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Home My WebLink About37765-Z r Town of Southold Annex 4/23/2013 P.O.Box 1179 54375 Main Road N { oy �, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36204 Date: 4/23/2013 THIS CERTIFIES that the building ACCESSORY Location of Property: 1675 CEDAR BEACH ROAD SOUTHOLD, SCTM#: 473889 Sec/Block/Lot: 89.41 6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/19/2007 pursuant to which Building Permit No. 37765 dated 1/18/2013 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 stable as applied for. The certificate is issued to PETER B:OWEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut 0rize Signatu e s- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �l SOUTHOLD, NY F BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37765 Date: 1/18/2013 Permission is hereby granted to: PETER B. OWEN 1675 CEDAR BEACH ROAD SOUTHOLD, NY 11971 To: CONSTRUCT ACCESSORY BUILDING (STABLE) AS APPLIED FOR. REPLACES EXPIRED B.P. # 33144 At premises located at: 1675 CEDAR BEACH ROAD SOUTHOLD SCTM # 473889 Sec/Block/Lot# 89.-1-6 Pursuant to application dated 6/19/2007 and approved by the Building Inspector. To expire on 7/18/2014. Fees: PERMIT RENEWAL $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 uildir) Inspec o - FORM NO. 3 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) PERMIT NO. 33144 Z Date JUNE 19, 2007 Permission is hereby granted to: PETER B OWEN 89 TOBIN AVENUE GREAT NECK,NY 11021 for CONSTRUCT ACCESSORY BUILDING (STABLE) AS APPLIED FOR. THIS PERMIT REPLACES BP 20063 . at premises located at 1675 CEDAR BEACH RD SOUTHOLD County Tax Map No. 473889 Section 089 Block 0001 Lot No. 006 pursuant to application dated JUNE 19, 2007 and approved by the Building Inspector to expire on DECEMBER 19, 2008 . Fee $ 200 . 00 A'---A-C['F-hZori COPY Rev. 5/8/02 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) -s- WDate ......490?..................................... 19./.A. Permission is he by nted to: O/P .312.6............................................... . J ..........?A PAAOJP,�.......V.:. ..........llew toaw .. . ..... ...... .. ... ...... . .......... 725- -----------/< .... . ................. ................................................................................ at premises located at ...../61................. ......................................... ...............!�L............. ..I.............................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ......F.?......... Block ......../.......... Lot No. ................ pursuant to application dated ......... ....... 19C.10 ..., and approved by the ............................... Building Inspector. d Fee ........ ... ....... ........... ... .. ... . ........................ Build I t Rev. 6/30/80 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 I%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: 1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic features. 2. A properly completed application and 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. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 / Date. New Construction: L Old or Pre-existing Building: (check one) Location of Prop: C E' W4 �[>G� C.� A S' ® G(t A y ( d House No. Street Hamlet Owner or Owners of Prope?tyJ P Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit.J, /�Applicant: PLO Health Dept.Approval: r Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: !/ (check one) Fee Submitted: $ X&ell.dze Applicant ignature .R TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: P/'/w Y r ` DATE INSPECTOR SO�Tyo�o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RES17TA NSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS ('7 lAw DATE INSPECTOR OF SObry�lo UMV TT011gN OF SOUTHOLD BUILDING DEPT. 765-1 so2 3 :� 1 SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING / STRAPPING [ FIN 'g) [ ] FIREPLACE & CHIMNEY [ ] FIRE%SETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: , DATE INSPECTOR �'` 'ir:LD I�:S:`FCiiili� ��llr';iE � %;UtKMENTS -a H FOUNDATION ( 1st ) FOUNDATION ( 2nd ), 2 . z� 0 ROUGH FRAME & -PLUMBING _1 cn H 3 . x r� r� INSULATION PER N . Y. STATE ENERGY CODE x 4 . Sl r ►� FIidAL411PPIl 9.f AJo S- ' z ADDITIONAL COMMENTS : x r 9 � r_ x � r3 _ H r oai BO,1RD OF HEALTH . . . . . . FORM NO. 1 3 SETS OF PLANS 2� I9 1 . . . . . . . . . . �' TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . h. 9� BUILDING DEPARTMENT CHECK . • • . _ _ _ . . . . . . . . . . . Q[_E��--` TOWN HALL E PT I I" . . . . . . . . . . . . . TOIPe/N r(z Oi BOLO SOUTHOLD, N.Y. 11971 TEL 765-1802 t:OT I FIt ; . �. 19/./ �s� (�y CALL . - - - - . . . . . . . . . . Examined / •+ MAIL T0 : Approved . . . ., . . . . . . . . . .1 19'/. Permit No. . . . .. . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �! OV AS NOTED la P '° FEE: 0 BY: . . . . . . . . NOTIFY L , OEPA AT ( ding n cctor) 765-1802 9 AM TO 4 PM FOR THI PPLICATION FOR BUILDING PERMIT FOLLOWING 4NSPECTIONS: 1. FOUNDATION - TWO REQUIRED Date . . . . . . . . .'. . . . . . . . .. 19 . . . ' FOR POURED CONCRETE : 2. ROUGH - FRAMING & PLUMBING INSTRUCTIONS 3. INSULATION 4 INAL c ONSTRU TIOI�MII T sets�H$ � `°ho 16 c ely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 c �el z s Fee according to schedule. 10 1� t�'P�E° �t and of buildings on premises, relationship to adjoining premises or public streets or arit M-rtn of layout of property must be drawn on the diagram which is part of this appli- catioLxO®ES. N, ... ��.[�ESP•M, IBLfz L�R. �` r�+a " ion may not be commenced before issuance of Building Permit. d. FLlpon approval of4thi5 app ication, the Building Inspector will issued a Building Permit to the applicant. 'Such permit shall be kept on the premises available for�inspection throughout the work. ,___ . e. }Nc� buid 3 11 ,be oc�e; p'iod�:or--fused in whole or in part for any purpose whatever until a Certificate of Occupancy shall haue bee�nn,,giadecf.by t�e;. ui��iltn� I�spector. �r n•• APP)✓ICA£PIOI "IREY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building FZ6&'Wdgfince J eR FdF Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulation'T" fSrJ d &tT 9� 6n of buildings, additions or alterations, or for removal or demolition, as herein described. The a''p0c�W a-TeFRAMI�"�m�1PLM?1910applicable laws, ordinances, building code, housing code, and' regulations, and to admit, UVA&01 ectors on premises and in building for necessary inspections. fir. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. L . . . . . . . . . . . . . . . ALL of applicant, or name if-CONSTRUCTION SHALL MEET (Signatur , a corporation) THE REQUIREMENTS OF THE N.Y. , STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR (Mailing address of applicant DESIGN OR CONSTRUCTION ERRORS State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . .G.-�.. . . .�.. . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . � . . .A. q .a.�? (� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Gru-CUPAN12Y Builder's License No. . . . .1.0 .�? . . , , , . . , . . , ME. I L VkV9 7-L Plumber's License No. WITH-'OnMn-, 6 q 'CA "' Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . OF 00"UPANCY Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 34-W . . . .��L . . . . . . . . . . . . . . . . . . . (f�J/9P_ Y. . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . Block . . . . . . j. . . . . . . . . . . Lot . . . . . .6 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Ma No. . . . . . . . . . . . . . . . . . . . . . . . . . .p Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a: Existing use and occupancy . . . . . . . . . . . . . . �i 'i,;4T.*i.k,it,'1y, ',1.1. •ci. '°a9!.%$• b. Intended use and occupancy . . . . . . 4C5�Dt Y. . . . 0 i�D�ni�. . iF�'.rt ,7YNC ;' ' . . . , . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . ... . . Addition . . . . . . . . . . Alteration . . . . . . . . Repair . . . . . . . . . . . . . . New . . . . . . . . . . . . . . Demolition . . . . =t:; . . . . . . . . Other Work . . . . (Description) 4. :Esti'mafed,Cost . . . . . . . . . . . . . .S.�fJ.� . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . :. . Number of dwelling units on each floor. . . .. . . . . . . . . . . . . If garage, number of cars 6. If business, commercial or mixed � � � � • � � � • � � � � � � • � * " • " " " " " " " •occupancy, specify nature and extent of each 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 Depth . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth Height . . . . . . . . Number of Stories . . . . . ... . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . : . . . . . . . Rear . . . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded "� ' ' - . . . . . . Will excess fill be removed from premises: Yes No 14.. Name of Owner of premises . PC-Tg/?. Rw�--� • . • . . . Address . Phone No. Name of Architect " ' • • • •� • . Address . Phone No. Name of Contractor io1hv. � .13p�/, • . . . Address fiox. .?�$. . ��?'►! too,.►' • —. . . 6 . 15. ph Is this property within 300 feet of a tidal wetland? yeS,� . N 'one No. ..23 7 *If yes, Southold Town Trustees Permit may be required. � � . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate.Fall set-back dimensions from property lines. Give street and block number or description according to deed, and showstreef interior or corner lot. names and indicate whether _ .�"�.. ` DLL f oFiti►G AVER /9- FCd-,T D ,.., Coiuo2r t oo r N 6 Va 3 n TATE OF NEW�RK P / S.S 'OUNTY OF . . . C,(, . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) hove named. eisthe . . . . . . . . . . . . . . . . . . . . . . . . . 1(ontract , agent, corporate officer, etc.). L said owner or. owners, and is duly) authorized to perform or have performed the said work and to make and file this Vication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. •vorn to before m this _ /' / . . . . .�:: . . . . . .clay of. (. cam. . . ., 19'f! )tart' Public, . . . . ounty !C MRE t..GLEW. . .� . . Notary Public,State-of New York C, L No.4879505 . . . . . . . . . . . . . . . . . Qualified in Suffolk County �,7 , (Signature of applicant) Comb►ission Expires December 9,19 1. pF SOUTyoI 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Telephone(631)765-1802 Southold,New York 11971-0959 �0 • �O �'Y��UNTY,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD May 24', 2007 Peter B. Owen 89 Tobin Avenue Great Neck,N.Y. 11021 RE: 1675 Cedar Beach Rd. (Accessory bldg.stable) SCTM# 89 16 Dear Mr. Owen, Please be advised that your Building Permit#20063 issued August 6th, 1991 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of 200.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. SU 04 Southold Town Building Department 54375 Main Road Permit#: 33144 CM C Southold,New York 11971 Permit Date: 6/19/2007 15 (631) 765-1802 44 ®� � Expiration Date: 12/19/2008 Parcel ID: 89.4-6 BUILDING PERMIT RENEWAL LETTER Dated: 11/7/2011 Applicant: PETER B. OWEN Location: 1675 CEDAR BEACH ROAD SOUTHOLD Work Description: ACCESSORY CONSTRUCT ACCESSORY BUILDING(STABLE)AS APPLIED FOR. A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: PETER B. OWEN Address: 1675 CEDAR BEACH ROAD SOUTHOLD,NY 11971 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. g4F Southold Town Building Department N; ��riy� 54375 Main Road Permit#: 33144 y Southold,New York 11971 Permit Date: 6/19/2007 o (631) 765-1802 - y�iQ �ao� Expiration Date: 12/19/2008 Parcel ID: 89.4-6 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 2/6/2012 Applicant: PETER B. OWEN Location: 1675 CEDAR BEACH ROAD SOUTHOLD Work Description: ACCESSORY CONSTRUCT ACCESSORY BUILDING (STABLE) AS APPLIED FOR. A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: PETER B. OWEN Address: 1675 CEDAR BEACH ROAD SOUTHOLD, NY 11971 The permit listed above has expired. Please contact our office as soon as possible. to begin the renewal process. All work on the project must stop on the expiration date. - 02 8966 6116 7010 029❑ THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department �Q�SI1FFOt,��bG� P.O.Box 1179 Permit#: 33144 M 54375 Main Road d • Southold,New York 11971 Permit Date: 6/19/2007 .0 fo (631)765-1802 Expiration Date: 12/19/2008 Parcel ID: 89.1-6 Dated: 1/8/2013 Applicant: PETER B. OWEN Location: 1675 CEDAR BEACH ROAD SOUTHOLD Work Description: ACCESSORY CONSTRUCT ACCESSORY BUILDING (STABLE)AS APPLIED FOR. 7010 1060 0o01 1573 7957 Owner: PETER B. OWEN Address: 1675 CEDAR BEACH ROAD SOUTHOLD,NY 11971 Your BUILDING PERMIT #33144 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of Southold in the amount of$150.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, a 0 Michael Veri . Chief 90ding Inspector Southold Building Department cc: Damon Rallis Zoning Inspector :'�:.... -'•"'-'�. - (� - rat`-w� ::�=..n.�"s}!.'r: � t .: •u Lr. r. .Yf i .1. OF SOOT OLD PROPERTY RE CORD``'CARD:; Fs•` �• � �� . OWNER STREET VILLAGE DIST, SUB. ,;;:'''' LOT 'Yt Y0, Cedar I CL S �-' FORMER,OWNER C��,c�. N E ACR. opq goo / ao Gz S W TYPE OF BUILDING RES. ;_2 6 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 600 s AL1 6.1a / -2 loud • Wr �� %a �s /o y c/a zzi �9 zo •�' cFA n G /7S161e./ 7/ Es r .� spa v Coto AGE BUILDING CONDITION .1- ?_ -�o NEW NORMAL . BELOW ABOVE FARM Acre Value Per Value Acre Tillable . . 1 Tillable 2 . Tillable 3 - Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD D G° _ House Plot . DEPTHMile Z yC BULKHEAD DOCK ■ Y } • or?C1d.:[:e!? # ..� � °•_� i J t{o; s^r_Y f 7 ,/7Et�t;brt 4{ . _ .._-� ._ ,a 1 .�_ .. . ^ Ncr;Yorl:S: £4 i l - _ ---- �> C4 �$1iy S'V&✓n;8 no2 chi, ._.� ___"_._ _" - , i i, -- — the tar,d z,roeyor'e inut acai oS - - -- -- - -- --;--' ------ t ,bascec•,seal shalt not b:;,consieered <•� r .'t ---- — —f.� to be.a vvEid true ccN• ---; —— Guarrntszs inu!cel d hereon shall rue', . 1 rn 4or tirciro tho survo'\ onld in t, h:; eso i)reaar d.and on his bsh.ai(to to ., E r� ¢ r ✓ ; tEtEai aomrany,governmental y engj ink • 42r r,n in tiitza_snn lia.:-horcnn mid to,the-s ic;r. ss of the Eerdiaay Era ti. tzri,r.Gu_;ror2oas are not trans`eraE to acmiticn,'MVitutions or su*equeni PC-D.,- 4 no 4/�• �p� e 00 Ib • G , W-,P OF Pf2(DPEF2TY i -=-- ----; SU2VEYED TQQ Fj` B . E V E N AT ce J.i SQU7HOL. ) as � y„ .: 1-C F'.5?UTHOLG, NY — — - - �' \ `<ALE- 30'•Ik v►Ci1 Q-MONU ME 7 SG FE\'-S ?,AY MAP 1QW-28 - ;-6 \ I . ��T �lO REFER i - _._.._. TQ 'M.AP r. ov�r. �:York st BEACH PA Q!4" RILX U IN! THE fJ� Coc;ec Of.his a,srosV mad not h.arino- M CLEr2k'5 WF.ICE A5 MAP Jio,qo, { DOG G era — the,ard sarvayor.a inK e o 0- embossed sa31 at lt batt be conais Bred SHED BLACiLTO to b.a valid true copy. Guarenterrs ind rxt heroan shall ru 'p �' ordy to the rson for whom tho survoi � is preaarad.and on his bc-haif to the �o � + title comnary.9ovemmentni agency art Id ._� l_: lendmv institution Rau, harson end fJ' W a' to,the-ssignaes of the lerdra sfer { J 1 N tution.Gusrar teas are not transferable to additional institutions ar subMueM 8 owner& 2 N POO L i - �� E�E-N - 3UAWAN7��'D Tu :'-'E C W EG:. ."� �E T Tom.... oN -•- -•fps �`� >t vq y�v LokFA �" - rO A SAY51 DE f EZ�612AL�V> .'�5 4 cv co o �� _}� 4 - - -- o` ` � '{* Ate; /�5`N. c. U4cVEY _�__.JUi.Y?�•.' ' m N.66 52 20"W. r ` rP2o T< Di TJYL.P.0 �6 -- !.•- — -- �! V is *; - r it