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HomeMy WebLinkAbout028-260-025USING AGRICULTURAL BUILDING AS ' RETAIL SALES 7/31/84 Uio%�-I'oh RLOso%a FE/S NNE E, BRUYER 28-26m25 LaPorte Rd, 2/10 mi SW Oro Bangor Hw Bangor Permit#32-84A(AgXicujLurat. _�31d+y Exemnl 028-260-025 - 02-2177 MILLER, LYNN 658 I APORTE RD BANGOR APPLICATION FOR CERTIFICATI OF MERGER APN# 02 8 - Z(cb - O Z 5 5 ELECTRIC FOR WELL i I. Frc ".:i�i7 R�T/.W-P'ri`a^�F—r"!'kMfMf."ti"o[AP'.'�'^.{,R90r/�'I/r, sv.:��'..1"'r :-.i'-"i r..� �, ... •r.n .:irr.a✓-r)�. _.�..V. , iAf..'•'-:.'isn't` COUNTY OF BUTTE �— BUILDING DIVISION (ICES -BUILDING DIVISION •'" DEPARTMENT OF DEVELOPMENT SERVICES phone (530) 538-7541 PERMIT NO. 411 Main Street - Chico, CA - (530) 891-2751 T n,�3177 IT 7 County Center Drive - Oroville, CA - (530) 538-7541 BUILDING PERMIT CORRECTION NOTICE OCC. BUILDING VALUATION //ems OWNER D�-Z1-77 PERMIT NO. A routine Inspection Indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. r-- i2 v / r (= �7L o" ": , eT Date - Inspector REV 10/92 ,�,,.,T.......... 1wwOrnrlvl�Y0YV1'Y"IIIDYI'AtIOO•'VQf1;BVI y �r �� � — - - ",{ -Carrier. - A` Policy NumberMol'il (The above sections need not be completed if the permit Is:for,,work of a valuation Erie�i �.,� ;of one hundred'dollars ($100) or,less-) ` L occ 1 certify that in the perforrriance,of the work.for which'this permit is issued,'I shall . c not IhMploy, any person In any manner so,as to become subject to,woikers , compensation laws iof Cal'rfornla end agree that if I should become subject to the wor Vis' compensation' :provisions of section"3700 of•,the*f-abor`Code, I:shall " -" x f ' with comply with.ttiose provisions. Tfiis,p •x : ^ �• '- -Y- -- a x, of :the Date Irdica a z - '�.Signa4u�e of -Applicant;' ❑ •:Owner �❑ Contractor 0 Agent An OSHA permit is required for excavations over,5'0" deep and demolition "orconsVuction a+--- of structures over.3 stories In height — Y By ReceiptNo 36093fify +f)f) PEAh - WHITE-D.D.S.-B.D1;--- CANARY -ASSES -SOH -2 ._PINK -INSPECTOR•. _ GOLDENROD -APPLICANT., _I"i, V faluation ee $ 20.00 Fee $ eckin Fee $ Plan Checking Fee $ $ PERMIT FEE $ ILUMBING PERMIT' Filing,Fee 20.00 ;rap7.00 1 r heat pump water heater 23.00 Aping 15.00 as water heater or vent 15.00 ling system 1 - 5 outlets 15.00 sewer 15.00 Home 181GJ Wl @20.00 PERMIT. FEE S ,4ICAL PERMIT •',( Fling Feel 20..00 e00v OR LES Nice--0A'LESs 23.00 Nice- 200A TO 1000A 46.00 �. DWELLINGOCCUP.' a ACC. sLoS. 3.SQso MULTI.OUTLET @7.550 POWFA APPARATUS 8 SINGLE OUREr CIR- ' iU OUTLEr OR FIXTURE aAL @ I.00 .S0 FOXED APPLNS. OR U OUnE's REID. EA 5.00 ar Service 23.00 come Facilities 20.00 iring 23.00 s tion 123.00 PERMIT FEE $ 56.00 CHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FEE $ Home Installation Fee $ Inspection Fee . . $ I!! T. TYPE TOTAL FEE $ HAL I D. FEE I IMP FLOOD I (TDF armit is hereby Issued under the applicable provisions Butte County Code and/or Resolutions to do work ed above for which fees have been paid. ate z IT EXPIRES ON PA) ���. �� %��c .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Str'eet • Chico, CA • (530) 891-2751 7 County Center Dive • O oville, CA • (530) 538-7541 CORRECTION NOTICE a OWNER PSRMF-NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. •If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / 2/;-7 r"S 2� �r u t � d ? A- XL/6-1— Th t4L-i L r— C I- C)(A A Ufir /l"�� l F= t.. Date 2 Z c%4 Z Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE/(530) LDING DIVISION 7 County Center Drive - Oroville, California -,95965 - Telepho538-7541 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMI 09-9177 ASSESSOR PARCEL NUMBER 028-260-025 111 ZONING V BUILDING PERMIT OWNER MTT m 1532-7424 YrEUEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING KESS 6q64 ITPPETIR PATIMMO ]RD ORDVILLIE CA 9[ CONTRACTOR'S NAME T5. nwNFR CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC FOR WFTT, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VMain Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fob the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ( BUDS. 3.5Q so. EW corsr. MUALCCC. T NoµgEslD. C @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 9'.00 B40 00 Ex. Occup. OUTLETS Ro ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pre—Inspection 123.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation ,9f one hundred dollars ($100) or less.) f I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAz. compensation laws of California, and agree that R I should become subject to the wootefs. compensation provisions of section 3700 of the Labor Code, I shall f th comp y with those provisions. X AA Date % ' Sign ure f Applicant - ❑ Owner ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ D FEES IMP FLOOD COF PARCEL Po HD s This permit is hereby Issued under the of the Butte County Code and/or indicated above for which fees have _ By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. / oz ate ,q ` Q3 pg ReceiptNo. 360 $rh nn WHITE-D.D.S.-B.D. CANAR -ASS SS R PINK -INSPECTOR GOLDENROD -APPLICANT --' �Lr"v*ter-_.Y^--.,r. �,:::+.ti.-.L:....c.�,�'�A�i-,..T°r+�g'u�?x�r'�,d,�r�.: �7 FYwl�,�.y�,►� ,:f......�,,,.... ,,r •.�„�.,,,,,.. .�, •- ••- _ .» COUNTY OF BUTTE -DEPARTMENT OF'DEVq OPMENT SER ICE -BUILDING DIVISION 7 County Center Drive, Oroville, CA ,959`65 Phone (530)538-75 ax (530)538-2140 PERMIT APPLIC,'�ATION DATA SH T -- OWNER: %l r/^D &4) p ASSESSOR PARCEL NU R Proposed Building Use: Counter Techni 'an: 414 Date: Items required in order to app for a permit. All boxes MUST be chec ed marked NA in ortier t apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2.. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed; in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................:...................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑,,13., Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... - ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit...................:..................................................... ; ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ! ' ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:" ❑ 2 . Contact Land Development about ❑ Improvements, ❑ Drainage ............:.? ................ . ❑ 1. Encroachment Pe t dor drive w y m t u is o _ s Dept. (construction approval prior to occupancy). 22. Pre -Inspection for (�Q requiredr.............. / , i "I''1't ❑ 23. Contractor's license, informati . (Nuniber,'Name Style, Classification).......t............... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:........... "Y ................ ❑ 25. Owner -Builder. Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization....:.................................................I.............. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement..,/ .............................. ❑ 28. Manwfactured home utility clearance.........:.....:............................................... 9. E ''ting violations and/or expired permits......................................................... Gra tate t fF is ❑ e goo l Owner, ❑ Check to H.C.D. $ ❑ 31. Other:I,Gt&& r When issued Telephone I have been i fo ed of the toyFe items and required r Applicant: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by:. Date: 6 �and hold fo pickup. obtaining"albuildmg permit. Date: -2 x'. Plan Check Letter phone, ❑ mail, ❑ counter, by phone, ❑ mail, ❑ counter, by Plans approved by: _Structuralapproved by: Yellow: Building Division Date: Date: Date: Date: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 9,5965 - Telephone (530) 538-7541ERMIT NC lev.12/96) APPLICATION AND PERMIT - 1 04 -1 % / ASSESSOR PARCEL NUMBER©A ZON►p BUILDING PERMIT ' OWNERL� TlLEP►N SO. FT. OCC. BUILDING VALUATION OWNFAS AD SS � � �� CONTRACTOR'S NAME TeLOINDNE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MMUNG ADDRESS - Fireplace Total Valuation S ARCNRECT OR ENGINEER LICENSE NO. Filing Fee I $ 20.00 ARCNrTECT OR ENGINEERS LASING ADDRESS Permit Fee S Plan Checkin Fee $ BUILDING ADDRESS �/ �'� Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDNSIONSNAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ePEcsv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Rem el utirrties ❑ hstalle' ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W (9 20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Service � oma UEss 23.00 10 /62 SRA s&PAY' O T"z Lel Nt�tM1M L+ "In" Main Service 200A TO 1000A 46.00 NEW CONST: OAIBINO OOcUP. s0 OR ADDNS. ( i ACC. OLDS. CONST.NEW MUM -OUTLET NONRESID. aRANCH CIRCUffS @7.50 POWER APPARATUS & SINGLE OUTLET GIPL Ex. Occup. OUTLET OR FDCMRES e 0 O 1FIX.� Ex. Occup. OVnnETSS ME o.o¢n L 5.00 Temporary Service 23.00 bile Home Facilities 20.00 Vih. Wirin 23.00 ) ( ) "all / U�- (41ERMIT FEE : MECHANICAL PERMIT ding Fee 20.00 Heating Cooling Hood 1 1 6.501 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ acc NST ^'� TOTAL FEES7� NAZ. D. FEES IMP D COf PARCEL PO ND � ISSUE This permit Is hereby Issued d/ r the applicable t provisions of the Butte County Code end/or Resolutions to do work Indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON (Date) PRE -INSPECTION REPORT LOCATION:t(__91�_z LSA CONTRACTOR: PRE-INSPETION FOR: DATE: A.P. #• b0�5 ZONING: DATE TO INSPECTOR: lJ PERMIT HLSTORY:( ) NONE AS FOLLOWS: c;>(U I k�is� Building Description: Electric: Residents" of Una Currently Occupied Abandoned/Vacant Yes BUILDING INSPECTOR'S REPORT Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working__ Obvious SewaaePr Comments: Potable Water ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on. reverse ,.and indicate location on proper d- rr. _.,-_,v_..... --�-:-�' "'mss. �, ..,.aa._ ..v�„�'=`"....--i„L.,-;•-.r.�.•. -- e---0071 JEANNE E. BRUYER USING AGRICULTURAL BUILDING AS E/S LaPorte Rd, 2/10 mi SW Oro Bangor Hw t RETAIL SALES Bangor 7/31/84 Permit#32-84A(Agri m,ltnral _ W Exemp) Z, t r. 1 s fl � era..:;', •; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC ;ev12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUM1I01l0A soallo BUILDING PERMIT owNER SO. FT. OCC. BUILDING VALUATION DWNEAs TD s ? AQ CONTRACTOR'S NAME �/ TEL CONTRACTORS MAUNO ADDRESS CONSTRUCTION LENDER LENDER's MMUNG ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee I E 20.00_ ARCWTECT OR ENOINEEAS MAJUNG ADDRESS Permit Fee E Plan Checking Fee S LwnowcADORE SS �/ /1_ Energy Plan Checking Fee i PERMIT FEE S LAT NO. SLAl0N610NS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 SF O Duplex O Mobilehome O Other Water i in 15.00 cPEcsv TYPE OF WORK Each gas water heater or vent 15.00 Gas I in stem 1 - 5 outlets 15.00 New 0 Addition 0 RZ�Utilities O Instals O Other O Buildin sewer 15.00 Describe Work: Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT i Fling Fee 20.00 Main Service � OOR LESS 23.00 !- Main Service tow TO IOWA 46.00 NEW CONST: Oa OR ADDNS. ��S. j3.5¢R. LIET NONRESID. NLW " M mm ci cur @7.50 POWER APPARATUS i sfmLE oun.ET Gt. EX. Occup. ouTLET OR FwruREs I SAL 20 0 1.00 1 FIXED Ex. OCCUOUTLETS � APRESIDES OR I 5.00 / Temporary Service 23.00 bile Home Facilities 20.00 Wirin 23.00 ERMIT FEE _ s� MECHANICAL PERMIT ding Fes 20.00 Heating OC� Cooling Hood j 6.501 Ventilation PERMIT FEl: t j Mobile Home Installation Fee S Energy Inspection Fee I E occ CONST. TYPE TOTjAFE HA2 D. FEES IMP COI PARCEL POL4+Y4-aThis permit le hereby l-oda/the applicable provisions of the Butte County Code end/or Resolutbns to do work N�Yi1 Indicated above for which fees have been paid. BY Date _ PERMIT EXPIRES ON - T T ® SENDER: Complsto Kens 1, 2, 3, and 4. 0 Add pui�Wdress In the "RETURN TO" 9 apace on reverse. ea (CONSULT POSTMASTER FOR FISES) 1. ft 114OW(ng swfta Is mgtmsted (disck ane). ❑ Gh= to Vftm and date dadvorad "............... n SAmy t0 whom. date, and addresa at delivery.. 2. LJ RESTRICTED DELIVERY ........................... (nom msM=d da vwy to a ztolpd to wddk i b fm rewm mmw Ise.) ' TOTAL S 3: ARTICLE ADDRESSED TO: Jeanne E. Bruyer P.O. Box 337 Bangor, CA 95914 4. TYPE OF SERVICE: ARTICLE NUMBER OREGISTEREO ❑itJSURED McERnFIED ❑CDD P367195769 ❑EXPRESS MAIL . (Almys obtoln sign a1 a dreasa or agmd) I bw received IN article descri :ed abm. SHINA ❑Addmsssa ❑Aaftrized emm 5' DAT DELIVERY "TMAR: (=I Cs on rcvraee Ede) e. DRESSEE'S ADDRESS (Only it reqmW) r�r . c sj z 7. UNABLE TO DELIVER BECAUSE: 7a. EMPLOYEE'S m as QPa 1982379593 11/26/84 AP #28-26-25 coCtjr. WTURN DEPT' OF PUBO Q -T woRKS Department of Public Works s (Name of Sender) NOV 7" County Center Drive Abp 190q (Street or P.O. Box) 718149 011111211'Oroville, CA 95965 13i41516 (City, State, -and ZIP C6de) Attn.: Builing Department OIC ®V• i UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS P M Print your name, address, and ZIP Code In the spats below.. • Complete hems t, 2, 3, 4 and on the reverse. • Attetih to front of article if space pefmos, otherwise affix to back of artic!e. -9s 9 t • Endorse article "Return Receipt Requested" PENALTY FOR PRIVATE • adjacent to number. USE. SM coCtjr. WTURN DEPT' OF PUBO Q -T woRKS Department of Public Works s (Name of Sender) NOV 7" County Center Drive Abp 190q (Street or P.O. Box) 718149 011111211'Oroville, CA 95965 13i41516 (City, State, -and ZIP C6de) Attn.: Builing Department P. 367, 1,95 769' RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED—' O NOT FOR INTERNATIONAL MAIL '. (See Reverse) � Sent to Jeanne E. Bru er Street and No. P.O. Box 337 ' P.O., State and 21P Code Bangor, CA 95914 Postage $ Certified Fee y r Special Delivery Fee Restricted Delivery Fee r Return Receipt Showing to whom and Date Delivered i Return Receipt Showing to whom, i N Date, and Address of Delivery + " 00 a -+ TOTAL Postage and Fees $ � M m i W Postmark or Date Cl00 o M ` 1 { E I M Q 1 W 11/26/84 AP #28-26-2 ia { I Recording Requested By: BUTTE COUNTY TAX COLLECTOR AND WHEN RECORDED MAIL TO: Lynn M. Miller 6964 Upper Palermo Rd. Oroville, Ca 95966 Ilillllll!!!ulllllllJllll111lII! X002-0036560 Recorded Official Records CouBn E f CAMCE J. GRUBBS Recorder ROSENRRY DICKSON Assistant 09:02AM 17 -Jul -2002 REC FEE 7.00 TAX ii.55 CONFORM .00 Barbara Page 1 of Documentary Transfer Tax —computed on full value of property conveyed -$I I -S5 in the Unincorporated Area ^ t �/CJ s'efi Declarant Pat Stockton, Deputy Tax Collector TAX DEED TO PURCHASER OF TAX -DEFAULTED PROPERTY On which the legally levied taxes were a lien for Fiscal Year 1991-1992and, for non-payment, were duly declared to be in default. Default Number: #920000926 This deed, between the Tax Collector of Butte County ("SELLER") and Lynn M. Miller ("PURCHASER") conveys to the PURCHASER, free of all encumbrances of any kind existing before the property tax -default sale, except those referred to in §3712 of the Revenue and Taxation Code, the real property described herein which the SELLER sold to the PURCHASER on June 24, 2002, pursuant to a statutory power of sale in accordance with the provisions of Division 1, Part 6, Chapter 7, Revenue and Taxation Code, for the sum of $10,511.55 NO TAXING AGENCY OBJECTED TO THIS SALE. In accordance with law, the SELLER hereby grants to the PURCHASER that real property situated in said county, State of California, last assessed to Jeanne R. Bruyer & Jeanne E. Bruyer, and described as follows: Assessor's Parcel Number: 028-260.025-000 A portion of Section 27, Township 18 North, Range 5 East, M.D.B. & M., in the Town of Bangor, California, being more particularly described as follows: COMMENCING at the Section corner common to Sections 21,22, 28 and 27; thence leaving the Section corner and running South 00 degrees 17' 11" East, a distance of 2620.22 feet along the West line of Section 27, to the quarter corner common to Sections 27 and 28; thence leaving the quarter corner and running South 22 degrees 15' 20" East a distance of 887.33 feet to a point, being the true point of beginning for this description; thence leaving the true point of beginning and running North 41 degrees 50' 12" East a distance of 153.40 feet to a point; thence leaving said point and running South 49 degrees 01'41" East a distance of 139.76 feet to a point; thence leaving said point and running South 45 degtees 38'24" West a distance of 156.35 feet to a point, which point is marked by an iron pipe; thence leaving said iron pipe and runing North 47 degrees 56 48" West a distance of 129.37 feet to the point of beginning. Tax Mailing Address: Lynn M. Miller, Sole & Separate (Title to Show) 6964 Upper Palermo Rd. Oroville, Ca 95966 By: V4624r;� Dick Puelicher, Butte County Tax Collector State of California, Butte County. Executed on the 3`a day of July, 2002. On '713Z O a Before me, S. S a ^ &e_ rS personally appeared Dick Puelicher, personally known to me to be both the Tax Collector of said county and the person who subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity as Tax Collector, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. IS", Candace J. Grubbs County Clerk Deputy Department J. Michael Crump, Director Warner C. Phillips, Assistant Director October 31, 2002 Lynn M. Miller P. 0. Box 202 Bangor, CA 95914 Re: Application for Certificate of Merger AP 028-260=025 Dear Mr. Miller: Public f 8 u t Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 On October 31, 2002, the Department of Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project. Enclosed please find a conformed copy of the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on October 31, 2002, under Serial Number 2002-0058660, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, �o✓ Stuart Edell Manager, Land Development Division SE/kp cc: Environmental Health Department J Building Division Ron Graves (02-035) RECORDING REQUESTED BY and AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DMSION 7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 31 -Oct -2002 2802-0058660 Has not been compared with original BUTTE COUNTY RECORDER CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBERS) 02S 2.(v(�'1��2� SUBDMSION / PARCEL MAP: BOOK --PAGE 77 BLOCK LOTS) Z q AND PosmvAl LgT5 ,?o 37— As 2As of the date of recordation, those lands noted above are merged to create one single parcel of land as described in Exhibit A attached hereto. OCTOBER 30, 2002 MDt CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that single parcel as described in Exhibit A attached hereto. ALL SIGNA TURES MUST BE NO TA RIZED Print name and title (if applicable) below signature tine i�iG�G/� Sign and print name & title Sign and print name & title Date Date J ALL-PURPOSE ACKNOWLEDGMENT State of California !� SS. County of OnV �r a� 11s.��o� before me, (DATE) (NOTARY) personally appeared _LIA R � � t `t SIGNER(S) ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(6�_whose name(s-'— is/ar&-sub.scribed to the within instrument and acknowledged to me that he/she/may executed the same in his/her/the4r authorized capacity(res), and that by his/4tef�t t-eir SHAWN I. NELSON signatures(&) -on the instrument the person('s� NComm. I1363163 -� NOTARY PUBLIC -CALIFORNIA N or the entity upon behalf of which the Yubt County MY Comm. Expiry June30.MOB person(s)"Icted, executed the instrument. WITNESS my hand and official seal. NOTARY'S SIGNATURE OPTIONAL INFORMATION The information below is not required by law. However, it could prevent fraudulent attachment of this acknowl- edgment to an unauthorized document. CAPACITY CLAIMED BY SIGNER (PRINCIPAL) INDIVIDUAL ❑ CORPORATE OFFICER TITLES) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGN IS REPRESENTING: NAV PERSO S OR ENTITY(IES) DESCRIPTION OF ATTACKED DOCUMENT 0_e, - 0� mqjr7QQ (- TITLE OR TYPE OF DOCUME JNT NUMBER OF PAGES 1c) 10-D' DATE 01 DOCUMENT OTHER � 4 g L 1 1'//rllll �'�.,�: °f•:�/.11.�8 (4. RIGHT THUMBPRINT n r`it4ltl't, t;n:�.;:,+,�rfi,F e•. OF E SIGNERCL ,r1r'1;•:.;hAt��.fr"' APA 5/99 VALLEY -SIERRA, 800-362-3369 EXHIBIT "A" LEGAL DESCRIPTION I All that property situate in the County of Butte, State of California, described as follows; A portion of Section 27, Township 18 North, Range 5 East M.D.M., as shown on that certain Record of Survey Map filed in the Butte County Recorders Office in Book 47 of Maps at Page 7, Town of Bangor, California, described as follows; Commencing at the Northwest corner of said Section 27, which corner is marked by an iron bar in a mound of rocks; thence South 000 17' 11" East along the West line of the Northwest one quarter of said Section 27, 2620.22 feet to the West one quarter corner of said Section 27, which corner is marked by an iron pipe in a mound of rocks; thence South 220 15' 20" East, 887.33 feet to the TRUE POINT OF BEGINNING for the herein described parcel of land; thence North 410 50' 12" East, 153.40 feet to an iron pipe; thence South 490 01' 41" East, 139.76 feet to an iron pipe; thence South 450 38' 24" West, 156.35 feet to an iron pipe; thence North 471 56' 48" West, 129.37 feet to the point of beginning. Containing 0.48 acres more or less. The Basis of Bearings for this description is the same as shown on said Record of Survey 47 M 7. Job 00-035 APN 028-260-025 10-29-02 END OF DOCUMENT I �V S `i CERTIFIED`IL Jeanne E. Bruyer P.O. Boa 337 Bangor, CA 95914 Dear Ms. Brayer: t DEPARTMENT OF PUBLIC WORKS S E A ! 1 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF Director Novea:ber 26, 1984 RE:. Permits and Inspections AP # 28-26-25 With reference to the above subject, on July 310 1984 we wrote you a letter requesting that you obtain the required permits and the'required inspections from this office for the work you have done as follows: Using an agricultural building for retail galea an your property located off LaPorte Road, Bangor. Since both permits and inspections are required by both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, r i c l Vo I JFG:aj t �\cc: Building tpector 91111M. Chef f Director of Public Works Original sicm-d by J. F. Glander J.F. Glander Chief Building Inspector t 4--C,. 'J � /-I— 1—t � Z�1 � � Y f /A ✓ r?✓ � c... �. � 1 i.+ � o- ••v^l'v' ✓ ` � r � r V � � —�c.C` 1/ �►•�--.� Al -L g v i '--0 i ry s A '° ��TL �-o �i�Y C9,°c.,�s �Ae wA-1 '1 i4-490 FU 0 $v(L-e,1VGS. -� NoTtc0 ?#Vla7' Ll"X) F-144Pl-y�i v 3 S 13 " X"a z X co C\j CQ XN 12 19 g C, % Uj LLJ15 'o Cf) V)Q� / •t\; A/ 35 4 q - 2e 50 .19 IV 5 AC 30 10 A., -rf) 5.50 4C F.14 94:/7 % pl� c PS47-07 23 IfN t.-IKI-LC3 -TRANS. FROM P� G 2 00' MAR 1951 - - MAY 2 0 1986 a He LAND OF NATURAL WEALTH AND BEAUTY DEPAR_.TMI;NT OF PUBLIC WORKS 4� 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 01 V--- !& Telephone: (916) 534-4541 CU WILLIAM (Bill) I CHEFF Director s, qukko_ ii . CiTp (0 CERTIFIED"MAIL November 26, 1984 Jeanne E. Bruyer P.O. Box 337 Bangor-,, CA . 95914 RE: Permits and Inspections AP # 28-26-25 Dear Me. Bruyer: With reference to the above subject, on July. 31,. 1984 we wrote, -Yqu a ' let.ter-req4es ' ting;th_at.ycT obtain the require'd , permits and; the required- inspections from this office for* the work you hav-e-do,ne as follows: - Usti* an agricultural buildihi fot.retall s8164 60 your property'located:6ff Worte Road,,Ban gor. Since both permits and inspections are-required*by both State *and County laws, unless you have obtained the required permits and made arrangements for the required inspect ' ions within ten days , of the.date you receive, this .letter, the matter.will be referred to the proper authorities for appro'pridte action. Should you have any questions concerning this matter, please contact us. Yours very truly, Direct o Public Works Original sign --d by J. F. Glander J.F. Glander OJFG:aj Chief Building Inspector cc: Building Inspector --O&)Dvllle r t? -j e- Q_ F --t4 0-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillegialif.omia 95965 - Telephone 916/534-4541 r AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. ,• . Agricultural building is defined as follows: Agricultural building is a structure designed and constr c d to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structures all not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO; c< — ZONING A' OWNERPHONE NO. OW 'S ADDRESS LOCAT FSBUILDI(VG ^ USE OF BUILDING-,,. b (e3ki Fee SIZE OF STRUCTURE xQ'� — SO. FT. TYPE OF CONSTRUCTION: T� WOOD FRAME STEEL CONCRETE OTHER (Specify)' TYPE O IDING ROOF CVERI G F TYPE e� I ESTIMATED OST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as foll- ows REAR FRON @/SIDES �� AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. to / Date F Signature of Owner Permit Fee - $25.00 The above described�ACG Building is exempt from a building permit. Receipt No. 1 �(�Director of Public Works By 1. o 4 Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant ' Robert &,Jeanne Bruyer P.O. Bos 337 Bangor, CA 95914 Dear Mr. & Mrs. Bruyer: January 18, 1985 RE: Building Permit AP #28-26-25 t This letter will confirm our conversation held on January 17, 1985, concerning the agricultural buildingyou are using for retail sales on your property located off the LaPorte Road in Bangor... Since Mr. Bruyer is scheduled to return to the hospital, you should first attend to your medical. needs.., Later,, please.apply'for a Special Inspection by submitting plot plana, floor plans and a.$50.00 fee. We will then inspect the building and determine what may be necessary to comply with code requirements. Should you have any questions,, -please contact me. Yours very truly, William Cheff Director of Public Works Opiginal signed by 'J. F. Glander J.F. Glander JFG:aj Chief Building Inspector ���� -7 0 0 1 �� . . . _ .. _ a' �� .. .\ ,� , i .n .. � .. . � .. .,__.�_.. .___._ —,_�--_.___.... ____._._ �.__.._. �_._.__._�.., y..� _._,—.,.—.�._._.. ._.__ ..___._. ___ _. D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: f 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6.• Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): •3. What action recommended: A. Information only -file. B. Hold for ten days,, then write letter. C. Write letter. / / D. Other: .2 7,-90t eV Owner • ) e014 Address: r �r Tenant: Building Location: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT s'or-.C?a' gs-;�'; r. A�� zo�re Date of Inspection Inspector aro SS v Type of Inspection requested: b am " � � / ` 1. Housing / / 2. Financing 3. Change of Occupancy to oe 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural , 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: �i li x July 31* 1984 WILLIAM (Bill) CHEFF Director RE: Building Permit P.O. errs 337 A.P. # 2$a26M23 SanpT CA 93014 far!. BYnr: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing'as follows: 4P.1cultvX4..1 WSW" ft ret4ir. "106- � yQUV pvoplusy � Since permits and inspections are required by both State and County laws, please contact this office within ten (10),days of the date of this letter, submit Wo these tai complete sets of plans, apply for the requiredpermits,'and pay the appropriate fees— All- :. All work must stop until you obtain these permits and are authorized by our field inspector to proceed.. This.field_ authorization cannot be made until the,existing work .is.inspected and.approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. i Yours very truly, Director of Public Works JFG:aj cc,uildin Inspector " �vuls Assessor Original signed by I J. F. Glander J.F. Glander Chief Building Inspector -j; LAND OF NATURAL WEALTH AND BEAUTY �� DEPARTMENT OF PUBLIC WORKS. r . 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 July 31* 1984 WILLIAM (Bill) CHEFF Director RE: Building Permit P.O. errs 337 A.P. # 2$a26M23 SanpT CA 93014 far!. BYnr: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing'as follows: 4P.1cultvX4..1 WSW" ft ret4ir. "106- � yQUV pvoplusy � Since permits and inspections are required by both State and County laws, please contact this office within ten (10),days of the date of this letter, submit Wo these tai complete sets of plans, apply for the requiredpermits,'and pay the appropriate fees— All- :. All work must stop until you obtain these permits and are authorized by our field inspector to proceed.. This.field_ authorization cannot be made until the,existing work .is.inspected and.approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. i Yours very truly, Director of Public Works JFG:aj cc,uildin Inspector " �vuls Assessor Original signed by I J. F. Glander J.F. Glander Chief Building Inspector File No. BUTTE COUNTY Public Works Dept. Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. d (For Action 1, 2,3) (For Information ✓) ❑ Coarplaint-Date ❑ Other -Date Owner: PA„,A/P _ Address: Tenant: t k , tv BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ' Z ZONING — 6Zc1—;2700A.P. # 6_ Date of Inspection Inspector Building Location: A 44 !o Ile vSe 6-) , Type of Inspection requested: �J 1. Housing / / 2. Financing / / 3. Change of Occupancy to��• 4. Work W/O Permit / / 5. Other (specify) Present use of building: A. Sanitation (Housin 1. Water closet: 2. Lavatory: _ 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance$,Handrails) 15. Comments: B. Structural , Piers and footings: ' Floor construction: 3. Wall construction: - 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas'heating vents: _ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: f F. Commercial Buildings 1. Roof covering: ® Distance to property lines: 0 -t- (!!fj7--> Physically handicapped: 4. Restroom floors and walls: � Exits: 6. Improvements: 7. Zoning: 461 k.,r ,_,,L e- 8. 8. Comments: ""5; G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /.D. Other: i COUNTY OF BUTTE - DEPARTMENTYOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLOCALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER A? /Y 'Proposed Building Use Permit No. A. P. No. s/ v - Permit Fee Based Upon: Comp e`Co (t•ract Priced 4�DPW Valuation K71ther (Explain) Building Inspector _,C\ v«iT Date At time of permit application, I was advisedUthe following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1�1All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans -in duplicate. /triplicate. . . . . . . . . 4.- Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non, -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization.,, 10. Sanitation approval from �`� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given'to owner0, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required- BuilPre-Inspec. request to p q Building Inspector (Date) 18. Other When you issue the permit, process as follows: l/Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Date1�1//W/4/ r'nnv of nlnnc ennt Wnnith Ilont Liuring lne plan cnecKing process, the following uald must oe 51.101-1-Illleu prior to permit I551.1ance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date 'Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'- Oroville, California 95965 (�~ Telephone: 534-4541 APPLICATION FOR SPECIAL INSPECTION Owner /Yr�.4 W/r A.P. No. Mailing Address ', n �� ; y �� "� ��� �ro� 9�' 9/4 Telephone No. Applicant �I,v d P%� �a Y, Telephone No. Building Location T P ��` I �� e!� :ji'j I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) /01 4. Other (specify) ` 1, n �, ►,� rY�e �°� 0!r) I am requesting a special inspection for the purpose of: 1. Moving the building. 2. Financing (specify agency) Case No. / <,,_l 3. Change of occupancy to ��� � r` s6 /'�2 C 4. Other (specify) I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y c Date Signature of Owner Feeaid p Receipt No. -� 1st -DPW - 2nd -Inspector - 3rd -Applicant N/vI P.S� 7�,;r� 'A -r 7,40 —z�S— y r' SPEED LETTER® TO ✓t�d%/�� FROM SUBJECT _FOLD MESSAGE DATE s� �= FOLD +C.fI1R, �G SIGNED �Ilk,6 Axa — FOLD REPLY DATE 19 T fs� SIGN G Line "SNAP -A -WAY" FORM t6 -912P 3 -PARTS 867 WILSON JONES COMPANY • © 1961 • PRINTED IN U.S A. RETAIN WHITE. COPY, RETURN PINK COPY . f W OFF IC6' FEE oft of 3f .PofkThbLs 3z I FS � � � ay ,.,fir• ' �- �- �1 SA,— ,r-- PO LE C JfI- RLY 4 _v..R..._4= N.___cc.. Pigg S NTS a FS � � � ay ,.,fir• ' �- �- �1 SA,— ,r-- PO LE C JfI- RLY 4 �N f � r r %F. -Q cE_�jA._ POLE i 3' DEEP oN..CIC'. I � t ' 446 TOP PLATE R r Or r Y ! i� Y'y.-�..F 1. I ` e-:..-_ t s ; zz a 1_....._ .. _v..R..._4= N.___cc.. 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