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0. ldentify the accessibility features and equivalent facilities that WILL 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: (Documontation <br />may be required) <br />Accessible Features to be Made Accessible Cost of lmprov6ment <br />a. Entrance <br />Q Door E Landing E Stairway/Steps E Ramp $ <br />b. Path of Travel <br />f] Path of travel from accessible parking to the building entrance <br />and area of remodel $ <br />Q Path of travel to sanitary facilities / public phone / drinking <br />fountain <br />E Path of travel from the public way to the building entrance $ <br />c. Sanitary facilities ( Floor no. 2 )$4,000 <br />d. Public phone(s)$ <br />e. Drinkingfountain(s)$ <br />f. Parking a <br />g. Signage & Alarms $ <br />i. Other Q <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 compliance for each ilem (Documentation may be required) <br />Accessible Features Not to be lmproved Cost of lmprov€ment <br />a. Sink, Water Closets, Urinals, & Partitions $150.000 <br />b $ <br />$ <br />$Total: <br />I certify that the above noted information is true and correct. <br />/ <br />! Legal Property Owner @ ArchitecuEngineer ! Contractor E Otner <br />Print Name: Tyrone Chesanek Phone No. 714.615.0887 <br />Address: 20 Civic C M-22, Santa Ana, CA 92702 <br />Signature Date: Sept 24,2020 <br />Approved by <br />Revt 0210412020 <br />FOR AGENCY USE ONLY <br />Date <br />Page 2 ol 2 <br />$ <br />8. Petitioner must ba the lagal property owner or his/her legal representative: