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HomeMy WebLinkAboutSwan Lake Club_13000190112000 _ 22630_Shoreland Permits_OTTER TAIL COUNTY 6228Grade & Fill Permit # PROPERTY OWNER Lau£ C.luA C R^H£A) LAKE NO. 7^i SEC. TWP. NAME P(2AiAjc Pr <^L 3 _____________( /3 £>^Z) <g//^ OOo^_____________________________________ WORK AUTHORIZED Re^72iA.E fl\P l£0 ' ^\A flAfi ty\U^ D/J/i LEGAL DESCRIPTION; Of ^ 0^)Lj,jrji cl^fTTTjJuJad^ Ai/^v Sc ns ~ 4)utua4g^ I^IEA 7Z> 5c /ggiZgCtTHTS^ i^iTn i>EEfi Rj»o7Zd ?L^tJTS /^•^O <£t^e/0 ^ thHiT u<r. £Al3Sl4>fJ r^KAAiC r)S NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN- COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN ujB/n u/^ofu& 2. Entire area shall be stabilized within 10 days of completion of any earthmoying. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER # 53^' 7.?/ 5C-’ - yfo LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME c /SodO -/9 -^oo PARCEL NUMBER(S) PROPERTY (E-911) ADDRESS cP^6p^0 A).. /^‘ LEGAL DESCRIPTION ^^ First InitialLast Name Mailing Address DAYTIME Phone No.fc <'cC\r//V(/Property Owner Contractor Name dc’< U y l--thAJiU 5 ^/n^o-r?s^ (^/S\y 3-7 -^/oLie. # Date Stamp ^ 07 '*«eso(j^ct NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. ^011 M/vo L&R Initial PROJECT REQUEST (You may use the grid on back for required scale drawing): ^ /O S' ^^DESCRIBE YOUR PROJECT(S): _ f / __________r//a T //(? y y-.-yj I f A DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:Yds^Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length /yp-/<o X Length Width Ave. Depth >a/^.Ft. - 27= 50 cA AREA TO BE FILLED/LEVELED:Ft. X Width Ave. Depth Yds^TOTAL EARTHMOVING REQUESTED = BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE:% ' RECEIPT NUMBER BK062011 NATURE OF PR^PE^ OWNER/AGENT FOR OWNER DATE ✓Scats: Each grid equals*\ ^feet/inches GRID PLOT PLAN SKETCHING FORM J9_ZZ- lo'jiifDated: Please sketch your tot indicating setbacks frdrfHc^d right-of-way, take and sideyard for each building currently on lot and any proposed structures. '! I 4-1.1 C-jj Signature /\ it 4 t -4 \i.*2' - n-•'i ar 4 ; ! )f CIh> ^ ' r/i, ^ ^ 1 i f *.i t\ #II t i I r i •» t *^ -o ‘ f r 6^ I # (4 i :!T %kI tIU-fi 4 i 1i \4>«-»rvri} i Vi ' H. > 21598 7@MKL-087i-029 VICIOB lUNDEEN CO.. PBIM7EBS. *EBOgS r*LLS. UIWN. APPLieJITBOBy SITE PEUfiVBIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS. MN 56537 WHITE-Office GOLDEHROD - Inspector YELLOW • Owner PINK - Assessor Permit No.LEGAL DESCRIPTION & L^3 BLUFF ZONEAND □ YES NO LOCATION LAKE NUMBER LAKE/BIVER NAM SECTIONLAKE/RIVER CLASS? jIL/TWP NO.RANGE TWP NAME /3?4© PARCEL NUMBER (S)GRADING / FILLING M YES # OF CUBIC YARDS | s.^ QNO f)K fe \[}Pi NUMBER liocoi^ IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip CodeLas^Name __________First3uhd^ 3aJls. ^ZuJ^ dtr?L<i3, . 7^. Initial (Daytime) Property Owner NameContractor n^tstate Lie. # PROPOSED PROJECT (J^>«ew Structure(s) ( ) Addition(s) ( )MH/RV______________ PROPOSED USE (Ujr6welling ONSITE WATER SUPPLY (Ufindividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTE (\) Individual Permit # ( ) Collector Permit #______ .( )OTLSD*-^ ^ JlMtdJJu/L' Wdcmj^w^ ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF NON-DWELLING ( ) Detached Garage CHARACTERISTICS OF WOASCHARACTERISTICSOF DWELLING (j^elling ^ (V^placemeWliSing^ Walkout (v)^dition to Dwelling ^4^y/i^U)-fflached G ( ) Existing Dwelling shall be removed on or before Outside Dimension ( ) Boathouse ( ) Screen Porch( ) Utility StructureBasement ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension barage Ft. X .Ft.( ) Other. Outside DimensionMFt. X Ft.Lotline Setbacks Ft..Ft,&.Ft. X .Ft. s>S2_n.Lotllne Setbacks Ft.&OHWL Setback .Ft. Lotline Setbacks .Ft..Ft.& OHWL Setback Ft.Bathroom: ( ) Yes ( ) No (If Yes / a complying Sewage System Required)3 OHWL Setback FI. Total Bedrooms Maximii^^^ight/ 35 Ft. (2 story)3 Maximum Height /10 ft. (1 story)Maximum Height Ft.story AC /3/9Y- .Sq. Ft.Impervious Surface Ratio .%Sq. Ft. Impervious SurfaceLot Area 3 .Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWafer Frontage Structure setback to right-of-way 3a Ft. Slope of lot .% IR .Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System __ Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O. T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. Sn.oO Dated: Signatore of Owner Dated: Land S Resource Management Office / j,T J3m , , , _ ^ nnlZ,^! A LI W. Dt 9 RECEIPT NO.PERMIT FEE $ 290.821 ♦ Victor Luodeen Co . Printers • Fergus Falls. MN • 1-800-346-^870Form No. BK — 0597-002 _ <3 WHITE-Qffice ' GOLDEt\lROD - Inspector YELLOW - Owner PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 ‘s /-/r'- ' '•Permit No.LEGAL DESCRIPTION BLUFF ZONEAND Ju >a^□ YES ca NO LOCATION ;LAKE/RIVER NAM^LAKE/RIVER SECTION TWP NO.RANGE TWP NAMELAKE NUMBER// {_x.i ■ -I!/'/N I-WX 1/I (/APARCEL NUMBER (S)GRADING / FILLING O YES # OF CUBIC YARDS □ NO FIRE NUMBER (Y)0 ) x\IDENTIFICATION: Please Print All Information TELEPHONE NO. First Mailing Address — No. Street, City, State, and Zip CodeLast Name Initial (Daytime) Xj X ( (iJm (Property Owner ■j'■/'/? 'i .. /,■ ' yj Xp I yV1 /'/ // (■ t.^ cTj/ C/<Ly'A- J- UName M JContractor ' //State Lie. # ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM (\ ) Individual Permit #__ ( ) Collector Permit #___ ( ) OTLSD * {/ {( ( PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) ( )MH/RV________________ PROPOSED USE (Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)iXPtaiiuL -! H i YEAR CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING (i,) Dwelling , ( Vl Replacement Dwelling (v) Addition to Dwelling !// y u) Attached Garage ( ) Existing Dwelling shall be removed on or before Outside Dimension ■■h ( ) Screen Porch( ) Boathouse( ) Detached Garage{y) Basement /(W Walkout ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension \( ) other, Outside Dimension :Ft.x .Ft. rl .Ft.Ft. X .Ft.&.Ft.Lotline Setbacks .Ft.Ft.x.^Z_Ft,&,Lotline Setbacks .Ft..Ft.OHWL Setback .Ft..Ft.&Lotline Setbacks .Ft.OHWL Setback Bathroom: ( ) Yes ( ) No (If Yes / a complying Sewage System Required)-Ft.OHWL SetbackTotal Bedrooms Maximunri Height / 35 Ft. (2 story) ^Maximum Height /10 ft. (1 story)Ft.Maximum Height story //y.y AC .%Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage Structure setback to right-of-way .%.Ft. Slope of lotjy m Ft. (10’minlmum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System /U A//// THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.LSD. that a conforming sewage system wiil be instailed to service this iot... Contact Roilie Mann at 864-5533. IDated: Signature of Owner j ■'/r-Dated: Land & Resource Management Office // m/3/ ■ - /RECEIPT NO.PERMIT FEES :: • / / /f An PiL \ i)/trt !h /J-Comments: . V 2M.821 * Vicior Lundotn Co. Printers ■ Fergus Falls. MN * 1-fl00 346‘4870Form No. BK — 0597-002 1 o _ INSPECTION RESULTS f-Make all measurements and computations l>y Structure Set Back from Ordinary High Water Level Ft.Ft.^2-li- Structure set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft.20*#“ /O-^ Ft.&z^^^' Ft.Structure set Back from Lot Lines Ft.&Ft. Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Absorption System Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft. Ft.ir- 1 -jTLand Slope at Building Line %% Inspector’s Comments / Sketch:, 4 a \ r <=e 'Dyj t \ / lnspector‘8 Signatuny' •r/ Oito 0/inspecfibn Time of Inspection t Cr I'-.Wo, f>RAI^FI£LD HEREBY CERTIFY THAT THIS PLAN WAS PREPARED BY ME OR locov/icirtM AMR THAT I AM A OULV REGlSTEf)- ICHECKED WdesignedI APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE ■ Office GOLDENROD - Inspector YELLOW^ - Owner PINK - Assessor Permit No.LEGAL DESCRIPTION £6 BLUFF ZONE-UAND □ YESLOCATION TWPNO.RANGE TWP NAMELAKE/RIVER SECTIONLAKE/RIVER NAMELAKE NUMBER CLA'E/P /y /3^ TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS X NO FIRE NUMBERPARCEL NUMBER (S) /5 -&GO v9- 0//P- -ooo IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name Property Owner NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM { ) Individual Permit It__________ ()(![Coilector Permit # ( )OTLSD ONSITE WATER SUPPLY ^ individuai ( ) Pubiic ( ) None PROPOSED PROJECT ()Q New Structure(s) ( )Addition(s) ( )MH/RV____________ PROPOSED USE ( ) Dwelling ()^ Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ()<) Garage CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Utility Structure ( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension_________> ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension Ft.x Pon Ft.& Sb /nn .Ft.( )Other, Outside Dimension.Ft..Ft..Ft.x Lotline Setbacks .Ft. .Ft.Lotline Setbacks .Ft.&OHWL Setback .Ft..Ft.Lotline Setbacks .Ft.& (X)No.Ft.OHWL Setback Bathroom: { ) Yes (If Yes / a comi^yjng Sewage System Required).Ft.OHWLSetback, To^Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Heimt /18 Flulystory) .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area 3 _Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage sa __________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). .%Structure setback to right-of-way 10structure setback to septic tank -30Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System lo THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. T2i CUaS T,VCniDated: Signature of Owner Dated: Land & Resource Management Office / V Po.nn RECEIPT NO.PERMIT FEE $ Comments: Form No. BK — 0496-002 2B1.017 • Victor Lurtdeen Co.. Printers • Fergus Falls. MN • 1‘600*346-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW^- Owner PINK - Assessor I ! tPermit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YESLOCATION ;> LAKE/RIVER NAME LAKE/RIVER CLASS SECTION RANGE TWP NAMELAKE NUMBER TWP NO.r-/d /lJ /3A/t>/0' FIRE NUMBERPARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS NO 'I IDENTIFICATION: Please Print All Information TELEPHONE NO. Initial Mailing Address — No. Street, City, State, and Zip CodeLast Name First (Daytime) Property Owner -Ll i~w ///. ,! NameContractor / /State Lie. # PROPOSED PROJECT UQ New Slructure(s) ( )Addition(s) ( )MH/RV____________ PROPOSED USE ( ) Dwelling ^ Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY Individual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTEM { i Individual Permit # _____ Collector Permit # “P ! . j ( ) OTLSD I YEAR CHARACTERISTICS OF NON-DWELLING (;<J Garage ( ) Utility Structure CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch CHARACTERISTICS OF DWELLING 1 ( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension_________y * ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension Ft.x Ft. & So Ft. ( )Other. Outside Dimension .Ft. .Ft.x .Ft.Lotline Setbacks .Ft.x .Ft. !()(}Lotllne Setbacks .Ft.&.Ft.OHWL Setback .Ft. Lotline SetbacI .Ft.&.Ft. Bathroom: ( ) Yes No (If Yes / a complying Sewage System Required) / ■ ’ Maximum Height /18 Ft (1 .«tory) OHWL Setback Ft. .FtOHWLSetback,Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story) \I Maximum Height / 10 ft. (1 story)y Lot Area .Sq. Ft. Impervious Surface .Sq. Ft..%Impervious Surface Ratio )5cj^Water Frontage Structure setback to right-of-way Structure setback to septic tank. .Ft. Elevation of lowest floor above OHWL .Ft. (3’ minimum) .Ft. Slope of lot .% idl .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System !0 THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant Jo perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. / 3 1W r /X..Dated: Signature ot Owner Dated; Land & Resource Managenwnt Othoa > dn.firi / PERMIT FEE $RECEIPT NO. Comments: I Form No. BK — 0496-002 281.017 • Victor Lurtdoen Co.. Primers • Fergus Falls. MN • 1-800-348-4870 INSPECTION RESULTS Make all measurements and computations ^90'Structure Set Back from Ordinary High Water Level Ft. Ft. Structure set Back from Top of Bluff Ft.Ft.AJfl ZS£>'Structure Set Back from Road Right of Way Ft.Ft. Structure set Back from Lot Lines ,Ft.&.Ft.Ft.&.Ft. !Structure Height Ft. Ft.! /O'"structure Set Back from Septic Tank Ft.Ft. ■ J7^Structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. Land Slope at Building Line %% .■’fInspector’s Comments / Sketch: n 7 ‘^0 C Inspector's Signature Date of Inspection Time of Inspection rScale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM /Dated:19 i Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. Drtwr toj P 1 Mt-LlWf ■V /CxisriW^: Powflt. l/A/Cclv'vv/* (o\aJ Poitjfv- C<> t 1/ 4-® hutied /*» Ctii Uz Su>^y' l~-dk^ V *»>C ') ^''€- 'Flu-* w^i'ti OH^isfi Fveioti bo\A-e.a i( |I7/0V cxt-rio^: rTPTi^ ^ aiMevs ^ / * ; Trv\r(*r''nfi'^ 1 / rx/«T“y S^'fov*//7^ 774,( Civ^n. :?er iu i cl Ht ^KjL^ H ft" A' M (? CO^fAcitu er 12 AW/cltk\ X/ 21598 7®MKL-0871-029 VICTOfI LUNCCEM CO.. PKINTEKt. rENSUS fALLB. yiNN.