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6. ldentify the accessibility features and equivalent facilities that !!!! be brought into compliance with <br />the latest edition of Title 24 as a part of lhis prolect and an estimate of the cost of each item: <br />(Documentation may be required) <br />Accessible Features to be l\4ade Accessible Cost of lmprovement <br />b Path of Travel <br />E Path of kavel from accessible parking to the building entrance <br />and area of remodel $ <br />E Path of travel to sanitary facilities / public phone / drinking fountarn s <br />E Path of travel from the public way to the building entrance $ <br />c. Sanitary facilities ( Floor no )$ <br />d. Public phone(s)s <br />$ <br />) <br />g. Signage & Alarms S <br />i. Other:$ <br />$ <br />tr Door E Landing ! Stairway/Steps E Rarp $ <br />e Drinking fountain(s) <br />f. Parking <br />Total <br />7. ldentify the accessibility features that WILL NOT comply if a request for unreasonable hardship is <br />granted. Provide an estimated cost of conpliance for each item: (Documentation may be required) <br />Accessible Features Not to be lmproved Cost of lmprovement <br />a <br />b $ <br />C $ <br />$Total <br />8, Petitioner must be the legal property owner or his/her legal representative <br />lcertify that the above noted information is true and correct. <br />,/pfleqal Property Owner ! ArchitecuEngineer f] Contractor E Other: <br />print Name: Ryf.^..t C r+nf6 Phone No "l 17)- 7,la D <br />Address: <br />Signature <br />)_r,r1. r,r, LSr-,,rJ ti,\tO 1o.r1t\ 7v1{4 cft iza zl <br />7 <br />Date il <br />FOR AGENCY USE ONLY <br />Approved by <br />Rev 119t2017 <br />---lto*l Date <br />Z:fi <br />Page 2 ol 2 <br />a Entrance. <br />s