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16050118 Accessibility Form
CITY C3F C�R�REL Ac.cessibility far Pe�bllc Accammot#s,tions .and Cai�me;�cial FaeSifEies � ertificaticsn f�e�istered Desigi� Professiorrals who �re the dest�n€�r of racord c�f an�+ cornmerc,ial, ir�sCi2utinnal, industriel oE �ather� building or struct�r� thaE is requ[reE� Co t�e accea>ible by� Ghe St�t� �at tndi;�r�;� in accarddr�c� �rr['th khe Incila.nn 8uifdr�rg Ce�de Chapter 7't� Accesa(t�ilrCy must rc�r��piete and s�al this forn��. 7 `.',' Y i� t Permit Numt�er. i Nam�e of Pru�ect: ---,_,; q��,t� t�'s`'+ aahe t't � ���.'ri� a. -,-�--_..._� �.-- AddressofProjeet � i``��1 _�„''�`}��-rtt�,��i. ;�; V�',r�/ET c ,��/�a�`7`" _.___. _ n _ (�va ,:a .. th� Registrred C+�tsign Professic�r��a[ o`the abave �;uk�f�ct praper�ty h�ave persc�nally preparc>d the ei€awings and per�sor�al;y ar my e�ua6ified reprt?5entative, V?4sV�i G%r.�Cr.+rf ce��'.t;�, E:'PrrYj .�Ev'r.0 G/S.R'"�,�,,, .�/r'2�'•-��✓Z1 r'�r1u,�-" ._ __._ ....... f_..... .._..._. �__...._. ___.._.. ..._____._�_._..__ ....., h.nrN o` Gu3 [ it i� kctPrr*u.'tati✓e�1 havelha^; perforrnecl a physical inspec�fian at� Ehe abou� suhjeet prcajG�cC ar�ci attest that aEI th� rec�€�ir�ments of the ln�fFanrr Huitdirtg Cc�cfe Cttapter 3S: Ree�s.s�b;tGYy t��r F�iblir Xtceummadations art�� C on7mer�cial �aci[iC;e�s ar� c��rde cvrripli�rrt �ff�9�t���-�C_..�-o Si�nature c€ Design Professional %%� �� _ O�j' ...._........... ._._._—_._. ��tE� /' `�`�,,`'' ' ._._ �a�aee�aae�e �`� ��m e� ��Slt���� s�g `, e � ` °��,��°�(pi�F� � �/�'°� i i �` R�+° a � r a `g ;'�B' O •. '.�. � ' � $���. � � i �, � RR143�C64 � ," � p�a 4 , , �x�v� � * � f `� � �'^. ;° � � �� m� p°°����8���;•e gg� „ � ��'"•B�� tl1i��"� ��g��"'F � -__ s «