Loading...
HomeMy WebLinkAbout072-320-015(C got fix. I 0A1ed asW for �.ov- Ntr; I wquev i0 • I I qrrl� on P �, � INSTRUCTIONS FOR RECORDING FORM HCD 433A 1. Please review the HCD Form 433A before recording at the Butte County Recorder's Office. Verify that all information is correct. You will be responsible to 'pay any fees if re-recording is necessary to .correct .any�er-rors on the form. 2. Take_ the .. original and copy of the 43 3 A _provided .by. our office to the Butte County Recorder's Office at 25 County Center Drive, Oroville (in the Butte County Administration Center Building). Ask }them to record the original and to `conform' the copy. They will keep the original and give the copy back to you to bring to our office. We will copy this copy and give it back to you for your records. CUMACT Y � k 'BUTTE COUNTY RECORDER'S OFFICE AT (530).538-7691 FOR OFFICE HOURS AND. FEES FOR RECORDING DOCUMENTS. DO NOT RECORD THESE INSTRUCTIONS — REMOVE PRIOR TO RECORDING Rev'd 2-23-09 . RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARQUEZ FAMILY TRUST BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 4115 FOOTHILL BLVD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 250 HURLES CIRCLE B10-0204 (530) 538-7601 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT TELEPHONE NUMBER OROVILLE BUTTE CA 95966 10/15/2010 CITY COUNTY STATE ZIP SIGNATUT50 LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY • STATE ZIP UNIT DESCRIPTION 09534 FLEETWOOD HM INC 1991 SUNPOINTE/3443B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLMI7A/B13607ST 44 x 24 RAD620640/41 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 072-320-015 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. I 1 DESCRIPTION EXHIBIT A LEGAL DESCRIPTION ALL tHAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: A PORTION OF SECTION 23, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: BEGINNING AT THE EASTERLY INTERSECTION OF THE CENTERLINE OF THE OROVILLE FORBESTOWN ROAD AND THE OLD HURLETON FORBESTOWN ROAD, SAID POINT BEING 250 FEET, MORE OR LESS, NORTHWESTERLY FROM THAT POINT WHERE OROVILLE FORBESTOWN ROAD INTERSECTS THE EAST LINE OF THE WEST HALF OF NORTHEAST 1/4 OF SECTION 23; THENCE ALONG CENTERLINE OF OLD HURLETON'FORBESTOWN ROAD NORTHERLY, WESTERLY•AND SOUTHWESTERLY, ---TO. ITS WESTERLY INTERSECTION OF SAID EXISTING OROVILLE FORBESTOWN ROAD ON THE SOUTHERLY BOUNDARY LINE OF - PROPERTY DEEDED TO B. ' F. "AND BLANCHE DOLEZAL, DEED RECORDED OCTOBER 17, 1954; THENCE } SOUTHWESTERLY ALONG SAID ROAD TO'THE POINT'OF BEGINNING. EXCEPTING THEREFROM THAT PORTION- THEREOF LYING NORTHERLY •OF -- FOLLOWING DESCRIBED LINE: BEGINNING AT "THE NORTHEAST CORNER OF THE NORTHWEST 1/4 `•OF ':THE, NORTHEAST 1/4 OF SECTION 23; THENCE SOUTH ALONG EAST LINE OF'SAID` } ` NORTHWEST 1/4' .OF NORTHEAST 1/4 830 FEET TO A POINT; -THENCE NORTH 85` DEG. 05' WEST 190 FEET TO THE OLD HURLETON FORBESTOWN ROADv,THENCE' ALONG' -'SAID ROAD SOUTH 24 DEG. 35' 30" WEST 216 FEET, SOUTH'%4 DEG.•' 50' WEST 125 FEET, SOUTH 13 DEG. 55' EAST TO A -POINT IN CENTER OF• AFOREMENTIONED ROAD AND THE POINT OF BEGINNING FOR THE LINE TO.BE• DESCRIBED; THENCE FROM POINT OF BEGINNING, SAID POINT 'ALSO - SOUTHEASTERLY CORNER OF PARCEL DEEDED TO ALBERT WELDON, RECORDED'- JULY..11; •:::195.7 :.: IN::• BOOK 'PAGE 188, OFFICIAL RECORDS, NORTH 88 DEG. ZO' "WEST, x•150 FRET TO SOUTHWESTERLY CORNER OF A WELDON PARCEL; THENCE NORTH 13 DEG. 55' WEST 150 FEET; THENCE NORTH 1 DEG. 20' WEST 255 FEET -TOA POINT IN AFOREMENTIONED OLD HURLETON FORBESTOWN ROAD AND THE END OF THE LINE BEING DESCRIBED, SAID POINT ALSO MOST WESTERLY CORNER OF PROPERTX. DEED TO C. H. WELDON, ET UX, RECORDED AUGUST 17, 1953. /ri ALSO EXCEPTING THEREFROM THAT PORTION THEREOF CONVEYED TO THE STATE OF CALIFORNIA BY DEED RgCORDED FEBRUARY 14, 1966, IN BOOK 1413, i PAGE 604, OFFICIAL RECORDS.. A.P.N. 072 - 320 - 015 F 1 J i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, , INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARQUEZ FAMILY TRUST BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 4115 FOOTHILL BLVD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 250 HURLES CIRCLE B10-0204 530) 538-7601 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT TELEPHONE NUMBER OROVILLE BUTTE CA 95966 10/15/2010 CITY COUNTY STATE ZIP SIGNATUREo LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION 09534 FLEETWOOD HM INC 1991 SUNPOINTE/3443B MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAME/NUMBER CAFLMI7A/B13607ST 44 x 24 RAD620640/41 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: _ 072-320-015 HCD FORM 433(A) REV 8/91 EXHIBIT A LEGAL DESCRIPTION DEBCRIPTION ALL WHAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE,.DESCRIBED AS FOLLOWS: A PORTION OF SECTION -23, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS BEGINNING AT THE EASTERLY INTERSECTION OF THE CENTERLINE OF THE OROVILLE FORBESTOWN ROAD AND THE OLD HURLETON FORBESTOWN ROAD, SAID POINT BEING 250 FEET, MORE OR LESS, NORTHWESTERLY FROM THAT POINT WHERE OROVXLLE FORBESTOWN. ROAD. INTERSECTS THE EAST LINE OF THE WEST HALF OF NORTHEAST 1/4 OF SECTION 23; THENCE ALONG CENTERLINE OF OLD HURLETON'FORBE$TOWN;ROAD NORTHERLY, WESTERLY ;AND SOUTHWESTERLY— 'TO ITS WESTERLY INTERSECTION OF.SAID EXISTING OROVILLE FORBESTOWN ROAD ON THE SOUTHERLY 'BOUNDARY LINE OF' PROPERTX DEEDED TO B. ' F. ':AND BLANCHE DOLEZAL, DEED RECORDED OCTOBER 17, 1954;- THENCE SOUTHWESTERLY ALONG SAID ROAD TO'THE POxN'V OF BEGINNING. EXCEPTING THEREFROM THAT PORTION• THEREOF LXING NORTHERLY ;OF -::THE. FOLLOWING DESCRIBED LINE: BEGINNING AT THE NORTHEAST CORNER OF THE 'NORTHWEST 1/4 OF' THE`! NORTHEAST 1/4 OF SECTION 23;.THENCE SOUTH ALONG EAST LINE OF` SAID' NORTHWEST 1/4'.OF NORTHEAST 1/4 8.30 FEET TO A POINT; THENCE NORTH 85 bEG.* 05' WEST 190 FEET TO THE OLD HURLETON FORBESTOWN ROADVdT—HENCE' ALONG.:'SAID ROAD SOUTH 24 DEG 35' 30" WEST 216 FEET, SOUTH 4 DEG". 50' WEST 125 FEET, SOUTH 13 DEG. 55' EAST TO A.POINT IN CENTER OF. AFOREMENTIONED ROAD AND THE POINT OF BEGINNING FOR THE LINE'TO-BE• DESCRIBED; THENCE FROMPOINT OF BEGINNING, SAID POINT 'ALSO - SOUTHEASTERLY CORNER. OF PARCEL DEEDED TO ALBERT WELDON, RECORDED'- JULY,.1RfI'95.7 :; xN:;•BObK 90x;. 'PAGE. 198, OFFICIAL RECORDS, NOR'T'H 68 DEG. 10W. , `150 F'EE`T TO SOUTHWESTERLY CORNER OF A WELDON PARCEL; THENCE NORTH 13 DEG. 551 WEST 150 FEET; THENCE NORTH 1 DEG. 20' WEST 255 FEET-TO•A.POINT IN AFOREMENTIONED. OLD HURLETON FORBESTOWN -ROAD AND THE END OF THE LINE BEING DESCRIBED, SAID POINT ALSO MOST WESTERLY CORNER OF PROPERTY. DEED TO C. H. WELDON, ET UX, RECORDED AUGUST 17, 1953., ALSO EXCEPTING THEREFI Oom.4:HAT PORTION THEREOF CONVEYED TO THE STATE OF CALIFORNIA BY DEED R9CORDED FEBRUARY 14, 1966, IN BOOK 1413, PAGE 604, OFFICIAL RECORDS.. A.P,N. 072 - 320 - 015' FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B10-0204 Address or location of unit: 250 HURLES CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 072-320-015 r SEE ATTACHED 1 Co (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MARQUEZ FAMILY TRUST Owner's address: 4115 FOOTHILL BLVD, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD620640/41 SERIAL NUMBER OR V.I.N.: CAFLMI7A/B13607ST MANUFACTURER'S NAME: 09534 FLEETWOOD HM INC YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: 10/15/2010 PHONE: (530) 538-7541 H.C.D. 513 N SITE PLAN REVIEW APPLICATION Date: /L.e 8.302 0�� AP# 07 �.v Permit Number (if applicable) APPLICANT INFORMATION Owners Name. Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: / `�� �4 C . a.15 Z-1 7V Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ ' Commercial Addition . ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 1 11 Approved' ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area:1j?lQ 7�0 ,- o©p Land Conservation Act Minimum Acreage: El Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) N SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See ached) • Flood Zone: • Flood Panel No.:�1�n Index Date:to pp ❑ Sacramento River Reclamation Distract (Approval must be obtained from thrnia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) E]Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) r] Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance ❑ Variance El Administrative Permit ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front o2, Side s r Side Street , Rear S Height Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: 4e s Date of Creation: of 1-b Legal Access Provided: ❑ No Yes Deed of Reference: �3 7 ^ 3 Legal Access Required o ❑ es Parcel Frontage on Publicly Maintained Road: , ❑ No 9 Yes, Road Name: -f 44A eh Complies with County Standards for Deed Creation:❑ No ❑ Yes ori w _ a Parcel Deemed to be legal ❑ Verify Legal Parcel fl Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑. Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Q Subdivision Map/Parcel Man: Map Date of Recording: Lot: Book: page, ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El ❑0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:U,atryslBuilding Permit Site Plan Reviewl ADC i �.: ....._.......... SITEP AN ._._._._............................. ... _ .. j _ ... _ .. ... - ........'" 7.... ................ ................................ -.. _ .. .. ... _ .. .. ... _ .. .. ... .. ...._....._ ..........._ ... .. .. ... .. :: �► .�:. %L: .. .. .. .. . .. .. .� CST . H _ _ _ .. .. .. .. ... .. .. .. .. .. ... .. .. .. . .. ... �. .. 0 ....-,, ;. i :� Chi C . . . . . . . . . . . . . . . . . . . . . . . . . : . .. .. -tom - ... .. ................ ... f .o -�r ... .. :`:� ... _ _ ... s r�.�:°�4NIPlC�RAN APPROVA4 .................. b .. :�` .y.�'' .. ALI _ .. .. r rs. 21 - L�xdsca .� .. ... -� � g..... ...... ,. .. ... .. .\ 1 .ra. . .:.......... .:........:. ...... 2 ............ `e " Q :� :� A i ........ � ...: _ i t.ENRONAENTAL HFALTH ...................... ................ �� `.. i ,; ..................... ....:...:...: ........... .�=� OUNTYGEWER -DRIVE.... TC - - - �...., .>. .. .. --tea.-... -•• ;.� . _ .. HEALTH .' `� ...............:.... ,..................:...........:......:...........................................:......:......_.....:......:...% -:�'.: �. �. . a.�... si nom. � � � L . .. .. .. .. .. ... .. .. ... .. .. : F :� .. ............. ............. ........ ................._.........:.....:... :...... ..... ...... .. ... .......... ............. �. .� --: :.- .� s .. ... .. .. ... .. .. ............ .. .. . _ _ [ ._ .. ..:. .... .ti.:.. .. ... .. .. ... .. .. ... .. ... .. .. ... .. ... .. .. ... _ .. .. .. ... C., .. ............ ... ........................... .-..i"• e ..�.y:,+r�'- ..... r...........r ..... ....r .....:...... . _ :.....i......:.....:.....e....�..:.a,it . Ar ... q�...'9ics° =^ Assessors Parcel Number: Owner Nance _J66 � Address / Phone No. -�L-b Site Location U4, L—C f �lr��� ��,a ale ® � �► , :r: ; ,— , Contact: Name M -A,& (� 0r � Phone -D It -1 U f 5 7> OctemnM3 . ................................................. . = �: ..........:...:.......... ._.. ............. FOR OFFICE USE ONLY . PROVIDE FOR ALL Zoning: ADJACENT PARCELS � SIZE (AC): General Plan ®esi9: ZONING: Size, Acres GEN PLAN: 4.o( USES: v C �J W SITE PLAN _..._..................... ..----.................._......................... ._ - - --- ....-............_... .. .. ... .. .. _ ............ ................................................................ _...... ......... L :......;.....:......:......:..................... ...... ..................... .. ... .............. ... .. .............. : .. .. .- =................... .................................. _.. .. -- - - _.. ..- _.. .,.. _...... r....._................................ .. .. ... _ —:- ._- ..- • .. .. ... .. ............. .. .............. - = _- .._......._ .. ..- . . .- .. .. .. ... ........ ..- • .. .. .. .. ... ......._ .. .. _ .. .. _ .. .... ... ...........<.. ............. :.....:............ ............ ................. ._ .. .. .. .. i P• .......... . ... _.................._ .. .. ._ .. .. _. .. ...�. .. ... .. .. ... .. .. ... ._ .. ... ._ .. ._ ............... .. .. .. .. ... .. .. __................... ... .. ._............... .. .. .. ... __ •_ — .. .. .. _ .. .. .. _ .. .. ... t% .............. ............... ...... n6: La r�J 'n /............;..... .. .. .. ... _. ............ .. -.. .. - ............ .. ............ .. ... .. ........................ ........................ .. • -41_x. - ..�..... �......:.....� .....:......i......i..... �......;..... i...... .. .. ... .. .. ... .. .y., atu �S ... .. ... .. .. .. .. .. .. .. .. .. ... .. .. ... .. .. .. ... .. .. : _ R .. - .. .. .. .. ... .. .. .. .. .. ... .. .. ... .. .. ... .. .. _ ................... _ .. .. _ ... .. .. ... .. ......... .. ... ........... .. .. .. .. ��5 .. .. ... ............. .. .. .. .. .. Y5 �. . aJa ................................................................ .. .. .. .. .. .. .. .. .. .. .. .. ....: _ .. .. .. l.•.'. .. .. .. ... ...................... .. ... ................ ... .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. V.Y... _..� .. ..jQI p� DUE .. .. .. .. ...........Y{}�� `�w�4o' C�.v ...... :....................•...... �......�......-._. . •.. Scale: i= 0Assessor's Pas tel Number Q v 0 L 0 ®. Owner fume 9 �� Lv Address / Phone Pio. 2a _ ° . m m Site Location ux r _Lo'i�'c�ON�� Contact• Naune - —Jr-,CL()-";2 - Phone ( .,oma. .,=