Application General Information RECEIVED
Tax Parcel ID: 303.5-1 87
MAR 16 2015
Zoning District: C'l
/60 Sr TOWN OF QUEENSBURY
Lot size: I I PLANNING OFFICE
Current Use: ?MI/Ng Lo
Proposed Use: lulls Bee, G-aRclew .30`X 30/j ( L4k1.1cJ 14
Project Location: Jsa Guaieie fe , /'-Y
Applicant Name 4-LAI/ (met€IQ sR Address: 118'42457i4 an er.I' o
,��./ wet eR /o mc, t t4 % L
Home Phone '7�8'-,s'GS� Cell: 9a6'�9‘�
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yo-3o'97 gss= 9avL_
Work Phone 79;.S � Fax 4/t
E-Mail: ;/.!•✓FeC/Q CSC/� i+Jac�C(
Agent's Name: Address:
Home Phone Cell:
, \
Work Phone Fax
i
E-mail
Owner's Name: SA/ilk Address
Home Phone Cell l 340e-
Work Phone Fax i
E-mail
Site Plan Review Revised March 2014 2
Town of Queensbury Planning Office. 742 Bay Road• Queensbury. NY 12804• 518-761-8220
Site Development Data
Area/Type Existing sq. ft. Proposed Total sq. ft.
Addition sq. ft.
A. Building footprint
0-00 If U / 4 SF
B. Detached Garage NQ
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced area �J JanS/ S ""� -cf 4545-SF
E. Porches/ Decks J
F. Other (i.e. boathouse, sundeck, etc.) tqL22SF 900s
G. Total Non-Permeable [Add A-F]
13,6si 5F /3,6S/SF
H. Parcel Area [43,560 sq. ft. /acre]
/Cow 5F1 /6,oa0 s1=
I. Percentage of Impermeable Area of Site [I=G/H]
ES-,5 ESQ
Setback Requirements
Area Required Existing Proposed
Front [1
Gti ateq , 75 5 .69 3f
/ Front [2] /
McAd0w o J 9s ,7 s/`
Shoreline
Side Yard [1]
Side Yard [2]
f �3ear e Li!t c9.5-1
ser6a€4 /5.0 S r
R ar Yard [2]Q /
_( ek kt as silk /9 z33•_
Travel Corridor 1
des 0■51'-‘47
Height[max] SS' 841 3 ay
eY0 Permeability
30
No. of parking spaces /M aar- //
,4m Gj /S
See arAckfk. Lek
`j ubl sviriv) Site Plan Review Revised March 2014 3
its,J&Town of Queensbury Planning Office 742 Bay Road Queensbury. NY 12804 518-761-8220
orAL Pn
Additional Project Information
1. Will the proposal require a Septic Variance from the Town Board of Health? H0
2. If the parcel has previous approvals, list application number(s): /VC
3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention Program?
#0
4. Estimated project duration: Stai Date 5/1/x•7 End Date 6"/P5—
5. Estimated total cost of project: ,87/0 00
6. Total area of land disturbance for project:
90J5
Floor Area Ratio Worksheet
FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total building
floor area by the lot size in square feet, yielding a percentage.
Zoning District Symbol ' Floor Area Ratio [FAR]
Waterfront Residential WR 0.22
Commercial Moderate/Commercial Intensive CM CI
Main Street MS 0.3
A. The combined area of all square footage, as measure from exterior walls of all structures on the property, including all
floors of the structures, garages, basements and attics with more than five (5) feet of ceiling height and covered
porches. Building square footage does not include: Open deck, docks and that portion of covered docks extending
over water and one storage shed of one hundred twenty (120) square feet or less. Any additional sheds will be
included. (See`FLOOR AREA RATIO").
B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a building
or structure, and when applicable, the sum total of all floor areas of the principal and accessory buildings or structures
on the project site.
A. Parcel Area /40;0 sq. ft.
B. Existing Floor Area / voO sq. ft. [see above definition]
C. Proposed Additional Floor Area 0 sq. ft.
D. Proposed Total Floor Area l .O C sq. ft.
E. Total Allowable Floor Area % ?06 (Area x ) [see above table]
*if D is larger than E, a variance or revisions to your plan may be needed. Please consult
w/Staff.
Site Plan Review Revised March 2014 4
Town of Queensbury Planning Office 742 Bay Road• Queensbury, NY 12804• 518-761-8220
§ 179-9-080 Requirements for Site Plan Approval. The Planning Board shall not approve a Site Plan unless it
first determines that such site plan meets the following Standards. Please prepare responses to each of the following
topics.
STANDARDS
A. The proposed project furthers or is consistent with the policies of the Town's Comprehensive Plan. es
B. The proposed project complies with all other requirements of this Chapter.including the site plan review s andards as set forth in Paragraph F
of this section,the dimensional,bulk,and density regulations of the zoning district in which it is proposed to be located (Article 3 and Table 1).
the applicable requirements of all other Articles that apply. hneed 1c1 ao. f1±„ L`N� on //
C. The site plan encourages pedestrian activit internally and,if practica e,to and from the site with pedestrian pat or sidewalliconnected to
adjacent areas. /1//
D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal, Chapter 147 Stormwater Management Local Law, and other
applicable local laws. an T104,4 e _
E. the proposed use shall be in harmony with the general purpo o intent of this Chapter,specifically taking into account the location,character
and size of the proposed use and the description and purpose of the district in which such use is proposed, the nature and intensity of the
activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on
supporting public services and facilities which will follow the approval of the proposed use. 1'..5
F. The establishment,maintenance and operation of the proposed use will not create public haza ds from traffic,traffic congestion or the parking
of vehicles and/or equipment or be otherwise detrimental to the health, safety or general welfare of persons residing or working in the
neighborhood or to the general welfare of the town. Traffic access and circulation, road intersections, road and driveway widths, and traffic
controls will be adequate. /1/O
G. Off-street parking and loading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated by i
the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers the
Town's goal of reducing curb cuts and reducing congestion. A twenty-foot wide connection is required. If adjacent properties are either
undeveloped or previously developed without having made provision for future linkage, then a future connection must be identified and
provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the
applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties. CS
H. The project shall not have an undue adverse impact upon the natural,scenic,aesthetic,ecological,wildlife,historic, recrea onal or open space
resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by the
project. taking into account the commercial, industrial, residential, recreational or other benefits that might be derived from the project. In
making the determination hereunder, the Planning Board shall consider those factors pertinent to the project contained in the development
considerations set forth herein under§179-9-080 of this chapter,and in so doing,the Planning Board shall make a net overall evaluation of
the project in relation to the development objectives and general guidelines set forth in§179-9-080 of this Article. e /O
I. The provision for and arrangement of pedestrian traffic access and circulation,walkway structures,control of intersections with vehicular traffic
and overall pedestrian convenience shall be safe and adequate for pedestrian movement. Pedestrian connections between adjacent sites
shall be provided to encourage pedestrian use. yips
J. Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre-development drainage flows.
Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off-site shall not degrade any streams or
adversely affect drainage on adjacent properties or public roads. Facilities shall be in conformance with e drainage standards of Chapter
147 of the Town Code and the Town of Queensbury Subdivision Regulations where applicable/142
K. The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requir ments set forth by Department
of Health regulations and Chapter 136 of the Town Code. €S
L. The adequacy, type and arrangement of trees, shrubs and oth r suitable plantings, landscaping and screening shall effectively provide a
visual and/or noise buffer between the applicants and adjoining lands, including the maximum retention of existing vegetation and
maintenance, including replacement of dead or deceased plants. _t�
M. Fire lanes,emergency zones,and fire hydrants will be adequate and eet the needs and requirements of emergency service providers.gfs
N. The design of structures, roadways and landscaping in areas susceptible to ponding, flooding and/or erosion will minimize or avoid such
AA)impacts to the maximum extent practicable. � /1 /
O. The site plan conforms to the design standards.landscaping standards and performance standards of this chapter. y es
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T t= e r N ,� T tL an Review Revised March 2014 5
To of Queensbury Ian Ing Office-742 Bay Road • Queensbury, NY 12804• 518-761-8220
§ 179-9-050 Application for Site Plan Review
Absent any waiver or waivers, an application for Site Plan Review shall include the following:
REQUIREMENTS Sheet#
• A A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect or serve it,
such as roads, shopping areas, schools, etc. The map shall also show all properties, identify owners, subdivisions, streets, and i
easements within 500 feet of the property. Such a sketch may be superimposed on a United States Geological Survey map of the
area.
B The site plan shall be drawn at a scale of forty feet to the inch (1" =40 feet) or such other scale as the Planning Board may deem
appropriate,on standard 24'x 36"sheets,with continuation on 8Y2"x 11'sheets as necessary for written information. The information C 1
listed below shall be shown on the site plan and continuation sheets. �J
C Name of the project,boundaries,date, north arrow,and scale of the plan. S' /
D Name and address of the owner of record,developer,and seal of the engineer,architect,or landscape architect. If the applicant is not
the record owner,a letter of authorization shall be required from the owner
5 f
E The location and use of all existing and proposed structures within the property. including all dimensions of height and floor area,all I
exterior entrances,and all anticipated future additions and alterations. 5 I
F The location of all present and proposed public and private ways, off-street parking areas, driveways, outdoor storage areas,
sidewalks, ramps,curbs,paths,landscaping,walls,and fences. Location,type,and screening details for all waste disposal containers SI
shall also be shown.
G The location, height,intensity,and bulb type(sodium, incandescent, etc.)of all external lighting fixtures. The direction of illumination J
and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179-6-020. a
H The location,height,size,materials,and design of all proposed signs. `—
I The location of all present and proposed utility systems including:
1. Sewage or septic system:
2. Water supply system;
3. Telephone,cable,and electrical systems; and
4. Storm drainage system including existing and proposed drain lines, culverts,catch basins, headwalls, endwalls, hydrants,
manholes,and drainage swales.
J Plans to prevent the pollution of surface or groundwater, erosion of soil both during and after construction, excessive runoff, and
flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development activities
(excluding agricultural activities) on the site that results in land disturbance of 1-acre or more. A SWPPP shall comply with the
requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury Code. It shall be at the
discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be required for a site plan review project
land disturbance of less than 1-acre. I
K Existing and proposed topography at two-foot contour intervals,or such other contour interval as the Planning Board shall allow. All
elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel is within the 100-
year floodplain,the area will be shown,and base flood elevations given. Areas shall be indicated within the proposed site and within
50 feet of the proposed site where soil removal or filling is required,showing the approximate volume in cubic yards.
L A landscape plan showing all existing natural land features that may influence the design of the proposed use such as rock outcrops,
stands of trees, single trees eight or more inches in diameter, forest cover, and water sources, and all proposed changes to these
features including sizes and types of plants. Water sources include ponds, lakes, wetlands and watercourses,aquifers,floodplains, S )
and drainage retention areas.
M Land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan, as well as any
Overlay Districts that apply to the property.
Site Plan Review Revised March 2014 6
Town of Queensbury Planning Office. 742 Bay Road- Queensbury, NY 12804• 518-761-8220
REQUIREMENTS CONTINUED Sheet#
N Traffic flow patterns within the site,entrances and exits,and loading and unloading areas,as well as curb cuts on the site and within
100 feet of the site. The Planning Board may, at its discretion, require a detailed traffic study for large developments or for those in
heavy traffic areas,which shall include:
1. The projected number of motor vehicle trips to enter or leave the site, estimated for weekly and annual peak hour traffic
levels;
2. The projected traffic flow pattern including vehicular movements at all major intersections likely to be affected by the J
proposed use of the site;
3. The impact of this traffic on levels of service on abutting public streets and at affected intersections. Existing and proposed
weekly and annual peak hour traffic levels and road capacity levels shall also be given.
i
0 For new construction or alterations to any structure,a table containing the following information shall be included:
A 6 C.
1. Estimated area of structure to be used for particular purposes such as retail operation,office,storage. etc.; � l
2. Estimated maximum number of employees; V E'F
3. Maximum seating capacity,where applicable;and v
4. Number of parking spaces existing and required for the intended use.
P 1. Floor Plans. D cf.
2. Elevations at a scale of one-quarter inch equals one foot(114"=1 foot)for all exterior facades of the proposed structure(s)and/or
alterations to or expansions of existing facades,showing design features and indicating the type and color of materials to be used.
Q Soil logs, water supply well and percolation test results, and storm runoff calculations, as needed to determine and mitigate project
impacts.
R Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility.
l
S Plans for snow removal, including location(s)of on-she snow storage.
T An Environmental Assessment Form("EAF"), as required by the SEQRA regulations,with Part 1 completed by the Applicant shall be
submitted as part of the application. If the proposed project requires a special use permit and an EAF has been submitted in
conjunction with a special use permit application,a duplicate EAF is not required for the site plan application..
U If an application is for a parcel or parcels on which more than one use is proposed,the applicant may submit a single application for
all such uses provided the proposed uses are accurately delineated on a site plan drawn pursuant to the requirements set forth
above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of reviewing
an application (and for SEQRA compliance) all proposed uses on a single parcel or on contiguous parcels shall be considered ---,—
together.
✓ A brief narrative statement on how the project proposed for review furthers or is consistent with the vision, goals and policies in the
Town's Comprehensive Plan.
Tie 4eeR 6adef At);// //e/, t-s Atm', /•Q .'twee ,etipfr p144/1'5 •
ire Siim ne/( / atie( k a,6o per' "-oRP ,e6/lc /a 4-'oR
Site Plan Review Revised March 2014 7
Town of Queensbury Planning Office.742 Bay Road • Queensbury, NY 12804- 518-761-8220
S ( 4 9)c,_ rt 4 ke, U ucc(C,tce
Pre-Submission Conference Form [179-4-0401
t Tax Map ID O ` S f t re
2. Zoning Classification —1-__
3. Table of Allowed Uses Tooct Se CV'C`� is subject to Site Plan Review
4. Ordinance.Section# (-Pt- v fC t C�
5. Pre-Submission Meeting Notes; Outstanding Items To Be Addressed Include: ��
Deed "Yes No
General Information complete Yes No
Site Development Data Complete Yes No
Setback Requirements Complete Yes No
Additional Project Information Complete 'Yes No
'Coverage under DEC SWPPP Program Yes No
FAR Worksheet complete _Yes No 1
Standards addressed Yes 7 No
Checklist items addressed Yes ir-No
Environmental Form completed 1 'kYes No
Signature Page completed —Yes No
l
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*A..licant us .rovide o'•ce wi h No"ce o me NOI •SWPPP Acce.tance Form DEC letter ssuin. .ermit number
Notice of Termination(NOT) ,:,�,�Q
Staff Representative: is U rc 4`MW!
Applicant/Agent:
Date: 3ttiA t
Site Plan Review Revised March 2014 8
Town of Queenshury Planning Officer 742 Bay Road•Queensbury,NY 12804.518-781-8220
Signature Page
This page includes the 1.)Authorization to Act as Agent Form:2.) Engineering Fee Disclosure; 3.)Authorization for Site
Visits; 4.) Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation
required.
OWNER'S AGENT FORM
Complete the folio g if the OWNER of the property is not the same as the applicant
Owner:
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax;clap No.: Section Block Lot
Deed Reference: Book Page Date
OWNER SIGNATURE: DATE:
APPLICA 'S AGENT FORie:
Complete the fo ing if the APPLICANT is unable to attend the meeting or wishes to be represented by another party
Owner:
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No.: Section Block Lot
Deed Reference: Book Page Date
} APPLICANT SIGNATURE: DATE:
2.) ENGINEERING FEE DISCLOSURE Applications may be referred to the Town consulting engineer for review of septic design,
storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged
directly to the applicant. Fees for engineering review will not exceed$1,000 without notification to the applicant.
3.) AUTHORIZATION FOR SiTE VISITS: By signing this page and submitting the application materials attached herein,the Owner,
Applicant, and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject
properties for the purpose of reviewing the application submitted_
4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to approval
by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It Is the practice of the Community Development Department to have a designated
stenographer tape record the proceedings of meetings resulting from application,and minutes transcribed from those tapes constitutes
the official record of all proceedings.
6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned, have thoroughly read and understand the
Instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced
prior to issuance of a valid permit I certify that the application, plans and supporting materials are a true and complete
statement/description of the existing conditions and the work proposed, and that all work will be performed In accordance with the
approved plans and In conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed,I or my
agents,will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built survey by
a licensed land surveyor of all newly constructed facilities prior to Issuance of a certificate of occupancy
I have rea• j.• ee to the :••ve.
�� v4 );// . ‹ 313
s,.-, ure ure r.•ic- Print Name[Applicant] Da sig d
S I/'.EI3 / /
i•y►ature[Agent] Print Name [Atjettt]1N (e c-+ D e s' ned
Site Plan Review Revised March 2014 9
Town of Queensbury Planning Office.742 Bay Road Queensbury,NY 12804 518-761-R77D
. z
J f- WARRANTY DEED WITH LIEN COVENANT
41{1.' , DATE OF DEED: December 4,2014
GRANTOR: THE PATRICK GROUP,LLC
a New York Limited Liability Company
tpb With as address of
(9,cp 19 Garrison Road
Queensbury, New York 12804
GRANTEE: KINDRED GROUP, LLC
a Limited Liability Company
With its principal office located at
78 Masters Common North
Queensbury,New York 12805
THIS WARRANTY DEED made between Grantor and Grantee on the deed date stated
above WITNESSES THAT GRANTOR in consideration of
One Dollar($1.00)
lawful money of the United States and other good and valuable consideration,paid by Grantee,
DOES HEREBY GRANT AND RELEASE UNTO GRANTEE and his assigns
forever all that property located at:
352 Quaker Road
Town of Queensbury
County of Warren
State of New York
TAX MAP#: 303.5-1-87
(THE PROPERTY IS DESCRIBED MORE FULLY IN SCHEDULE"A" ATTACHED)
THIS GRANT IS MADE:
TOGETHER with the appurtenances and all the estate and rights of the Grantor in and
to said premises.
TO HAVE AND TO HOLD the premises granted by this Warranty Deed unto the
Grantee and his assigns forever.
AND THE GRANTOR COVENANTS as follows:
FIRST: That Grantee shall QUIETLY ENJOY said premises;
SECOND: That Grantor will forever WARRANT the title to said premises;
THIRD: That this conveyance is made subject to the trust fund provisions of section
thirteen of the lien law.
If there are more than one Grantor or Grantee, the words "Grantor" and "Grantee" used in
this deed includes them.
IN WITNESS OF THIS CONVEYANCE, Grantor has executed this WARRANTY
DEED on the deed date stated above.
IN PRESENCE OF
THE PATRICK GROUP,LLC
(LS.)
By: Thomas P. Collins, Manager
STATE OF NEW YORK )
) ss.:
COUNTY OF WARREN )
On the 4'1'day of December in the year 2014,before me, the undersigned, a Notary Public
in and for said State,personally appeared Thomas P. Collins,personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity, and that by
his signature on the instrument, the individual, or the person upon behalf of which the individual
acted, executed the instrument.
BRIAN REICHENBAC!I
Notary Public,Stato of New York Notary Public
f.,...0.1ier.lin Warren County
'tsag.No.02RE4962359
:.1n-lwssnn Exnires Feb.15,20 fib
•
SCHEDULE "A"
ALL THAT CERTAIN PIECE OR PARCEL OF LAND situate, lying and being in
the Town of Queensbury, County of Warren and the State of New York, more particularly
bounded and described as follows: Beginning at an iron pipe found in the ground for a corner at
the southerly bounds of Quaker Road at the northwest corner of lands conveyed to Northgate
Enteiprises, Inc. by deed dated December 10, 1986, recorded in Book 689 of Deeds at Page 400;
running from thence South 21 degrees, 25 minutes and 00 seconds West, along the westerly
bounds of said lands of Northgate Enterprises, Inc., a distance of 105.41 feet to the southwest
corner thereof at a point in the northerly bounds of lands now or formerly of Mead's Nursery,
Inc.;thence running along the same,North 66 degrees, 03 minutes and 00 seconds West, a
distance of 147.87 feet to the easterly bounds of Meadowbrook Road; thence running along the
same,North 05 degrees, 57 minutes and 00 seconds East, a distance of 45.45 feet to a point in the
southerly apex of a triangular parcel of land conveyed to the County of Warren by deed dated
February l3, 1995 and recorded in Book 940 of Deeds at Page 78; running thence along the
easterly bounds thereof,North 21 degrees, 10 minutes and 09 seconds East, a distance of 55.07
feet to a point in the southerly bounds of said Quaker Road; thence running along the same South
68 degrees, 35 minutes and 00 seconds East, a distance of 160.00 feet to the point and place of
beginning.
Bearings given in the above description refer to magnetic North.
BEING the same premises described in a deed from Tina M. Lynch n/k/a Tina M.
Woods, William J. Meilleur and June M. Meilleur to The Patrick Group, LLC dated July 22,
2004 and recorded in the Warren County Clerk's Office on July 26,2004 in Book 1396 at
Page 9.
R&R: William L.Nikas, Esq.
116 Oak Street
P. O. Box 267
Hudson Falls,New York 12839
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