Laserfiche WebLink
6. ldentify the accessibility features and equivalent facilities that WILL be brought into compliance with <br />the latest edition of Title 24 as a part of this project and an estimale of the cost of each item: <br />(Documentation may be required) <br />Accessible Features to be Made Accessible Cost of lmprovement <br />a. Entrance <br />EI Door E Landing n Stairway/Steps E Ramp $ /,ooo <br />b. Path of Travel <br />E Path of travel from accessible parking to the building entrance <br />and area of remodel $ <br />Ef Path of travel to sanitary facilities / public phone / drinking fountain $ /, auo <br />n Path of travel from lhe public way to the building entrance $ <br />c Sanitary facilities ( Floor no ) <br />c <br />d. Public phone(s)$ <br />e Drinking fountain(s)$ <br />$ <br />g. Signage & Alarms $ /avo <br />i. Other:$ <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 lmprovement <br />a $ <br />b $ <br />c $ <br />$Total: <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 correcl. <br />E Legal Property Owner E ArchitecuEngineer E Contractor E other: <br />Print Name: H a", Clre-ol h ut n k- Phone No.>l 3 >to 6lEs <br />Address: 28 R;)bl-C+. PancLo 74,s <br />Signature:Date <br />275 <br />>.ara4 <br />Rev:1l9l2o1l <br />Date: <br />Page 2 ol 2 <br />f. Parking <br />,t <br />FOR AGENCY USE ONLY <br />Approved by: