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I <br />6. ldentify the accessibility features and equivalent facilities that l4lLt 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 requted) <br />Accessible Features to be Made Accessible Cost of lm prove ment <br />a. Entrance <br />tr Door E Landing ! StaiMay/Steps E Ramp $ Exg Complies <br />E Path of travel from accessible parking to the building entrance <br />and area of remodel S Exg Comples <br />E Path of travel to sanitary facilities / public phone / drinking <br />founta in $ <br />E Path of travel from 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 $ 1.070 <br />g. Signage & Alarms $ <br />i. Other $ <br />$Total <br />7. ldentfy the accessibility features that WILL N0T comply if a request for unreasonable hardshp rs <br />granted. Provide an estimated cost of compliance for each item: (Docunentation fi)ay be requircd) <br />Accessible teatures Notto be lmproved Cost of lm pro ve ment <br />a. Toilet room upgrades $ $25,ooo <br />b $ <br />$ <br />$Iotal <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 ftArchitecvEngineer fl Contractor E Otner: <br />Print Name: Richard clarke Phone No. 805-459-1609 <br />Address 2775 Pioneer Ranch Rd. Templeton, CA 93465 <br />Signature Feb 10 2021 <br />Approved by <br />Re\t:0210412020 <br />Date <br />Page 2 of 2 <br />b. Path of Travel: <br />c. <br />Date: <br />FOR AG ENCY USE ONLY <br />Uuw )lq /at