HomeMy WebLinkAbout027-300-066.27-30-66
Horace A. Shupttine
NIS Tin Lane, app.600'W.of Palermo
Honcut Hwy, a lermo
Permit #2171- E(util ,
ELEC S
GA S
rCOMPACTION
PORT STRUCTURE RE-.
TEST -EQ. �d
27 3 0-66
r• SS & HjM^bile Home Service
Per �t#2562-80MHI
Issued �-dL ��
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.27-30-66
Horace A. Shupttine
NIS Tin Lane, app.600'W.of Palermo
Honcut Hwy, a lermo
Permit #2171- E(util ,
ELEC S
GA S
rCOMPACTION
PORT STRUCTURE RE-.
TEST -EQ. �d
27 3 0-66
r• SS & HjM^bile Home Service
Per �t#2562-80MHI
Issued �-dL ��
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PERMIT NO. 2171-80P,E '2 D�o 2 —
PERMIT EXPIRES .5//
OWNER Horace A. Shuptrine
CONTR. owner
LOCATION (A.P. 27-30-66 )
N/S Tiny Lane, app,.600'W.of Palermo Honcut
Hwy,_Palermo
Temp. Power Pole
Called PG&E
Temp. Elea Seru
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED L --
(Date)
(Signatureq
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
�/ I .
✓ { � � - "
Owrfrr f c T+ S ��!. e- -x,
Owners Address
JMobilehome Mfg.�'�`--'�: Ju-`-� Model ' « < ' 'Year
Jnsignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Date f'
Director of Public Works
B_4. �.. .
By—
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
County -af Butte
DEPARTMENT 09�PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
......................7.......,...... ...� -.......................................
Buildin or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
........................................................................................................................
.......... I .... .... . ..... .... .,2z.r......
............d....'.........................................................................................
.........................ID
..................................................................................
Date.' ....?Inspector........................................................
Not Remove This Tag
(400-4)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .•
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
S tback kewall So Piping
Fo s Pa ets 1 Floor
M n Bldg. Rest om Finish 2ndV loor
otin s Windo 3rd Aoor
Ste wall Siding To out
Slab Roof SheaNhing Water Pi i
Piers Roofing Sewer
Garage Fdn.• Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa I I Insulation Heaters
SlabProv. for phsical Appliances
handica ed
Carport V Conformance of 'ex. Gas Piping& Test
Footings A structure Temp. as
Slab Final A Sanitation
Patio F EP ACE Final
Footin s Footin EL§(CTRIbAL
Masonry Wall Throat Rough
Relnf. StAl Final Fixtures
Bond B m J11RE SPRINKLER Motors
Framina Test Water Htr.
Stucco Final Subpanels
Me MECHANICAL Grd. Fau Prot.
S atch Heatin Service
Fhown Cooli g Te Pole
finish Duc U der round
tenor Lath Ve illation ennanent
oor Closer nal inal
MOBILEHOME UTILITIES ------------------ Elec_ Service
Water Piping , , Sewer Gas Piping i
B E OME INSTA LATIOSupport Elec. Continuity
Water Piping Y 0 Drainage Gas Piping
DATE REMARKS OR CORRECTIONS \'
JW
6121-96)
,
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1.- Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yeso____
c
2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye /No
3. Are footings and supports properly sized, spaced, and braced as pr approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yesp No
4. Is the mobilehome level? (Sec. 5088) Yes No_
If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6., Water
A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No
leBackflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes.. No_
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No.
B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in drainage system after running 3- llons of water through each
fixture including washing•machine standpipe? Yes_ No
If coach is not State of California approved, does station have required trap and vent?
Yes— No
8. Gas Piping and Gas Vents
A. Connector,- Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobile me gas line inlet without reductions other than the mobilehome
connector. Yesi
B. Test OK as per following procedure? Yes_ No
1. Open all appliance connector -valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"--14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water. /
C. Are all appliance vents properly installed? Yes t No. /
y
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rsting�of
mobilehome with a minimum of W amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yeso_
B. Is thereP roper clearances around panels? Yes No_
C. Is power supply cord or feeder assembly properly fused? Yes'--'No-
9
D. Is continuity test satisfactory as per the following procedure? Yes�/o
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the,power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length_
Width �?
Vehicle Serial No. �l
State Identification No. Ac`7'i�
Additional Information or Comments:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
FN
ASSESSORPAR EL NUMBER
ZONIN ^X
BUILDING PER
OWNER
lAore 4C6 k. :5#0107-k!/R/E
TEL PHONE
673-3-335D
SO. FT. OCC. BUILDING VALUATION
OWP, 0 MAI LIlJG J50-7RESS P��0 Qg
CONTRACTOR'S NAME r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE No.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD G ADDRESS _
/(/ l/l1 �il�. t900" lil��S/ ��
PLUMBING PERMIT
Filing Fee 3.00
ALn L,
C4 o 1-6A)W T �y'
Each Trap
2.00
Repair drainage or vent piping
2.00
P -0
Water piping
/Q, 190
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets/64-11(j
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
r,06
Lawn sprinkler system
+2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities Installation ❑ Other ❑
Describe work:
Permit Fee
$ .0
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORSLESS
5.00 5-00
Main service EA. ADD'L too AMP
2.50 Zr
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License No. Classification
VNI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON -RES'.. BRANCH CIRC ITS
NEW CONSTR. /POWER APPARATUS 8
NON-RESID. %SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 50L9 250
BAL@t
FIXED APP LHS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /S.1576
Misc. Wiring 6.25
Permit Fee
Contractor zo lue
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agaanssaid County in co equence of the granting of this permit.
X Date ®
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories 4 height.
Mobile Home Installation Fee $
Land Development Fee $ 2 . 00
TOTAL PERMIT FEE $
OccUP. GROUP
I TYPE OF CONST.
PARCEL
S/
PD
H
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
By
PE XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�
ate s%,-y/� 13
Receipt No. ✓ / r3 3 W-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS
7 County Center -Drive, Oroville, CA. 95965 PHONE: 916-534-4541
i
Horace A. Shuptrine
P.O. BOX 507
Palermo, CA. .95968
Dear Mr. Shuptrine:
With reference to the above subject:
/ / Attached is:
Application for permit
Building Plans
Engr. Calcs
Labor Code Information
DATE May 5, 1980
RE: MOBILEHOME UTILITIES PERMIT APPLICATION
NO. 2171-80
A.P. # 27-30-66
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
OTHER
Vff 7 We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement..
Contractors License Law information or check exemption statement.
Letter authorizing signature of
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans in prepared by registered civil engineer or
architect.
Engr. calcs.
sets of plans in accordance with the changes marked in red.
Sanitation approval from.Butte County Health Department at:
695 Oleander Ave., Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte.County Planning Department, 7 County Center Drive,
'Oroville, for
Copy of recorded parcel declaration.
.Recorded copy of deed showing
X/XX/ OTHER Our records indicate that the above parcel was created December 1971 at which time
a 60 ft. right of way was required.
Please furnish us a copy of a recorded deed showing a 60 ft. right of way or a
parcel map, or obtain a Certificate of Compliance from the Land Development Section of the
Department of Public Works.
Should you have any questions concerning the above, please contact this office.
JFG:dd
(1s)
Yours very truly,
Clay Castleberry
Director of Publi Works
Glancrer
Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PZ RCEL NUMBER
'�
ZO ING
/ —Z
BUILDING PERM
OWN
TELEPHONE
SQ. FT. OCC.1 BUIL
PING V TION
OW 'S MAILING ADDRESS p
b 5-6 V P�
CONTR CTO 'S E
aev
TELEPHONE
!1
CONTRACTOR'5 MAILING ADDRESS
iso �c�vE
CONSTRUCTION LENDER
v7(1b
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESSL _ a/ We
'/V,
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehom6Q. Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatior� Other ❑
Describe work: Bu— �jO Z111-9�9
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service i$o AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP,&)
20 sq it
CONTRACTORS LICENSE LAW
I declare u r penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profes C e m license is in full f d/effect .
/ y /�1
License No. b Classification � ITU
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR TI -OUTLET 2.50 ea
NON-RESID. BRANCH CIRC ITS
NEW CONSTR /POWER APPARATUS &)
NON -RES D. (SINGLE OUTLET CIR.
so@@1
Ex. Occup(o OR FIXTURES BAL�IOQ
FIXED A
Ex. Occup.(OUTLETS P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare unler penalty of perjury (check one):
❑ To permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I1are to save, indemnify a d keep harmless the County of Butte against
all i bilities, judgme costs, and expenses which may in any way accrue
agai s said County in c nse ue ce of the granting of this permit.
Dat
Signature of Applicant — , Owner ❑ Contractor nt ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$ —
Land Development Fee $
te
TOTAL PERMIT FEE $ 4101 —^
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER6dT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DatesG y Z—b��
S' ZZ- - p /
����
Receipt No. r
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
'*if center piers are other than drawn above,
aw_ in—locations, _spacing, and dimensions.
of''f
I£ other than single wide, 1� ••�
Mobilehome Mfr.
moi'-> !�� i ;-'�.`;%> _
furnish Setup Model No. Year,
Width (ft.)
Box Length, 'S C+
(ft.) Tagalong or Expando Size ft. k ft.
(SHOW
SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October
7, 1973; furnish manufacturer's installation
manual and structural
setup sheets (if
not on file with the County of Butte).
All center supports
measured from front
of
mobilehome"unless.otherwise
specified
Footinj%$ (check one)
Single,
s1. Wood either, '
pressure treated or
foundation grade.
(ft.) in:)
x
(in.) (in.)
2. Other• (specify)
Center Supp rt
Center sup ort
Supports (check one)
locations
footing s zes
(� 1: Concrete block.
4`'1
2.i Other (specify)
x
(ft.)(in.)
(i ) (in.)
E---1Tagalong or Expando,'
show support details.
(in.)
x �' `
-- Typical Support
Zin)
in. ('in.) Footing Size
'7
'
-- Max. Pier Spacing
In
,-- Max. Overhang
(ft.)l (in.)
'*if center piers are other than drawn above,
aw_ in—locations, _spacing, and dimensions.
1. Owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes /, / No
(If yes, furnish permit number OR
Is the site an existing site? Yes _� No 7
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements?- Yes Tk� No
(If no, clarify )
DVILVirvb UkF'AKIME
APPROVED ��
f'n
5.
What
is the mobilehome electrical rating? --------------------
Amps
6.
What
is the mobilehome site service
rating? ---------------------
ps
7..
What:
is the mobilehome site circuit
breaker rating? ------------- V�
1 amps
8.
Is there any other electric load tolVe
served by the mobilehome
siteservice?
------------------------------
------------------- Yes,
No
(If yes, identify the load and
size: (Load) •9 (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
10.
What,is
the type of gas service? -----------------------------
Natural
LPGAV_.
11.
What
is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
What
is the mobilehome gas demand?
------------------------------
(BTU)
(This information not required
if pipe length less than 6 ft. on natural
gas
or less than 50 ft. on LPG.)
A�
BUTTE COUNTY
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DESCRIPTION
s*s*ss*sss*sss*ssss
All that certain real property situate in the County of Butte, State of, California.,
described as follows:
Lot 14, and the West 35.0 feet of Lot 15, and the North 40.0 feet of abandoned
Kenilworth Avenue, lying Southerly of and adjacent to Lot 14 and the West 35.0 feet
of Lot 15, in Block 46, as shown on the map entitled, "MAP OF PALERMO and SUBDIVISIONS
1 and 2, with Addition to No. 1 of the PALERMO CITRUS TRACT", which map was filed in
the office of the Recorder of the County of Butte, State of California, September 17,
1888.
EXCEPTING THEREFROM the Northerly 110.0:feet thereof.
ALSO EXCEPTING THEREFROM the West 85.0 feet of said Lot 14.
TOGETHER WITH and RESERVING THEREFROM a right of way for road and public utility
purposes over a strip of land 40.0 feet in width, lying Southerly of and adjacent
to the following described line:
Beginning at the Southeast corner of the West 85.0 feet of said Lot 14; thence East,
along the South line of said Lot ..144,..and.-the -_South -line of ,Lots 15 and ..16., 'in said
Block 46 to-a'point of the West line of Carmel Avenue and the end of said line.
ALSO TOGETHER WITH an easement for roadway purposes over a. strip of land 60 feet in
width, the centerline of which is more particularly described as follows: OW
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Beginning at the intersection of the Westerly line of Carmel Avenue with the cen•terine�;
of Kenilworth Avenue (abandoned), as shown on the Map entitled, "MAP OF PALERMO and
Subdivisions 1 and 2 with Addition to No. 1 of the PALERMO CITRUS TRACT", which map cz-
was filed in the office of the Recorder of the County of Butte, State of California,
September 17, 1888; thence West along. the centerline of said Kenilworth Avenue,
(abandoned) to a point at the intersection of the Northerly extension of the �^
Westerly line of Lot 13 in Block 47 of said PALERMO CITRUS TRACT, Subdivision No,. 1. �
EXCEPTING THEREFROM all that portion within the boundaries of the above described
parcel. END GF GCCUI1 ,1T1Z
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