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6 ldenlify the accessibilrty feeturas and equivalent facilities that EILL be brought hlo compliance wilh <br />th€ lalest €dition of Tilre 24 as a part of this proiect and an estimats of he cost of aach item: <br />(Documenlalion may be requicd) <br />N/A <br />! a. Entrance: <br />I Ooor E Landing ! Suirway/St€ps E Ramp <br />D Path of ravel to sanitary facilities / public phone / drinking fountain $ <br />$] Path of travel from th€ public way to the building entrance <br />Drinking fountain(s)e <br />f, Parking <br />g. Signage & Alarms <br />Other RESTROOI\,,I SIGNAGE $ 500.00 <br />Total:s 1000.00 <br />7 ldentity the accessibility features that ULL NOT comply it a request for unreasonable hardship is <br />granted Provide an astimated cost of compliance for each ilem: (Oocumenlation may be requi6d) <br />Accessible FEaturss Not to be lmproved Cost of lmprovemont <br />a s <br />b q <br />c. <br />$Total: <br />8. P€lltioner must be the legal property own€r or his/her legal representatlv€: <br />lcertify thal lhe abovs noted information is trus and mnect. <br />O Legal Propsrty Owner / arcfitecuEngineer I Contractor E Other <br />Print Name:Brad J Williams Phone No.562-628-8000 <br />245 EAST 3 rd street, Long Beach, CA 90802 <br />Signature:Oate: <br />! <br />Cost of lmprovemontAccecsible Features to be Made Accsssible <br />s <br />CC Path of travel from sccessible parkhg to he building entrance <br />and area of remodsl <br />)c_$ <br />d. Public phone(s) <br />S <br />$ 500.00 <br />Ror 119/2017 <br />FOR AGENCY USE ONLY <br />0ate <br />Pagr 2 ol 2 <br />Approved by: <br />b. Path of Travel: <br />Sanitary facilities ( Floor no. <br />Address: <br />t\-