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6. ldentify the accessibility features and equivalent facilities that I4tt be brought into compliance with the <br />latest edition of Title 24 as a part of this project and an estimate of the cost of each item: (Documentation <br />may be required) <br />Cost of lmprovement <br />a. Entrance: kp\or-t ; 3]6-S-4 <br />$ lOrooo <br />b. Path of Travel <br />! Path of travel from accessible parking to the building entrance <br />and area of remodel <br />e <br />Path of travel to sanitary facilities / public phone / drinking <br />fou ntain s 24.Ooa <br />! Path of travel from the public way to the building entrance s <br />c Sanitary facilities ( Floor no. I l \. )$ [-[, 60o <br />d. Public phone(s)5 <br />e Drinking fountain(s)$ t, oog <br />f. Parking S <br />g. Signage & Alarms s <br />i. Other:S <br />$ f7. oooTotal: <br />7 ldentify the accessibility features that wLL Nor comply if a request for unreasonable hardship is <br />granted. Provide an estimated cost of compliance for each item: (Documentation may be required) <br />Accessible Features Not to be lmproved Cost of lmprovement <br />a rtl cL<etivl L)l <br />b <br />$o <br />$ <br />c s <br />Total: <br />! Legal Property Owner frArchitecVEngineer nContractor IOther <br />Print Name otfl |rl /4,4^l Phone No 3to -'lLz - z-?oo <br />Address eo €.Q{,-,(ti)(9D A 4oloz <br />Signature Date E'lz-zuz <br />Approved by <br />Rev O5t20t2021 <br />FOR AGENC Y USE ONLY <br />Date L <br />Page 2 of 2 <br />Accessible Features to be Made Accessible <br />E Ooor E Landing ! Srairway/Steps ! Ramp <br />I <br />8. Petitioner must be the legal property owner or his/her legal representative: <br />I certify that the above noted information is true and correct