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J <br />6. ldentify the accessibility features and equivalent tacilities that l4lLt be brought into compliance with the <br />latest edition of Title 24 as a part of this prolect and an estimate of the cost of each item: (Docunentation <br />may be required) <br />Accessible Features to be Made Accessible Cost of lm prove ment <br />tr Door E Landing ! Stairway/Steps E Ramp $ Exg Comp|es <br />b. Path of Travel <br />E Path of travel from accessible parking to the building entrance <br />and area of remodel S Exg Compl,€s <br />n Path of travel to sanitary facilities / public phone / drinking <br />fountain s <br />s <br />c. Sanitary facilities ( Floor no.)$ <br />d. Public phone(s)s <br />e Drinking fountain(s)$ <br />t. Parking $ 1070 <br />g. Signage & Alarms $ <br />i. Other s <br />$T otal: <br />7. ldentify the accessibility features that WlLt N0T comply if a request for unreasonable hardship rs <br />granted. Provide an estimated costof compliance for each item: (Documentation nayberequired) <br />Accessible Features Not to be lmproved <br />a. Toilet room upgrades $ $25,ooo <br />b $ <br />c s <br />$T otal <br />Print Name: Richstd cla'ko Phone No 805-459-1609 <br />Address <br />Signature Feb 10 2021 <br />Approved by <br />Rev 0210412020 <br />Date <br />,lq /,, <br />Page 2 of 2 <br />8. Petitioner must be the legal property owner or his/her legal representative: <br />lcertify that the above noted information is true and correct. <br />E Legal Property Owner SArchitecuEngineer E Contractor E Other: <br />2775 Pioneer Ranch Rd. Tomploton, CA 93465 <br />a. Entrance: <br />E Path of travel from the public way to the building entrance <br />Cost of lm prove m ent <br />Date: <br />rOR AGTNCY USE ONLY <br />(,(A,-