PL-08-158 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
' Phone: (305)795 -2204 Fax: (305)756 -8972
,Inspection Number: WSP- 72951 Permit Number: PL-1-08'.158
Scheduled Inspection Date: June 25, 2009 Permit Type: Plumbing - Residential
Inspector: Levrock, James
Inspection Type: Final
Owner: VICENTE, RUBEN Work Classification: Drainfield
Job Address: 9300 BISCAYNE Boulevard
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060141640
Project: <NONE>
Contractor: A AARON SUPER ROOTER Phone: 305 - 944 -8886
Building Department Comments
r1nJ r om ments
Passed OVAL IN FILE
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
STATE OF FLORIDA PERMIT NO.Adk-12S--2 0
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT A
we
APPLICANT:
AGENT: - e&
PROPERTY ADDRESS:
LOIC-34 BLOCK- Q SUBDIVISION. PROPERTY ID A
CHECKED M ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
I 1 1011 TANK SIZE 111 121 1 1 [271 SURFACE WATER FT
] [021 TANK MATERIAL ] [28] DITCHES FT
1 1031 OUTLET DEVICE }r--d --- 1 1 [29] PRIVATE WELLS FT
1 [04] MULTI-CHAMBERED [Y AZ [ ] [30] PUBLIC WELLS FT
I W OUTLET FILTER [ 1 1311 IRRIGATION WELLS FT
1 106] LEGEND [ 1 1321 POTABLE WATER LINES Z 0 FT
1 [071 WATERTIGHT [33] BUILDING FOUNDATION f S- FT
f 1 106] LEVEL [34] PROPERTY LINES FT
1 [09] DEPTH TO LID 1 [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
1 AREA (11 I4r-j(Z6j2I. SOFT 1 [36] DRAJNFIELD COVER
I I fill DISTRIBUTION BOX — HEADER 1 [371 SHOULDERS
1 [12] NUMBER OF DfWNUNES .0 66 1 [38] SLOPES
1 [13] DRAINLINE SEPARATION [39] STABILIZATION
1 [14] DRAINLINE SLOPE
1 [15] DEPTH OF COVER ti- ADDITIONAL INFORMATION
1 061 ELEVATION IABOgZ�� �7- 20 1 1 1401 UNOBSTRUCTED AREA
1 [17] SYSTEM LOCATION I 1 [41] STORMWATER RUNOFF
1 1181 DOSING PUMPS 1 1 [42] ALARMS
1 1191 AGGREGATE SIZE 1 [43] MAINTENANCE AGREEMENT
I PI AGGREGATE EXCESSIVE FINES 1 1441 BUILDING AREA
1 1211 AGGREGATE DEPTH 1 [45] LOCATION CONFORMS WITH SITE PLAN
1 [46] FINAL SITE GRADING
FILL EXCAVATION MATERIAL I 1 1471 CONTRACTORdt a&",-
1 1221 FILL AMOUNT.2-y 1 [48] OTHER
1 [231 FILL TEXTURE
1 124] EXCAVATION DEPTH ABANDONMENT
1 [25] AREA REPLACED I 1 149] TANK PUMPED
—/—/—
1 [26] REPLACEMENT MATERIAL I 1 1601 TANK CRUSHED & FILLED—/—/—
EXPLANATION OF VIOLATIONS i REMARKS.
CONSTRUCqe [APPROVE %ISAPPROVEDI�%4&-&' CHD DATE: L
FINAL SYSTI!1113!�WRO D/DISAPPROVEDI: 0 CHD DATE: " ' 1 t-'Q
DH 4016 (Page 2),10/97 previous Editions May 136 Used) A Page 2 of 3
Stock Nurnber. 5744-002-4016-4 V PT 1: Appkant
PT 2: IrMagerICOnURCtOr
PT 3: BuMM Deparb-M
PT s weAm ruwwAtntAnt
Y' G �a
Miami Shores Village / r
10050 N.E. 2nd Avenue )
Miami Shores, FL 33138 -0000 x�� G/ ��
Phone: (305)795 -2204
Expiration: 0712312
Project Address Parcel Number Applicant
9300 BISCAYNE Boulevard 1132060141640
RUBEN VICENTE
Miami Shores, FL 33138 Block: Lot
Owner Information Address Phone Cell
RUBEN VICENTE 9300 BISCAYNE Boulevard
MIAMI SHORES FL 33138 -2921
Contractor(s) Phone Cell Phone Valuation: $ 2,300.00
A AA RON SUP RO OTER 305 - 9448886
Total Sq Feet: 150
Type of Work: PLUMBING Available Inspections:
Type of Piping: DRAINFIELD Inspection T ype:
ype:
Additional Info: Final
Bond Return: Rough
Classification: Residential Landscaping
Fees Due Amount Total Amt Paid Amt Due
Bond Type - Contractors Bond $300.00
CCF $1.80 $ 484 $ 484,77 $ 0,00
Education Surcharge $0.60
Permit Fee - New Construction $175.00 Payment Type: Check / Number: 3771
Scanning Fee $3.00
Technology Fee $4.37
Total: $484.77 2 5 PAID .
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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated
January 25, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Friday, January 25, 2008 1
Miami Shores Village IJMMMCWM
Building Department 1 11 JAN 2 5 2008
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 t
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING PermitNo a
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: Plumbing
�,,, " + ',, (� Mendez
Owner's Name (Fee Simple Titleholder) 'RIl G \4 Clef*e 4 � o ` e ' Phone #
Owner's Address ° f300 al 6G 61v
City M.So -e� State zip 3313 y
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) wic s C u o& & - \j
City Miami Shores Villaee r County Miami -Dade zip ,,3' J4
FOLIO / PARCEL # ( I % �2 0 (; - 0 )L,j.._ I ro 40
Is Building Historically Designated YES NO
Contractor's Company A p�cx 1^4/'ir S•�ae� Phone # �3t�ss _ �-�
Contractor's Address W ZZ S v-)
City Stat Zip 3302.-
Qualifier Name -50 T� _ Phone #
State Certificate or Registration No. 00104 - 8 Certificate of Competency No.
E -MAIL:
Arch itect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ �'D� Square / Linear Footage Of Work: ISO
Type of Work: ❑Addition ❑Alteration (_,]New Repair /Replace ❑ Demolition
Describe Work:
Submittal Fee $ Permit Fee $ . CCF $ l - RIO CO /CC
Notary $ Training /Education Fee $ &0 Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ lw+ L 1
See Reverse side —�
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Z 10, Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zi
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. 1 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
PAVING 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 exceed' $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochur wil be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent ust be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the bs ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
i n e/(
c _ .___,_ ����• Signature
Owner or Agent Contractor
The forego instrument was acknowledged before me this ( The foregoing instrument was acknowledged before me this L7
day of Ipr1 , 20 D9 by R to Vl ccn - feAO - day of J IT r) , 200 by _J v
who is personally known to me or who has produced D✓1 V. who is personally known to me or who has produced
G GPJ'L� As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
............................ 9 1906 9:999..
��TERE .30 ,
Sign: S
Print:. .
P n s� a� c
F Wft My CO m ll�l99F0fi:6 �ryftw., Inc : .. n• .�K...r..:.1.iiNifil#i.iN / #/ 11
Y.�JiiP$n 16991199699666 .i y =;;Ilssion Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
01/2512808 10:49 3055133472 OSTDS PAGE 01/01
1��p�v P>�GT #: 93�[z�8BI3334
S +..+,..r+ OF 1!60RIDA A9Pl+ICAT�t 4: APS12670
DERARTHBM' OF MAT+TR DAM PAID; 11111101
ONSITE S=t TRZA'1'148NT A14D DISPOSAL Fu PAID; 816.00
SYSTEM ucxxpx #1 13-PIOM1033
DOC T 4: PFW4388
c C a T 1=1 OSTGS Repair
APPLICART : Rtftn Vi wft & lVi mdez
PROPERTY ADDRESS 9M E isca ne Blvd MIAMI, FL 33138
Im1 5.30 sx=: 65 . 9DBDmEinw: Miami Shoreea Sec 3
PROPBATY 70! 11 -'' �- Gib -1 64D [819C'3r=, 7:Q r : PAR�L N4MJFd�R]
tOR TAR 7A NONSM
SY9Tm MOT u COpSTmmD IX ACCOMME WITH SPz=xcATi AM MANDAN" OF ucwz(w
381.0065, F.S., AM CMIMR 648-6, F.A.C. R)SPARMW APPROVAL OF MM 7X3$9 LET GMUMM M
SATISFACTORY PNBFCFMA= ]MR AN r 7aP1aetl 0 PUI OF Tnffl . ANF COMM Ill tA:l'87RM VAMP
RICH SEWWHD AS A BASIS FOR IBS OP IMI9 P03tNIT, p2g=0 M APPLICUlT TO MUM SM
pmmwT AR=CJiT1'CA7. SVCS MDIF Ca:CMM 7W RE @MT IN T1Ci8 ; 0 'T UM VAN KN& AIM VOID.
ISM , OF THIS PUMST 7]{188 WT MMM THE ARMICAM FRCK CMOZZAMM W'w OMM »BWAL+
STATE, OR LOCAL BH T'1=0 no== FOR D7p mono 7T or THIS
Sx'MN DRST 11 AND 11MCIFIC7 TION8
T [ 750 I &USA= GX, ._ .__ Saotic nk _ CA I=
A ( 0 ] mLLm ! =1 CAPACITY
N ( *0 ] GATZME GF4UM Z00MCUPTOR CAPACITY DROMM C"ACITY 870 MM'-L230 BSI
K t ] 6fAwmm 7 omm VWK Ca j4m"I ( ] willilBiB @ [ 37X!9199 VU 34 1i>1S $Imps ( I
n t 1kiO]a1 s7 r .. sysm
R [ 0 1 9902W rM _ 9YS=4
A TM 9YSTEN: [ ] STAB t I Flt A= 11 740m [ I
I COmGORATYOR: IX3 =on [ ] mw t I
r LOCATION OF MCM0091 FFE ......
FJ..90.80" "N 3W
I WAVAMIM of PROPOSED Ss7 09 SX= ( 93.30 ] t 9 rT I ( ABOVE mmcwAUwmrmmm Pona
7d
9 mom OP DpA$u`Z>BLT7 TO m ( 31.20 1 FT I [ ABOVE. =Tzmam PDSRT
D FILL maumm ( 0.00I INC7I4JB >3=vATTcm Rte: [ 30- ==G
9. Ex ttng 760 gel. aple tank 1c, mMWn.
2.- Intel 150 of of dreinfiel+d in trench anflguretion.
&4MVert OIOV96M of dteinf W tE 'be no Ws,theo 7.60 ft NOW.
H S. Bottom of dreinffeld elevation to be no k= than 7.00 ft NOVD.
IS PERMIT IS NOT'FOR - A -.0 PON(s) "-
R
APPROVED M. • " =nzLRW2= specialist IT Gads CHD
O R tLms DATB I8S M 1 9 9711'7 041231200$ Do 4018, X 0I8 7 (Psav9aiiia 79eA4 S"d) Pacm I Of 3
r A . 7 .4 A88S�6'7o 68 80988
01/25/2000 10:59 3055133472 OSTDS PAGE 01/01
DEPARTMENT OF HEALTH
NSITE SEW D15POStAL SYSTEM Ct�NET RUCTI�+N PEP1Mf j
.. AP�'1.IGATit31+1 F �R t�
PWM t ApptiCatVDn NurrW
PART 11- SITE PLAN - _ ,..ee - - --
Scale: Each bloc rOPMSOM 5 W and 1 11wh
J- "'�^ , .t " t .: • «,�, '•'• i _." :, « ....L «.p L .w ..� .,. ., "t r,!« 't° 4
4 «N ». �.: !.r7 .. . + «, "t..: .r"r .:«{s'. «r - ! • w _ » «.( »: , N ,
•; «, «'.« { .. Trx,? '• ..J «• ,',. _. ° " ~ T� "..i x ,i « I «� .d. 1 t
Ae, ».. «t«,• ? wr. �• •.y., .ix .t.. '"ri•' �,+��/_1�!'/�'�,�i.1y_ .+x.'!„ ,. �« r""Jr'� t .i..: - s•! ^•'
},. ,.i wJ ,. 1.. w:n•1.. ..d . n + ./• + ..!. «;... "•,.• , «... t» ' ; _ ..«iwp L .. . d . ^ _n._ «. ..,.J..,:.. t
F . .,yr, +•!m '. 'y «P: �.w; »• i ! «r.. r.grr« ^ i Y „• .4..A. ,, " w •...1. «r «. «. ^ 4 ' � • t
G.r ! - "ti •_ ' -! .i. - ,.. , .,.i.. »t. y ..; . " .. 1 ' • t.t... L.:.. }..... w.w» .. :x «J t .... :. " 'y t
�l... ! , ' - "S " 'r , , "ir « {»««• w r^ • P ° � ""! ; "'"' ' 4_ « f » «»tl •, «,. «'' ,r_1
"�« t .4r.rL. M. ",. «1 .! «, •!' , 1 ,. L .•3.r r s «r ... t« L « {w «'�.: •. ; w ,• ,r «Ixur
' „ _J . »d •,ry r:_.r «�.. wn.. - . 1 '�,�• '"' i, .ti. ». ». 4» � ...+. .L :: .- ...,� « « r _ , ,+ "« ' 1 «: ».i, .d «
N " � ! _ •�, 1. •.•���. ..r ..Ax. tw �' »•j • • 'r • , "j i �«r« »1. • : � ,! w 1 «.; »t a' °S• « «r., }• t,_W ,�.1
'.. a. ;.. elwrq« «.a te ,'l..px ...'. r�.wl ...f »� , �...+. „ %:~. .. 7• �.•? t . « ». :. �, •, ..; . «: •�` " i �� - w.L. +.. ° «.+._. ,' �. ,tr ,.W.� +!
» t... • - t. + ' ' ". ' «� .ie'h• ,»o, »y «.�rS »L. "' "' 1 1 \ e,,r :.!« «
x«L ! 1 ..m• a. .'.«r,7 r ! ..h» I ' ..',.x;. « r. � °! J_ Lr.. u : w7 r:p .t.. • «.r•.; ,,....L .� ., ...�,.: « «; ^t �rJ
' "i„ 2 . - t_.¢._�, ; M Lw« « L. i - - ,dt „i ..�. «�e,. ._i :.., , ,n «,' .r:M � t « ", t ..�» " ••t^ � ! °� "t'^ , M^ -' +, «' "' L� 1 r ,Fy t . Y""' ".. :," ^' ! '}• !
Y ' «...}....N.w :. Jqyy l,.. tw 1 t „ +. E -: x�n:..:.wl« ..w•i .,, w n••.q» Y"", t .,r '1 i ,"i i ° «.1 .L. «�. . 4..'... �� •ti
t { : ».iw•5w•'•r'1- •M.•,'p '« «,r �.M ml..A«V••t "' �' • f ..4 «'c .� , Y«.7•r ..».' «•.•.!•.' Y»J. � _i• «w •J�..L. e.« � .{,t.
y
� _ ,. Mn,_ +• •` ( •h. •t . «•4 � ,. ?.. ! t i '«'.t« i p.rL. r4 tr .rr- • r .~ ,
_ 6r. 7 •1 i ..t .i. «. •i 1 L » :. ^ L - S »y Nr.. °r.. _ t 3.r1 -«r�" .5 »L,,,'
J 1 "�t • ' "�" o« tJ ».f ° .» . i • ,«.!. . "4 «.!, _ +_.. - . �.: _. d••• " -: . »..�.. :. ' J » t + '..
.X.r t -t• -� "y « t ! «L_' ..°! ». i °.�..• r' _.�, «' «rw •.!. '. a _4 «.r,i•..' n..l..p
tr_�_r�'.' , }__.i, t. «..5 «.i.« .�.i »., ».y «t «' 1 " i � ? «.i, «•wt,. w..�.. ;.«. :.wl.. «..• "t... w. ?' «I._• - . «t• � .}.. ._, .ri .: »ri,.
° 1 1�" ,..l w .l � �" 1 °1r. � "'^ { '•• '.N�. ,.+ «y -(..k '.. Y. :. t, ,;. �.,., .lpi_+. !"• t. « }..:..%
r ..�..«�_.�.t..!'. r•. xt.�„�p.n;...;.. ««« • " 1 q'� ...t L�� i «. p- +t p rr.t »':. «�..� •�- "i�.,..,t. «' �� -r ^'J- .•�•�..t..o- .�,°� .a is ".t
��, .�„ »+ _�...i... r.:` ._ w .r;' i ».' «.�« d' -� -dr `r e �... ' , f. "'3 »' .xJ_d . «.� , �• - 7
S «,p„•{ "i ' � 1 «w i ry " " -w.. � "'� "�'. .d...,.�.r «� „,. M N ..ir_�,..._ T � »..,» 1 -, . } ..Y ,.!° ,,.: d r l.a" .- ,•r ^:
u l . a« .. }. «f +w.�- « + » ••.t " - - , , ,!, 1 «. », .L._ _ : r.d.. i...t_.i.. :.x' "t_r. «« . .
+ �"• « ' l,rt ». ,. ,7.. « _' f �. .: "+..., �+ - 7w'�'M n•••n•' ,t. •+ ,.�: , :.•" „,, .i .i •S• . rw , I, "«• r� "q-.y, •+,
i{t .r.t «.a•...(.. -i } �1., « ..rt« xl.• ^i- -• n r .;t.,•�r.�...�: J« '__ i �qfr .:.+ «: .:;._: ». t . � 1 .r�.:, t -.. j..» _.«r! ». «.J ... «i,....4•. N }«.1.rw „f..
i i \ «,n + »....} ' ^�w'� y • ""1 «�„•n an� -'1 .. a •�,..+',.... f.. w,- i...•..d, ,-•:, w °J•:.d+,,..•,! ' J.. � '�'i�'�..a. "Y' ^" r,' t :...i -! »,. � •' f •�- �i� -�.wa • q•- -, ° 7,
n4•.dm«I•, ! m,nae,P�, w d 4 °"'", i ;���'» « 1rr.'. ti• : ».,.. •».t .•.. »: •� -...? iF,�• - ^• i ! ' •,,;, ,- 4 »r' »�. .« « ..
.....r 1, �..J i,. .. d ".p -r .,..t rt„ e 7 , ..+"r i f ' • _.. «.L..µ.« .i« J ".:w •R -•� .i. ,«•,e •T• x,„ ..,.. �wr ». °' .. ".t. -;- •"
'° � _4,.,� f ,. !, ,..«..a,..i. "...a. «�•„+. ...•.. ,,.� -. ..i_+.M .,SM ml 3 ! .._�. u• .r..�, + t r .. : 1 ,, :.� 6
{ „ ",•.rpx .rr «r. i ' r 1 L ',,,; ..L »' ., -. , a.; vS ' •- «_ ?,..i,,. ... _.f. « • ,' • -«,,.} »! . }. u. ...L..'. „.rq _ }. «.j.. • ' , 1
„j_ x.b ,.fl. .�w!» ..�.... +i-t.. o-., «r•� 9�'% .N.� t...:.�.. sy w.. +.; «.e.. N • "..:. °'S ^' 4 '�° _,..: .: " ».rx•w j¢ +. «.:..« •�•$
i !! L.:.. 1.r � 'fw.•..w.r
, .F - .;.. .t, {. »i�q, J _. t • '�" ' _i - n•' . "t '� , ..� _...t..n. ". ' « , �' »1' r ir"r� "y- ';' J. «,w.' � i «.:. 1. «, nr ..;..k y t
_..r . • 4^ y � } + "d
f , ..� «. „t- .,� » - »T . 1..J, ., i, -1-. �. 1 •^, : y ." _d.. . ». j w.L w t• { - ✓n, ; •^1' d». ...1« .,. ..,_.+...« +• -
7„.y» l - 1 - a _I n; ..•F •. }_• .s •'• j « i, n !. �' '..«• y,_.: _ , ..r Sn w :;...'.. G.,} _ - , , " {° f , _y... «� .t. ,{. ry - ,
.. i w.«:...{ Y « + l.Y.• "•\ .�. : «.., . wi...« w . »t-. »+«. ». «� ,( + 7. .,{_.. �.• y��;,� .!. d.«{.. «{ «y ;. i ...�...;..t -! ' ,J- «+ u « ,• w �.•-F .._.j.. f 1 "{
b «. r "i „ »t.. ! -_ w G ,' ' .,•.� i r ?° a :p.• N .. 1 « _4. S c.._t..4 .i'75.:. �...i_�.... -� .T «. «�. �• {...; •„...r i " «ir_: ° h- • rM. •4
.. ,1.rPwn•wi. % ., . ..�.., 'w +. «•. ,�.,r. M � »�.x,.,a .t -:r ; ! ,, 4 »�'a.n, �� « «, _ i,•, t ;, � -•, i• -,-
h ° ,.• ..f.a , .,...$.. «,n s , // i __ ,1 «L. . + ». • « ".« .. »i _ ' «,.y.....:r. t i..',i.,.�.. {_I «.t�.T.t.,..;.J..•..�
•
E. t -, +4. J :.. {,..w J. q.t -n• •i •td , {•,, .'! r �« , t i f 1 ,.y,- {••,p•,N, w• «,!•" «� v�,:w.n•F.w«•.dr �••+, Fw {., r. .«•l• , ,
• -.iY. « + -r••. t ` •.... .j. _ a. . «t...;«,.l.w.y.�...i r . i ".f..,.•.t • •> ? ," ".r_I
t • • -•.1.. ur. , peJ.w, .,'.,,.t,.«n+,•i V � - _ ,� - • � ' «. • ! « .« L.+ !. - •.! w' "'•t «.t«.'. ., u. :.:!,. «. _!w......« •• • ��.4 «. .i r.:_r.
�•'• •; s � „ , ,p .�. ; _t,.+ »7, i . »;.. _.} ^'t" t,.: .., °7�' d 7 r. .t,«.l...,a.' .� «i. «.. rt.._...�.:._:._. « . { '_Y s_LK
"«.. ,t •,J.. -. ,1 r. ..K. « <" °,+! «I _�'• : i t ,.. »., !• d" • t .+�.i ». L T...- .G. «n »i- .w. « }. «r .�»., ». 7 .r w {. ' w «, r. i+ t �
» a. «. t. � «,.,: • r�r «+ «, � iw •6r t »..._„� _4« .x41 -.. _! «. w d._ Y. °, _« ,,.. �I�r•,..w + ,J, ,,,� «..�_;.. •,.. Y: _� ".�.. t. «4..�._J"..«. .«• •�
�.. 4 . ?_, w '„,_, � «. a �.. d_ , !,rtr- -; ;• ' _y. i. � S -« v, - twd.w!, ..J..r.:,. •. - 1-..f .,,. ~� . ; _ �.•I" t ..,. �Pr.«r.., 1. , r -y_..t ,,,: ' r.•+1, +
. - t «j. «i�.,i'.«4• «j «.! °'w � n ..i. 1 « Y i ..} » »i. •.�•A �+ ".a r "i � ...Lr.. { r:.. , S» e..i _ »l. +«. 7 . .'...:.. 1. ,1r -. •, - • t.! �" r . x,! « «�r » •$•• «'.,..vt «� d..•.i
'" , }Y - ._}..L .�,. , r J ...y .r_ i .� . i �-.+ .� .. r w i . , , _: ° i.x.,..« �.r t._W .L .' «• ,7.r.'..t,.r x. b« , _.l.� i ".« ry .r q .« t ,.�.,.« + �«.,. w_..L...,..r « »..�.. a •i
°..l..1« »!.." }. ' ^ m nr .. < «�. r i - # »" y « q « 1 «} ° x .i..y. S.'r««.r..; » •.�. +«.�, «R,... «.J, + -;
� t ,i,_i.,J .;.wt.» °•° r«t, .. ° � t t '
t »jr «.. i•. p i + " !« L ,.. «. -. • « • ,
_ ° q. 7 , ! .,'IL f 7 "•- q .Irw�� ,"..y.,R.. �w R -.: _�° r •� . �..5...i.... ...V L.
,rL. ' »i •t• I.. l :.rr},. ..±. 1,.,_,x...,rr, - 7- •r• »i�. r A_. ; 2 • . L ,!.,e« «.d. «r + S !t.
.J. «t.,.t.» '.. ..r._ +,.:•n.+...t «.. ur .r.. }. ,« «d.. »�w! �,. �... i,.•..n {- +� ( �,+lr.. 4r•,, «.L.d
.! - ._i._� - J,. ti t v,; n 1 « '•. IM '. x•.q,.�,» .x.,,.w i. -n, « wy..i -; ..5' F ": 7 ." 1 t «i , ,,;to , .: ..:...e xfs...' S.,•;.•..ti .l...0 -b•• t.� «.x. d.« .�.
« 1 „. ,.i,! .i. '- _ „L ' 1, _lw.�P } ».1»..5. q•nJ.,yyawrS..J.o•�..« w •! «r .e. «..rw'vt'. i ..�or, -�+,.y p +,. w Y ! -,.. Jt . «.,»�.«. 1 r t
.. n„j. ".L•. L «�i. , 1...; � !• ^i «wr.ew, t y J 1 e„ ,t .l...t «.:, - r .Lrr. «r.�J • ^Ir. 's «.L ».�,_: ..s. da " ", ,.6..J.. -L w..�..i.y
d. » i.J «t « .t. « {'. ,! .a�i. ' ., .�,.•i .. ».r - .1 «: �•! •i „ +, - «t "w,.t.. "7 J «. J�.. t,., "•; « a .., \ _..4.r'. w. •' ^ •"'y "! " "�_S �. { » »p_i «.t ..;..... ; � " »t_ i.ri« a.e. .a.:. S. -•t
«L • wj.. a .p_. ..,• ;'•''. .' " 1 `5 4
«
+ "fit ' S w t. "..5. ,. -h o- «� _•a"i- J., , .L «L.. }« �.. , Z 1..: ! , ^n•1_- .:Let.,; «. P '�.."
r !. :'"" • i .. + j y.. »' «_..:,J
i .«s.,l ,.t .:.:..J- 4•.' : r «. a..P, 1 "r • r ,. �• �- " :,t..� .L..x w• a. -, . T ».w« •.',.
^! ' � " "i "' , s» :x M • n _. . {.., .d..rb. +» . -i -., v ••� ». i « •!••^{
«.1.. _� .ort,.•, i J,w.t.,. .1..« _f •, «" ? «�«.t • «,•'} i x..tw•ir !. «,L. ;.. "» n .:r .d•. ' P .c•. «i•n._ !; ' ; n •,, 1 1 ,••i
w l " w " ! . ' t «x .t. : �« . ".:- .•«j«•., ..: _.�., ; ...j.r f.,. J, „ w,• { »t- P »I.,nY ... «Iv.., «_. «.J
.r•� �.., .,.a. «, •f" r'.i i" L i. « ! .4 »{ -, i ,. w +«. .�. «;. l.al ,t "t "t !_{.« ' .! , «.lw•.•.: -•± }rr.q,r
�- ..rw •i- «p. , ..t . , «L . ,a..r_ « s ,.., ` ' : {_ ..L t. « . T .» ..t- . 1. «_. _.: p.., , ,
�„ � -: .,. ,. ,_; -f7 - �,•!••• ,, '- „t «� .,.« i; "•" ! - }._r .t.., ' «i, .; } .!. ». •P -t «.}. °i,•ry, w .I , _e. !_7 » . t . »i - . S. «; .;.. a- .t_- i._:.. n+•}•r"}. -•
i ! ' ..� ._;.,! :). .i_,� -.".:. � I : '�.• »�„ L ,0 "' I• �., » . « «.L -�„ ,» {." . , .�.. ...'. »4 «�.....�. ,. ,» �,. }.. «' ..n ; .» « 7 -•. r ..+ i « », -r , f
- 1... »« !Y' l " « �. n J ,... « «: ...
P r �1o�9SB: 1 ' 4 L ..,, ..
"L LAO
Vais "a
>ra7Q Plan SUbl {leY by: Two
r .:VW ►t'� lam/
o Stgnl�tWe Two
Plan Approved
Not Approved. + G1e D
_ -
lay t~,o�nty 1- alth Depaftmen
ALL-CHANGES MUST $'E APPROVED BY THE COUNTY HEALTH DEPARTMENT
IN 44% IQ= QWmW tMH Ft MJ0iaVWft RW W tN Pieg" of
�T: "'^'T"i.�"`�ayn. .�r •• - +,, • • r ! 'nd, , J f.\ .. J'« i 't . . : '•i . d "r yi Jt . ., J « , • J. + • . 3�. wP I «,
. .sa��. y.:v .+« .t nn.4 .+ •:•+'r v. •. :tl \ 'bd i+ .