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Accet.lble Ferturtc to be frdc Acc.ollblo Co.t ot lmprcv.m.nt <br />E Ooor E Landing E Stairway/Steps E Ramp <br />b. Path of Travel <br />! Path of travel from accessible parking to the building entrance <br />and area of remodel $ <br />n Path of travel to sanitary facilities / public phone / drinking <br />fou ntain $ <br />n Path of kavel from the public way to the building entrance s <br />c. Sanitary facilities ( Floor no )$ <br />d. Public phone(s)$ <br />e. Drinkingfountain(s)$ <br />$ <br />g. Signage & Alarms $ <br />i. other:$ <br />$Totel: <br />7. ldentify the accessibility features that WLL t{OT comply if a request for unreasonable hardship is <br />granted. Provide an estimated cost of compliance for each item: (Documentalion may be required) <br />Acc6.lble F.rtuE Not to bo lmproved Cod of lmprovcment <br />a $ <br />b <br />$ <br />$Total: <br />8. P.tldon.r mu.t bc the l.g.l prDp.iv ownar or hhrhcl l.g.l nprr.ntallvc: <br />I certfy that the above noted information is true and correct. <br />E Legal Property Owner E ArchitecuEngineer n Contractor E Other: <br />print Name: Gensler - Dianne Dodge phone No. 949.863.9434 <br />Address. 4675 MacArthur Court, Suite 100, Newport Beach, CA <br />Dtann Mgl s61s. 21312021 <br />FOR AGENCY USE OI{LY <br />Date <br />Page 2 of 2 <br />Approved by <br />6. ldentify the accessibility features and equivalent facilities that wlLL be brought inlo compliance with the <br />latest edition of Title 24 asa part of this project and an estimate of the cost of each item: (Documenlalion <br />may be regured) <br />a. Entrance: <br />f. Parking <br />Signature: <br />Rev: 0210412020