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CITY OF SANTA ANA <br />Planning and Building Ager <br />features and equivalent facilities that WILL be brought into compliance jr(ij�Uie,.oved <br />6. Identity the accessibility <br />latest edition of Title 24 as a part of this project and an estimate of the cost of each ite (FOR PERMIT ISSUANCE <br />may be required) <br />Accessible Features to be Made Accessible <br />Cost f Improvement <br />Master ID: <br />a. Entrance: <br />❑ Door ❑ Landing ❑ Stairway/Steps ❑ Ramp <br />$ <br />b. Path of Travel: <br />❑ Path of travel from accessible parking to the building entrance <br />$ <br />and area of remodel <br />Path of travel to sanitary facilities / public phone / drinking <br />$ <br />fountain <br />❑ Path of travel from the public way to the building entrance <br />$ <br />C. Sanitary facilities ( Floor no. ) <br />$ <br />$ <br />d. Public phone(s) <br />e. Drinking fountain(s) <br />$ <br />f. Parking <br />$ <br />g. Signage & Alarms <br />$ <br />i. Other: <br />$ <br />Total: <br />$ <br />7. Identify the accessibility features that WILL NOT comply if a request for unreasonable hardship is <br />granted. Provide an estimated cost of compliance for each item: (Documentation may be required) <br />Accessible Features Not to be Improved <br />Cost of Improvement <br />a. <br />$ <br />b. <br />$ <br />C. <br />$ <br />Total: <br />$ <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 />❑ Legal Property Owner ❑ Architect/Engineer ❑ Contractor] Other: <br />Print Name: Phone No. rV <br />Address: <br />Signature: <br />FOR AGENCY USE ONLY <br />Approved by: <br />Date: <br />Rev: 03/18/2025 <br />Page 2 of 2 <br />