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Home My Public Portal About9651 LAS TUNAS DR_Miscellaneous__ WORKERS'COMPENSATION DECLARATION 76M444 MISCELLANEOUS APPLICATION I hereby affirm that I have certificate of consent to self CE 875(2-80)COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, or a certificate of Workers' rs'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN BUILDING ADDRESS O Certified copy is hereby furnished. BUILDING LOCALITY F-1CertifiedCertified copy is filed with the county building inspectionNEAREST department. LOCALITY ; J _ CROSS ST. Date Applicant NEAREST DISTRICT' NO. GROUP TYPE PROCESSED BY CROSS ST. ; CONST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL d COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP y —G—AY No. (CIRCLE) STATE MAJOR SECOND LOCAL O TRACT NOW (This section need not be completed if the work involved NO. OF BLON LOTT USE ZONE FECIAL CONDITIONS V by the permit is for one hundred dollars ($100) or less.) 4 1USE SIZE OF LOT EXISTING BLDG. L.- OF J I certify that in the performance of the work for which this LL is issued, I shall not employ any person in any manner WNER so as to become subject to the Workers' Compensation Laws. MAIL OCCUPANCY GROUP >- ADDRESS Date Applicant Q NOTICE TO APPLICANT: If, after making this Certificate of CITY NO. OCCUPANT LOAD 0O Exemption, you should become subject to the Workers' fl- Compensation Compensation provisions of the Labor Code, you must forth- APPLICATION FOR EXIT HARDWARE: 2 W With comply with SUCK provisions or this permit shall be TRAILER USE GEOLOGY INSPECTIONo Spec. Knowl. El ♦— deemed revoked. 0 NS P ❑ LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION Panic Devices I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT q (LIST ITEMS BELOW) NO. OF EXITS 9 (commencing with Section 7000)of Division 3 of the Busi- ness and Professions Code, and my license is in full force and effect. PARKING.SPACES REO'D PROVIDED License Number Lic.Class LIMITED TIME USE Contractor Date DATE DATE ❑ I am exempt from the licensing requirements as I am a FROM: TO: licensed architect or a registered professional engineer SIZE OF NO- OF INSPECTOR'S acting In my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES SIGAATURE iness and Professions Code). FINAL APPROVAL PRESENT USE OF BUILDING Lic.or Reg.No. Date J G� HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ON LOT AND USE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): No. PARKING SPACES PROVIDED I, as owner of the property, will do the work and the a 0 0 c structure is not intended or offered for sale (Section 7044, Business and Professions Code). PROPOSED USE OF BUILDING M s s a 4 + r '- CONSTRUCTION LENDING AGENCY j � I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). � Lender's Name PROPOSED MAX. OCC. ` Lender's Address PERMIT FEE \y I certify that I have read this application and state that the ^/\ above information is correct.I agree to comply with all County ISSUANCE FEE r ordinances and State laws relating to building construction, TOTAL FEE and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date -40k&S'COMPENSATION DECLARATION 76M444; CE 875 51,-84) MISCELLANEOUS APPL,ICAT�ON I,I1reby—affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION a certified.copy thereof(Sec.3800,Lab.Q. Policy No. CompanyFOR APPLICANT TO FILL IN BUILDING / ADDRESS ElCertified copy is hereby furnished. ADDRILDING 9651 Las TLlnas Drive LOCALITY e 1 ESS Certified copy is filed with the county building inspection CAL I;TY Temple City, Ca. 91780 NEAREST department. CROSS ST. Date Applicant REST DISTRICT n';1jZ_ P TYPE ESSED BY RO SS'ST. Camellia �� D CON ST.� CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP,�1 HIGHWAY NO.�j%✓'�� (CIRCLE) STATE MAJOR SECOND LOA, NO. OF BLDGS. (This Section need not be completed if the work involved TRACT NOW ON LOT USE ZONESPECIAL CONDITIONS by the permit-...is -r•:one hundred dollars ($100) or less.) USE OF SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which this o permit is issued,I shall not employ any person in any manner W-ERd , W. Cannon5-2 so as to become subject to the Workers' Compensation Laws. m OCCUPANCY GROUP o eD RES$ 1--' Date Applicant � � LLLI NOTICE TO APPLICANT: If, after making this Certificate of f-'Y Temple City 1t NOL OCCUPANT LOAD Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: Compensation'provisions of the Labor Code,you must forth- with comply with such provisions or this permit shall be El p Y P P TRAILER USE ❑ GEOLOGY INSPECTION ❑ No Spec. Knowl. deemed revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION Panic Devices I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ (LIST ITEMS BELOW) 9 (commencing with Section 7000) of Division 3 of the Busi- NO. OF EXITS ness and Professions Code,and my license is in full force and effect. PARKING REq'D PROVIDED SPACES License Number Lic. Class LIMITED TIME USE Contractor .Date GATE DATE FROM: TO: I am exempt from the licensing requirements as I am a OR S licensed architect or a registered professional engineer size OF NO.OF I SSIGE TURE acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES iness and Professions Code). FINAL APPROVAL cJ RESENT USE OF BUILDING VACANT Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS / ON LOT ANI , I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING SPACES PROVIDED z G 7 2 R ElI, as owner of the property, will do the work and the structure is not intended or offered for sale (Section \ #-000030 7044,Business and Professions Code). 1\ ROPOSED USE OF BUILDING Business & \ O O O O O O O Z CONSTRUCTION LENDING AGENCY 0.61 7-87 a$7 I hereby affirm that there.is a construction lending agency PROFESSIONAL "COLLECTION AGENCY for the performance of the work for which this permit is issued(Sec.3097,Civ.Q. CREDIT BUREAU" Lender's Name PROPOSED MAX. OCC. Lender's Address I certify that I have read this application and state that the PERMIT FEE above information is correct.I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter TOTAL FEE � ,d cl u on the @Lbove- entioned property for inspection purposes. A �jyl�<A SEE REVERSE FOR EXPLANATORY LANGUAGE I Signature of Permittee Date I WORKERS'COMPENSATION DECLARATION I76M444 MISCELLANEOUS APP 1 (CAT IO N ICE 875 (2-80) 6�. \.s I hereby affirm that I have a certificate of consent to self ! COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, of a certificate of Workers'Compensation Insurance,or � ) a certified copy thereof(Sec.3800,Lab.C.) I Policy No. Company FOR APPLICANT TO FILL IN BUILDING y bUILDING /ry ADDRESS ❑ Certified copy is hereby furnished. IpDDREss �` �0S l�l��S' LOCALITY ❑ Certified copy is filed with the county building inspection N.wResr department. ILocpLlTr TC/�9�G1 `�T CROSS ST. Date Applicant EAREST, AA'' �)J�f�' J� J� DISTRICT NO. GROUP TYPE PROCESSED BY pp ICROSS ST. /K• �7!// /T� 17 YCONST. ' CERTIFICATE OF EXEMPTION FROM WORKERS' I. LEGAL COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MA HIGHWAY NO �Q (CIRCLE) STATE MAJOR.SECOND LOCAL } NO. OF LOGS. (L (This section need not be completed if the work involved iTRACT NOW ON LOT USE ZONE S CIAL CONDITIONS O by-the permit is for one hundred dollars ($100) or less.) I USE OF I U SIZE SOF LOT EXISTING BLDG. Q I certify that in the performance of the work for which this G G/ permit is issued, I shall not employ any person in any manner i OWNER so as to become subject to the Workers' Compensation Laws. 1�5� I OCCUPANCY GROUP _� ;MAIL'ADDRESS !*, d Date Applicant _ t,0 TEL. I NOTICE TO APPLICANT: If, after making this Certificate of NoOCCUPANT LOAD Z. _ Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be (TRAILER USE GEOLOGY INSPECTION deemed revoked. ❑ ❑ No Spec. Knowl. El LICENSED CONTRACTORS DECLARATION - OCCUPANCY INSPECTION Panic Devices ❑ I hereby affirm that I am licensed under provisions of Chapter I SAFETY PERMIT q (LIST ITEMS BELOW) I NO. OF EXITS L=r 2 (commencing with Section 7000)of Division 3 of the Busi- ness and Professions Code, and my license is in full force and effect. I PAR?CINSPACESS REQ'D PROVIDED SPACES t icense Number Lic.Class y' I LIMITED .TIME USE Contractor -Date i DATE DATE I FRO'�M: TO: E] I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer iSIZE OF NO. OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXIST G BLDG. STORIES SIGNATURE iness and Professions Code). d!wr.SENT USE OF BUILDING � / r FINAL APPROVAL /. 4.';•�.��I .- /�cJ _L_ Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARAAND USE ON LOT AND USE TION No.of BUILDINGS j � I hereby affirm that' I am exempt from the Contractor's i ''J 7 8 0 A License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): INO. PARKING 'oo•O D r, (SPACES PROVIDED I (j ❑ I, as owner of the property, will.do the work and the En structure is not intended or offered for sale (Section I' o c C o e D 7044, Business and Professions Code). i I ' OPOSED USE OF BUILDING 0 P.27-84 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lendhig'agency for the performance of the work for which this permit is ! issued(Sec. 3097,Civ.C.). I Lender's Name PROPOSED MAX. OCC. Lender's Address ,PERMIT FEE I certify that I have read this application.and state that the ' i ; above information is correct.I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, TOTAL FEE and hereby authorize representatives of this County to enter 1 upon the bovelentioned property for inspect n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i Signature of Permittee Date : ' YORKERS OMPENSATION DECLARATION rE 8;64(,,-84) MISCELLANEOUS APPLICATION I hereby.rfirm tha4 I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION hlsure, or a certificate of workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.). ' Policy No. Company OR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is hereby furnished. 9u.ILDING L � � LOCALITY )e 'ADD.:E'SrG,, G7 Certified copy is tiled with the county building inspection t ocACI Y' NEAREST department. X—n_... E C l7 cposs sr. Date Applicant NE'tiR F�S7: DISTRI Q Gp TYPE P ESSED BY �CROS3+"§T.'. `��J ' Dl CONST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL (! COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP HIGHWAY STATE MAJOR SECOND LOCAL NO. (CIRCLE) NO.OF BLDGS. (This section need not be completed if the work Involved 'TRACT NOW ON LOT USB ZONE SPfi CIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) USE OF SIZE OFLOT EXISTING BLDG, p I certify that in the performance of the work for which this �� o permit is issued, I shall not employ any person in any manned NES of building !V so as to become subject to the Workers' Compensation Laws. C JJ OCCUPANCY GROUP Lam--, MADDRESS SAIL• � -+� w., J 1�� Date Applicant / L NOTICE TO APPLICANT: If,after making this Certificate of CITY NO. Z, � � OCCUPANT LOAD91 7 Exemption, you should become subject to the Workers' . APPLICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code;you must forth- ❑ with comply with such provisions or this permit shall be TRAILER USE GEOLOGY INSPECTION No Spec. Knowl. deemed revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION❑ Panic Devices El I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT (LIST ITEMS BELOW) I 9 (commencing with Section 7000)of Division 3 of the Busi- NO.OF EXITS ness and Professions Code,and my license is in full force a , effect. r !N me; Of business PARKING ,� I -,• SPACES REWD D PROVIDED License Number 7-34 A Lic r v Class LIMITED-TIME USE �,0R(' �r Contracto ' Date / -3d ( DATE DATE ElI am exempt from the licensing requirements as I am a FpOM7 TOI licensed architect or a registered profbssional engineer I SIZE OF NO.OF INSPE TO R's acting in my professional capacity (Section 7051, Bus- iness us I EXISTING BLDG. STORIES SIG upB•` inessandProfessionsCode). FINAL APPROVAL _ 1 0 Lic.or Reg.No. Date PRESENT USE OF BUILDING y HOME OWNER-BUILDER DECLARATION I NO. OF EXISTING BUILDINGS ON LOT AND USE I� 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): I NO. PARKING I, as owner of the property, will do the work and the SPACES PROVIDED 7A, structure is not intended or offered for sale (Section j 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY } PROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agency L for the performance of the work for which this permit is issued(Sec. 3097,Civ.Q. Lender's Name I v PROPOSED MAX.OCC. C) T Lender's Address 1 ' I PERMIT FEE 1 certify that I have read this application and state that the 25.00 above information is correct.1 agree to comply with all County ! ISSUANCE FEE ordinances and State laws relating to building construction, �. and hereby authorize representatives of this County to enter TOTAL FEE ,;DQ upon tli e-mentioned property for inspection purposes. - -•` '"" SEE REVERSE FOR EXPLANATORY LANGUAGE Signet c of Permittee Date � • WORKL'RS-COMPLNSAI[ON DECI_ARAIION ( M15C/tLLAIVt,VU:S At't'LIC:HI IVIV 1 hereby affirm thio I have a erruicate of CIuliblI 11Iii,elf COUNTY OF LOS ANGELES t BUILDING AND SAFETY DIVISION insure,or a Certificate uI�of Workers'C'umpCn,aliun In,ur:ulc;V:,or a certified copy thereof (Sec. 3800, Lab.C.) ly r Policy No. _- , Company } FOR APPLICANT TO FILL IN ',BUILDING BUILDINGDDRESS I ADDRESS ❑ Certified copy is hereby furnished. 91951 L.0-5 TLt_nos LOCALITY �� ❑ Certified copy is filed with the county building in,pCq`.1 I CIT ZIP I NEAREST department. III CROSS ST. Date--..._,_.,.. Applicant ) SIZE OF L T NO.OF BLDGS.NOW ON LOT DISTRICT NO. GROUP TYPE PROCESSED BY • (l ' CONST. C'ERTIFIC'ATE OF EXEMPTION FROM WORKERS 1' TRACT BLOCK LOT NO. C'OMPENSAT'ION INSURANCE NAP HIGHWAY (; NO. (CIRCLES STATE MAJOR SECOND LOCAL (This section ne'e'd 1101 he comp(eled if the worl. ill%oked ASSESSOR MAP BOOK PAGE PARCEL l I USE ZONE SPECIAL CONDITIONS by the peril is for one hundred dollar-; (ti 1001 or lttiS.) 1 �I 1 certify that in the performance of the work lin• whiclil his OWNE TEL No, I permit is issued. I shall not employ any person in any nuprner � laalD� °1� 3 1 I so as to become subject to he Workers' Conlpen,ation haws. ADDRESS OCCUPANCY GROUP Datel 3.LI I Ql Applicant Iaant tn. CITY ZIP " NOTICE TO APPLICANT: IC alter making this C'Crtil'iIgale of Exemption, you should become subject to the Workers' OCCUPANT LOAD ' Compensation provisions of the Labor Code,you must G)rthH�ith APPLICATION FOR EXIT HARDWARE: comply with such provisions or this permit %hall be dee111CL1 TRAILER USE❑ GEOLOGY INSPECTION❑ t__I I I revoked. � No Spec.Knowe. El OCCUPANCY INSPECTION Y�]I I Panic Devices ❑ ' LICENSED CONTRACTORS DECLARATION I hereby affirm that I ills licensed under provisions of C hal7ter SAFETY PERMIT❑ (LIST ITEMS BELOW I 9(commencing with Section 7000)of Division 3 Of lf1C BII,IneSS NO.OF EXITS L and Professions C'odc,and my license is in full force and IlfeCl. {1 f �u� � nibs.,, PARKING• REq'D PROVIDED License Number Lie.Class SPACES � Contractor Date_ II .• LIMITED TIME USE t I DATE DATE ❑ I am exempt from the licensing requirements as 1 11111 11 FROM: TO: i licensed architect or a registered' professional engineer t i SIZE OF G NO.OF INSPECTOR'S acting in my pn)fcssional capacity (tiCCliun 7(151, liu�incss J� 1 and Professions Code). EXISTING BLDG. STORIES SIGNATURE WO-15 Lic.or Reg. No. DateDatePRESENT USE OF BFIUILDING � G FINAL,APPROVAL I _ \� HOME OWNER-BUILDER DECLARAHON ! NO.OF EXISTING BUILDINGS ON LOT AND USE 1R� I v hereby affirm that I :un exempl from the Contractor', Livei.se vJl Law for the following reason (Section 7031.i, Ilu,inC,x and 1 Professions Code): NO.PARKING SPACES PROVIDED ❑ 1. Its owner of the property. bill do the llork anll tllr — --- -------- structure is not intended or 011ered lul %a IC(SCCtloll 70.1.1, PROP05ED USE OF BUILDINGScAon Business and Professions Code). i CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a conSU'uCtion lending agell 1`11r the perrormance of the work for which ihi, permit is i lsuud — (Sec. 3097,CIV,C',), PROPOSED MAX.OCC. Lender's Name APP (CANT( IN7J TEL NO,.�I Lender's Address ADDRESS i I certify that I have read this application and stale that tyle above informution is correct. I agree to comply with all Couniy t PERMIT FEE I ordinances and State laws relating to building construction,al, hereby authorize representatives of this County to enter,upon ISSUANCE FEE the ab ve-mentiongl property for inspection purposes. TOTAL FEE } SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Permittee MIIC.'f I VORI:tRS'(UAIk'LI\JAkI,UNI)Ll.Lr1lCAllUI\ 875 (1184)1vMISCELLANEOUS APPLICATION �E 875 hereby affirnt-Ithat I have a certificate of consent it, sell' i COON-I'Y OF LOS ANGELES BLJILI�ING ANI) SAI"E'l'l' DIVISION (sure, or a certificate of Workers'Compensation Insurance,or t fl certified copy thereof(Sec.3800,Lab.Q. - BUILDING� olicv No. Company FOR APPLICANT TO.FI LL IN ADDRESS SSI of q�!l AD DR / Certified copy is hereby furnished. ADDRESS LOCA LIT YI ] Certified copy is filed with the county building inspection LOCALITY NEAREST department. ceoss s1. late Applicant NEAREST OISTR IC �. GF�UP TYPE P ESSED BY CROSS ST. , CONS CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE I DESCRIPTION LOT NO. BLOCK NO. (CIRCLE) STATE MAJOR SECOND LOCAL NO. OF BLDGS. This section need not be completed if the work involved I TRACT NOW ON LOT USE ZON!PANCY SPECIAL CONDITIONS ,y the permit is for one hundred dollars (5100) or less.) 4 USE of f SIZE OF LOT EX TING BLDG certify that in the performance of the work for which this — ermit is issued,1 shall not employ any person in any manner . OWNER J as to become subject to the Workers' Compensation Laws. MAIL �d GROUP =- ADDRESS late Applicant — TEL, nCCUPA T LOAD - JOTICE TO APPLICANT: I., after making this Certificate of I C Y i No. �� Q 1 .xemption, you should become subject to the Workers' APPLICATION FOR EXIT lARDWARE: — ompens:ltion provisions of the Lahor Code,you must forth •Ith Comply with such plovisi Ills I+1 (Ills Pel lllll shall he I TNAILER U::LGLOLOGY INSPECTION ❑ U E] No Spec. I<nowl. .eemed revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION ® Panic Devices hereby affirm that I am licensed under provisions of Chapter SAFETY PER T ❑ (LIST ITEMS BELOW) ! (commencing with Section 7000) of Division 3 of the Busi NO. OF EXITS less and Professions Code, and.m3' license is in full force and I r ffect. I ��' • PARKING REO'D PROVIDED C� SPA CES .icense Number Lie. Class LIMITED TIME USE ontractor Date PROM: TO:DATE DATE ] 1 am exempt from the licensing requirements as 1 ant :I •.. r licensed architect or registered professional engineer SIZE OF NO. OF INSPECTOR'S a acting in my professional capacit)• (Section 7051. Bus- j EXISTING BLDG. STORIES I SIGNATURE �- iness and Professions Code). 1 � PR ESEF:T USE OF BUILDING FINAL�APPROVAL .ic.or Reg.No. Date-- HOME ate 110\1E OWNER-BUILDER DECLARATION I NO. OF EXISTING BUILDINGS I ON LOT AND USE ; O hereby affirm that 1 am exempt from the Contractor's n :icense Law for the following reason (Section 7031.5. Busi- I GQ gess and Professions Code): NO. PARKING I, as owner of the property. will du the wurl: : SPACES PROVIDED uul the --- -- structure is not intended or uffered for sale (Section y 7044,Business and Professions Code). II i PROPOSED USE OF BUILDING coNs-rltucrlox LENDING ,c.I: c\' hereby affirm that there is a construction lending :mend; or the performance of the work for which this permit fa --'----- ;sued(Sec.3097,Cie.C.). 1 .ender's Name I PROPOSED MAX. OCC. .ender's Address PERMIT FEE certify that 1 have read this application and state that the , Ibove infointation is correct.1 agree to comply with all Count,.,' ISSUANCE FEE Irdinances and State laws relating to building construction,t I Lnd herieliv authorize representatives of rabbis County to enter! TOTAL FEE (pan the above-mentioned prope for inspecti urposes. SE[ ItE\'ERSL'i OR EXPLANATORY LANGUAGE 1 �--w� ---- -- -- ---5-J ,Gly ) Sien:uure of PcridWee 4