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6. ldentify the accessibility features and equivalent facilities that gllL be brought into compliance with the <br />latest edition of Title24 asa part of this project and an estimate of thecoslof each item: (Docunentation <br />may be required) <br />Accessible Features to be Made Accessible Cost of lm prove ment <br />a. Entrance <br />n Door E Landing E Stairway/Steps E Ramp $ Exg Complies <br />fl Path of travel from accessible parking to the building entrance <br />and area of remodel $ Exg Comp|€s <br />E Path of travel to sanitary facilities / public phone i drinking <br />fountain $ <br />E Path of travelfrom the public way to the building entrance $ <br />c. Sanitary facilities ( Floor no )$ <br />d. Public phone(s)$ <br />e. Drinkingfountain(s)$ <br />f. Parking $ 3,7as <br />g. Signage & Alarms $ <br />i. Other:$ <br />$T ota l: <br />Accessible Features Not to be lmproved Cost of lm pro ve ment <br />a. Toilel room upgrades $ $2s,000 <br />b $ <br />c s <br />$Total <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. <br />E Legal Property owner ! ArchitecuEngineer E Contractor E Other <br />Richard ClarkePflnt Name:Phone No. 805459-160s <br />2775 Pjoneer Ranch Rd. Templelon, CA 93465 <br />Date Feb 10,2021 <br />Re\: O210412020 <br />TOR AG ENCY USE ONLY <br />Date <br />t1q lr,t <br />Page 2 of 2 <br />Approved by: <br />b. Path of Travel: <br />7. ldentify the accessibility features that Wll-t N0T comply if a request for unreasonable hardshrp rs <br />granted. Provide an estimated cost of compliance for each ilem: (Docunentation nay be required) <br />Address: <br />Signature: