Loading...
HomeMy WebLinkAbout23472-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24403 Date JUNE 7, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 620 PARADISE SHORE ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 5 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 1995 pursuant to which Building Permit No. 23472—Z dated MAY 30, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY SHED "AS BUILT" AS APPLIED FOR. The certificate is issued to STEVEN & GLORIA MENOUTIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A az 4, uilding Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N- Y- BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) z N? 23472 Z Date ... -�, /90 10�76 ................................................ ....... Permission is hereby granted ,o* .. .. ....... ... . ..... 1z t W. --/Z(I ... . /... ... .......... ........ .. ................ . ....... .............................................. at premises located at ....... jz . ....... . . ............V4................................................ ....... .. ............. ........................................................................... ..................................................................... ......... ................................................................................................................................................................. County Tax Map No. 1000 Section ..........2?...... Block ........... Lot No. ..... .. .......... pursuant to application dated, ........................................... 19.9 .., and approved by the Building Inspector. Fee • . ........................... ul ing Inspector Rev. 6/30/80 Form No. 6 -- TOWN. OF SOUTHOLD BUILDING DEPARTMENT AUG 1 0 P% TOWN.HALL' 765-1802 APPLICATION- FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual-natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form) , 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 -of 1%. lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of -Code Compliance from architect or engineer responsible for the building. ' . 6. Submit Planning Board Approval of' completed site plan requirements. • B.. For existing buildings (prior to April '9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing' all property lines, streets, building and unusual natural or topographic features. 2.• A properly completed application and a. consent. to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.' a} C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming .pool $25-00, Accessory building $25.00, Additions to accessory building $25.00. . Businesses $50.00. 2. Certificate of Occupancy' on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate. of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date August10, 1995 . . . . . . . . . . . . . . . . . . . . . .. .. . .. .. ... . . . . . .. New' Construction. . . .... . . . . Old Or Pre-existing Building. ,Shed Location of Property. . 620 .Paradise. Shore :Road. •Southold • • • . . •. • . . • . . . . .. . . . . . ..• . . . . . . . . . . . . . . • . . . . . . . . . . . :. House No, Street Hamlet Onwer or Owners of Property., , Steven .Menoutis, and. Gloria .Menoutis. • . . . . . . . . . • : . . . . . . County Tax Map No 1000, Section. . . .79. . . . . ... .Block. . . . .05. . . ... . . . .Lot. . ' 03• . . . • . . •. . . • . . . Subdivision. . . .. . . . . . . . . . . . . . . . . , . .. : . . . . . . .. .Filed Map. . . . . . . . . . . .Lot . . . . . . .. . . . . . . . . . . . . . . Permit No. . . . . ... . . . . . . . .Date Of Permit. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . ... . . . . . . . . Health Dept. Approval. . .. . . . . . . . . . . . . . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . ... . . . . . . . Planning Board Approval. . . . . . . .. . .. . : . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . =ee Submitted: ��-C• S 13 S' f!3 .i9GG/� .APPLICANT. . .�A I10,\1:0 * OF 11EALT11 . . . . . FORM NO. 1 3 SETS OF PLANS. . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . _ . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . AUG 1 0 ( j TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.. 765-1802 i:0"r I FY ; CALL Examined . . ., 19 .� MA I L TO Approved �. . . . . . . ., V7 K. Permit No. / . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `G < Ci G� ,�j(Building sector) APPLICATION FOR BUILDING PERMIT Date . August 10. . . . 109 . INSTRUCTIONS ,a. This application must be completely filled in by typewriter or in ink aril submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. Tile work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the. Building Inspector will issued a Building Permit to the applicant. Such permit stall be kept on the premises available for irispectiort throughout the work. e. No building shall be occupied or used in whole or in hart for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION 1S IIEREBY )IADE to the Building Department for the issuance of a Building Permit pursuant to the []t.uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions'or alterations, or for removal or dIatf lition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, IaraiI iitg code, hou//iflicdend regulations, and to admit authorized inspectors on premises and in building for necessar �� :Gi . . . . . . . . . . . . . . .gnature q applicar , , if a corporation) P . O . Box 981 ,. 54075 Main Rd . , Southold, (Nlailing address of applicant) Y 11 71 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . ,Steven Menoutis and Gloria Menoutis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest (Iced) If applicant is a corporation, signature of duly authorised officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name aiid title of corporate officer) Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1 . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 620 Paradise Shore Road, Southold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . House Number Street Ilarttlet . County Tax A-Iap No. 1000 Section . , ,7.9 . . .. . . . . . . . . . . Block . . . 0,5. . . . . . . . . . Lot 03 . . . . . . . . . . . . . . . . . . . Subdivisiori . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Nance) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . .�!y£7 . ... . . . . . . . . .. . . . . . . . . ... . b. intended use and occupancy 3. Nalure of work (cl►eck which applicable): New Building . . X• . . . • . • Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal Demolition . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . • • $500. 00 . �• (Description) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . (to be paid on fililjg`jtlils application) 5. .If dwelling, number of dwelling units . . . . . • . . . . . . . • • Nu1i16er of dwelling units on each floor . . . . . . . . . . . . . . . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of eacl► type of use 7. Dimensions of existing structures, if any: Front . . . . Rear Depth Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . • . . . . Height . . . . . . , . . . . . . . . . Number of Stories 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . Rear Depth Ileight . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . 9. Size of lot: Front . . . . . . • . Rear. . . . . . . . . . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . Name of Fonner Owner 1 I. Zone or use district in which premises are situated . .R-40 Low. Density •Resi•dential • . . • • 12. Does proposed construction violate any zoning law, ordinance or regulation: . . • No • . . • . ., . • . . . . ' ' ' 13. Will lot be regraded . . . Will excess fill be removed front premises: Yes No 14. Name of Owner of premisesge( rG/Jr,, ;Ae�110tlif• Address9,X.1YV`e!,f t/ •e{ Phone N . . . . . . Name of Architect . . . . . . . . . • . .I. . . . . . . . . . . . . . . Address GrIA.�w�ilc� tic, Phone No. Name of Contractor Address Phone No. 15. ICs this properly within 300 feet of a tidal wetland? *YeS, . . . . . . . No. . . . . . . . . . *If yes, Soi.uLliold Town Trustees Permit may, he required. ' PLOT DIAGRAM Locale clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. see attached survey 17, I r�'Flit:,ilil( Y,�3E _ z)t.2 �_` f ivi !4,".i IJf1.iFC •Foil 1vt 1:= .4.1.... �•)d1S15„! It���,..t'�v:�t,�l li Pt`.Y�:Y. �. �;.rik��!'Jr•S�il'10�t - 7�•?0`.1 � '� 1'e�1:1 °. t��}"���aF't - 4�•d�sx�(�'fll41i �: R�l..t.li;�;f:�it''•.I{ ,r 0r ',3 1.J Y,1r't.aJ.11.�}�i�•i�a fiF KM('�hj MUST !s`L.�CI Cajst i �'-.E..t„ C,4.�e�k;y;�l•i Sli�tla,d l'�I S��tt^�iy F 1. r IyPt3t.Il rl=fZt:'I�+"1;y O t:gfa<:1 7Git.If:D'"lf)Rt & l For =l`�1t_gPC—p�;yf k"r'�t�I• NOT I�t:SP�`NSIBLE tIE:Y. stvi�s Ol;f:"f�l �J1Eti_ld �101\1RI-i$�Jt?e? )TATL OF NEW YORK, 'owry m . Suffolk S.S Gayhey E Donald M. Mc , sq . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . .•. . . . . . . . . being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) Bove named. le is the . . . . . . . . . . . agent (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplicalion; that all statements contained in this application are true to (lie best of his. knowledge and belief; and that the cork will be Performed in the manner set forth in the application filed therewith. worn to before me this . . . • . . . . . . . . . . . . . . . . . . .clay of. . . . August. . . . . . . • 19 9. . Y lotary Public, Su of . . . . • • • • County JOSEPH H. GIBBONS. . . . . y . . . . . . .. . . t r . • • . . . . . . . . . . . . . . NOTARY PUBLIC, State of New York (Signature of applicant) No. 524618265 Qualified In Suffolk County Comrr�iasic r...,.!. . , :, — / t7 1..i)r:7'ri 'T'in,-'F__ Il'�T•�M. .'•,-' M..-�I r.Ll�'_.` . - - _ - _ _ ..,.r.y x. y •1 -rr r • ,i r - ..",.' ...,`. C.. .,.j5.._.a: ' _.,. ..a::•�:..• '.i -w-'ti••+.-..'Ai .'�.% r: �''r 1. %\...,:,-.­..-.:.: `,!F ..a' ,r•:�a^: ••Saes 7`i-�':- `' ..:*' ,,..._ ,f1•L ,._ �_ii f:'a .C-4�:• >�;=:!_': j .-1 ';'' .fit.-:. .4, ph- _r ";2'°i;`,t.2!,r`'3�,�,,:;;:.••j:ri•+e .:-1:,•;.,,,:,-. - r;I 11 Lc�' .�'i rt31c.. ,/+ .» : ,44. •1 .. ;f}!':{'I,!;.�� ,•t;.,',T,L�,il•-• �J'7((�-�-r'i:rY *4-:•,, ,1{,Iw _ .F�,,.,..._._13•' ,... . "�•.V.Iv 'r'�5,V a} ,, Ai' , .L•' i. .. ..z'a: :r.%' �-{.:, j b..,xy ,4'4X c7,.;r',.t•,y' "- _ � Y. •.`.•:,�,,., ;.i. -5 „�t- 14-.`°..+a,��7;�Fa!'•'s`_* ,i ,r.'`•°":a a' r -`4 .. '�'•- N. •'`J0.�. -cc i.{'.-. 1 �' O ty, - ,':;'':,�;. Y %}'�d,�.CA.I, ',:J,:Z•1,•.0 by :�i{'+': !kl _ .,J,- L4:.' ,,.;1',';,;,�,•S;'"V _t ..r,�t._..-4i': •PS x.?�.,- .,,,r;?� . :,Y::F .•J :'•;5iiii:;'r, r1v 7. _Y.R ii�re r= -'s''1 a:.i.:i' ::j. . ....xl:_ �i;A....,,•'Ft"-' �Jir:'+. �y, ,.�,'',. ,ti„•..-•„':.a:jd l!'rJ.'{'.:it+l2 cb' "J }f�:'S:',t''.:P:...-p�r 'Yr ',r +�''V�!� Try n •`�T.i-';•.,...4'• �` �-�.�1': '1•- .+-,: '.C�;1.: - .,1,'._•r.J•- � _ ..4,„ i>w, •i ''�i~ c3Afir,:. I. 11## '4• •• ;.,L t<51J. Vr.v ••J':v. !, 1.. `' t.;y� 'Y..,.• . ♦ !� rY.:YR'.;'::5..'G. ::r,i.,.jo ,y-:1:;, I�•..' ..4':;1 1)'=' . '.,,t_ ••,r T,,.1 ,,awir, ril:a',i'1 '.is,n.••,•� ......�.:'. '' •'0 .`'-.. • ..'T 1 '=`'_ ::4•. � ,'iPi'4 Y.'- ^.iY t•�Y^.:-r i?<ti•,y. :.•N::.`•`: .'x ti ''+ n .1., ` '^1. "S,J+-,c�rJh.,tg, ..L.,,yr•i.rv'.5:.:..- {GG•'hl'=1�r� :,,(:.:i';i:r�>.'y ••.4'::i ;Y•-v.•+:t `iie+ t'- I r !�. [, s.,. t>ti•`.4.�� C.r, .liti;-.:,N�,5jy:-..,:•e;%_'!J,•:7;''r•'. 1 {I t r li r r r r>,xo, . L• + 1 f':.. ;+1: �''. ' .: '�' 1 .. I��wr, O4J, �y/•.]JIA i5"'.•'tii�:-fT- " .. - '., -S:I,ti,:� the I,,...?•,;,:.I _ _ „1 ­.., . 'a.. .;�¢v.. ,,11 ill's ,:9"':,'.r tee .�!...�,. ' - M'. ... .� ,'y. •<�-er.t4"'g'i'3�'.:,!F,-6a-.. !!'=.d:r` -- ten.' �' �' �r lz. :r. :z: G. .. .'r� •+i•�v 4. :5 �f;• 'F �ex r. 4 '. {� . �.lL,!SiiR�• •y,•p:.{..4, �jy((''e:-.R'" ..zrr-4.C,''F'1',, :.1)_�:� :.�y,.. rY•:' :(. r „ C,�. } ya1.,.r.,. ^ v ( -, ..}}. :vim: •P" rxc3%f ,• ::'1'_ .,. . w •r '!f x 1. 1 r':. r '. .r , �-4 1 lv' ` p t' tix a: �'. .1 I l T P! y� �' 'L �. I -`e .:. .. V, -i:•:.'.r'..,r t�f.'w`,�;`.�'�ti G F.ur �'•�+i,. !i S'`l L,i..,-.+:.•. l�,y-:;". .'l,+i.K:'-'Li- >_ Oi _-=e�__, .'•iy , .`a4,,yT.y:. .v-,!".r+"dt:t::,?,-r:.�F!^,:;: � � ' - :•. :�-;:,:'', l y •-.,.,f.. t' _ •.:,•: 7 '=r;t:l:-�-~ -,V-,i,-45,,,4.f,yY-%,t K•f. v. 'y'`- ':4;. y `:' +:y:tit .r:.iL1 `y::4: '1-rl:.yr• <!i;` y h?,r..�'� �.,M rY �E. '1 yi ;. "••�,• ., ..1. 1 ' ,`' ;1Y• 2 1 1 C r`I i:•Ut3t'= s,C..'.,'"�++ar`"J%,r -1:"•q:'-'. i r*•. - 't rr-.e:.,ii •ra, rJ�:.,v'. {•�-��+^rSr `r:�y r:r:•"�Y J, .' .. -,, ,- . !�j ['::;li:� -,r..,.:.- ,�y?:ir!'i4},.,y. fFt!}•.; ""..;•'. _ , �- N.b9•48.'6.,:O i -ca1"'tTt:f 1,; o ! t t a 1 ,F� ,.s._,� },6y i . 64- e �(3C?.-+J r 4 y. .I +` I-, :a% Y .,r: t .Tt -2,� ,C A {�Jt-,y{yr,.4-' ;fit/ J --E / • 1/v.}.- i.'' , \ .arc i iF t J ro its Ir a+'..i �.,W lm i + \j '• -, ♦}�• `� ' Z t'.i�r7�'1,4 t1\ �+ $is}�" ,y; �♦ �rl ear `L 1 i-i• .� 'S , y 4'i ,• I' +rF,�J J.,,r ,� r a,i Y ' `V Gr � 1'1• i ,�'��•, y`1/k„C\ °r 1 , y d'. 1 f I ti .. +. 1"b _C, y,1. 11 -'r a"•hl l'f. N g,'•'1, r r t; i .-1 T ..f 0 _ l 1 1 'S'�'�?`k a r+.. �}d#.3r T F .I i r }" ' 4l .t ,. -1 ,t ay ie}•e�•'. 3J• r lSr� i.,ry1Z� �+e7i•l! "y i5 r t R t •q 4'. ' I •r-' T }ll ,''k k'�k' +�wy r,y 7 SL F k 15; l i w 1 M , , •O _ / _li Jfi r L�r1.,�..�\�[r yS h ',-�[• �2t�f i 1+IyY A „r.1 '�'1 L 1a J'�J..1\ 4 `.. }.}% 1 t. ,. .) L 3y�'t''ti i" , cs t •t'i; a � 'LRSir+ fi.T' ,v. I ' I1w , 1•�' '' r '� 14 S f44 14, M �-p"�"y't'•GN6. r w' �s A j 7. r = Qie'- - -, — . '(: '.rr: I x .1t t , 4 t i Y`i'^9-}"!t. h ti4 ,71,_l.• 4 y,., ,2.s.�y l{t.AIS:•+2y t7`4 ,T' �� ��� i, t :: 7 :l- :j + t 1 s .L� ik 4c% xF �s,T. t a,lftj i 1 •.: Z t < 1 yr- �w2 f 7Fy r,� r k jJ r t J �j i,.! 'N, ,f 91.i t '`ti riy,••'ie Sy�<Ay,yG,a 1. ,�ti r• ! 'k -i'Y x '. TY�YT7u rttC:nf ,',• 1+ .f .il t ,r, v '� .NYI.e t 4V(nn Y E•. d.4ri"f{`�.�'G•'9 M1!3''iJ7'aF ! }! 5-�,. r I , ,.t ' ram' P 'C 9 fi{�+` K t "'-1 F-r Z .srt t i �, 1 r - t'. '+, r , -r-'-,4ii�x � 1�5 N c ' L.. `°' :,y J -' i s ,i.+ t•, t.r,' Y 4.rl •, i- & .,r t h ,`i ,?,,•4 r t< ,: ' _ P . T i , '"' !:'UNAUTHORIZED ALTERATION' ' \}t " { I \ , } -r,• OR ADDITIOF( • 9 .F+ f 4 , y 11 s, y FO THIS SURVEY IS A VIOLATION Of w, r i T , I i Y -. z 5+, i s a r :,ACTION 7209 OT T14 NEW YCRK S ATF '., :y.: - '- 7, ..1 ti•••i ti r " 4J r -' UCATION TAW.' =.,T T :.'SAP OF P2CJG'� '�'1' 7 ;.;: , 1' .L' . . _, : Y --,tom r 1 r i 1 .8 PLA QF TIilS SURYEY IMP NOT!FARING i v,•., I. _ t j �j , i L ND SURVEYO;L'S 1Ng;D SEAL OR 1 Suk,.vcY�o.}raz J J r 1. !i < < . r (Mt0 ED SEAL:HA CONSiDEP": i _ ,, fl(1 +1�„+' !! :+�r 70 0 A VALID T1 UE COFYr •�'`' '.,!,SI � 1. •.'.2 El ti.�/••►.I.. rt,� 1 . •1' 1.,,, +...K7;5.yv:GUARANifES INJICAiiD A N.i ..,� _ 4.r IC.- yu� ONLY•TO aSOY'FO,WI, %,yHf U f: r �q? iNY P^ R YlIIOAI'THE SURYEY:;, 4 AI�•Y rr t y tq i s3, •Eti,+~�'}'},. � 'll,�. 1_ •; PREPAR[D,ARD'O:t fi15 L'ilAlf:c• 14:, �, :M 1 ! - U Ix M i t,tl*?5 } 1,;.i" 1 rf 1! I p *- 4 JITLE COAIPAWY, 13UYL WA1L TO 11:d'i': NiAI A A . .•,. ,y.iV.., °J i t 1 y r at -' i 5 CFbCY ANf '• 1 • �r /1 /� L+ r '• Yg{i Yr t i 1 ' t�:'t •�.i + 1.;J hT'S`,IENDING INSTITUTION LISTED N;CEt114,.AND e ;1: ;41 '.,, ..1 Mr•-yip �r7 �'•"CJP �'-+!• af4N�_-.' ;I t r _ TO'iHE ASSECNEES OF iHF LENDL\'G INSiI ;r_ _ ••t ,�i+ y�.Lt. _ 1• ••TUTION„CUA NT E `' -.i:t , j'_ :: �',',%w,-^., i`.:?:.,�f_ _ _ :`x.' RA E S AI:F.NOT iRAN ' i' t,\�;., -ts TQ ADDITIOryAI IfiS'fITUi SFiLA1TL�' :r T'�1Y�4 ♦'�F �QLiTtiOL wNs oR.su sE uEt4 ..r. . _ r ':,ram +`.y''_ _ _ ,. �' %. �.. i ,' -{- i6 . :tr: s, .. - ''Y: -.fir•. S".'ti,& ". tw`... +" ;I4, v,;-;.P 1'.:4•._,.;:, si. 4.:E:ii!-..' t.'. .w'-.;,., 1. :1 , •.3` ;I`,� tf... r: ,�• ':5 .,{ r L f ""i-r\ '1 ) 4 .'T •• r• •'!� ' 1 ' L .;+;' •'i,f'i,.. . r• :11 •- , :.,: 1 r•i. ,.�'• ,1. rr 'S. y �. -. ;,l: •G+JQI"Q11'}'0PCI f+o�' ho •°. . ••'tr:•, r, yr•'i.. .71 1 }.' r. ;", `,,,'!:�s pC�.'"j';::;1.:.- •1„{, l • . .J1. .1.. 'AF ., .n ,*;- -.i' •..,:0I,,.r ,;, ��I. ILq lH+.JIj►"ytTCEY ,14tt} r.1HIJ- %'r Si' ;,, t _ .,I, ..,. I �.ir.- % ia.^{`.+ii+'.;,' '.f.;,'i.�t�a� �., r3� ..jt�y(yJVL-J. Qwq IO •l JQ,4•.�. - ",i , 4..,•r• ,+. a• _ ..-` ,.,:.. ,ram,.. _ . -i „n'�± 't r i!, 1.,Y. _ .,r'�'•1. •st.•�i''".!; ::. +_,-- -:i'i�, ••A'..rr�I.. ����f/l-• .,r A�,/ 1.... {� r ,F - •.`' ,>,• ,: -•'I` :. ,•'' F.+�JL• -+•..�k.r1ly •IV,Aj .�•'`ErL,1Y1..; '';(`„ N ? 'f. . ' - '. •1' .ra,•. ,,,.ij.d>i '~'y'N�t :9!'yr,::'S^., J:: ' 4 .• .. ^1• ' '� ` .,F.. -+. :�e,• :�r,: 'ti.:1;�'... ,.�- ....,, 'Y .� 1 / •('. ..1. r'-': I.,.­ :. ram„ ' o* FNV!'T4•Tan,M[xp,Qe31[i T'It1Y'f'aOr '!',,•:' a. L .�Tt^-Lu• 77" rt.,r •t.'1' f t: -_TI:,.__.a .a Yti.• .,, .. lS,r,..e'.t.. J i• . u'r -r'j.'.r,w �1w•y,,O:j.': yt..-.. .. ..�._..�.ti..1. _. _. .._._w....- 1- a• �-rrw� �,, LaI 4.tq Qstvs.:ce 3A-A caAAr-rs w fi 3• �NC�^ �1� -�, c Cam, Q I AUG I 0 1995 ch � sz b , cwrL- lei pqp�,, h y