED,DESIC�D, AND DELIVERED. COMPANIES � Miami Shores Village �A Building Department ! APR 2) 9�15 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 BUILDIN MLIS--6ct/ Master Permit No. PERMITf-74- Sub Permit Na. ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL 70PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � CONTRACTOR DRAWINGS C ^ JOB ADDRESS: 3 33 M Ct d- City: Miami Shores County Miami Dade Zia• 11- 1 ^ a O 1 6 320 Is the Building Historically Designated: Yes NO Occupancy Type: JRG-Sh Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 04yO �-OL4 0n t4>,) Phone#: 3®g ' %s3 " �p®1i Address: 333 QC- q;L 5—k. �1 City: --� �ky�l,�� _ State: Zip: 33 J \ 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: SUBURBAN PROPANE LP Address: 3800 NW 59 STREET City: MIAMI State: FL Qualifier Name: ALEX BRITO State Certification or Registration #: LPG01196 DESIGNER: Architect/Engineer: Address: Phone#: 3056354427 Zip: 33142 Phone#: 3056354481 Certificate of Competency #: Phone#: City: State: Zip: _ Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: 3 - a(7 i%- t, ,;ig.S Pty Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Kdld DBPR $ ❑ Demolition CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ C✓J� • U� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 q�einspection fee will be charged. Signature Signature OWNE rA�FG NTS "��vu._. CONTRACTOR The foregoing instrument was acknowledged before me this day of 20 ®S– by fit° L-0-410 ova A-r-owho is personally known to me or who has produced lc�t— as identification and who did take an oath. NOTARY PUBLIC:\\\\\,��`��%``,"il,ArfvfoN,,�� Sign: e_ Print: = a :� �` �� o- • — �Rti;�%,y%Jj Seal: AZ. 0RI The foregoing instrument was acknowledged before me this day of AAf / `. 20 . by 4 SAV P who is personally known to me or who has produced identification and who did take an oath. as APPROVED BY Plans Examiner Structural Review (Revised02/24/2014) Zoning Clerk --re-CYA Is, rz e -A A7 z) D El L !- v - -; 'rW-uA-p- act P4A,41?--6• r" !-, IV 7 //v p f-2 5,/- Y C -Y PLAT cvement 9 Asphel.. P FNO. IF, CPlc PCV Dri X-1 PALER lei. PINX J2 TWO STAR RESIDED Q- 1 # :333 2.0 PA'<,R -6.50* OLDCK GRASS A 1,F-3 Paver Driveway T'JZ --------- (S 7, 1x GRAS:, so3 7 • Goo :4 I••• a 0 we -PASS • C 0 0 0 0 oft GRASS • 4, m rive x- Y 5 col 's -*.;CNC, S'*I< GRASS V Pi O I "40 i D i LCf 17 FLOCK 47 INCIFTI� f 's e /- � — 4/,-Ze, Aj- ,A/,/ Llltzes cvOA-1-- "� )"/- /- dz oq r�V 10 14) Lp e 3 q)4 oylr 0, 6-e SEP 2 8 116 1 I;t� I. 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