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2007-397 TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20070397 Date Issued: Monday, December 08, 2008 This is to certify that work requested to be done as shown by Permit Number P20070397 has been completed. Location: 183 PITCHER Rd Tax Map Number. 523400-308-014-0001-052-000-0000 Owner. ARC COMMUNITIES 14, LLC Applicant: ARC COMMUNITIES 14, LLC This structure maybe occupied as a: Mobile Home In Park By Omer of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070397 Application Number. A20070397 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: ARC COMMUNITIES 14, LLC For property located at: 183 PITCHER Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tune of Constructio Value Owner Address: ARC COMMUNITIES 14, LLC Mobile Home In Park $35,000.00 900 Total Value $35,000.00 PO BOX 790830 SAN ANTONIO, TX 78279-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2007-397 89 Gregwood Circle- John Pinel $46.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,July 13,2008 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow 7 eensb la J 13,2007 SIGNED BY �; the Town of Queensbury. ;a Director of Building&Code Enforcement .rr rrrrrrrrrrrrrrrrrr_rrrrrrr<rrrrrr<rrr.r_rr_rr_rr___rrrrrR �rr_<«.<r«r_«rr<, OFFICE USE ONLY / TAX MAP NO. PERMIT NO. n 3�Z DATE ISSUED: , C PERMIT FEE 10-! APPROVALS: ZONING TOWN CLERK ; / s/rrrrr+rrrrrrrr rrrrrrrrrrrrr_rrrrrrrrrrrrrr rr_rr rrr r_r rrrrrrrrr<rrr<rri r sr rr<_rrrrr MOBILE HOME —APPLICATION FOR PERMIT A building permit must be obtained before placement of mobile tame on parcel. No inspections will be made until a valid building permit has been issued. A.pplicantInformation Property Owner/Information Name: tl.�- � � pie L Name: Address: G c'l ,P Address: E Islet,l 'Vell iq ISO' Phone No. Phone No. Parcel Information Proposed Date of Placement: �% Property Location: Road,Street,Avenue Name of Mobile Home Park: rC)" S itappocable) Tax Map Number: Mobile Home Information ' Zoning Information Approximate Value of Home:$ n_T ) ' Zoning Classification: New Home: Yes loj : Size of Property: ft.by ft• Replacement Home: Yes ; Existing buildings: Size of Mobile Home: ft. by l ft. I Setbacks: front yard ft. rear yard ft. side yards ft.and ft. Singlewide: Doublewide: Number of Rooms:(exclude baths) = Accessory Building(s): circle Number of Bedrooms: Number of Bathrooms: Detached garage: 1-car 2-car car Circle: Gas Fireplacestove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes No Type Size & Depth Other. pctd5 ? Water Supply. well or municipal Runners T" Slab is Septic Permit Required? Yes or No L-... _-__....._..._..._------_.._._.. _ ._.----_ __...__-___._._ __._._.___.__..__. __._._........._.........._...._..._._.... __ __...........__ _.__.._.____. ..._... _.._... _ __ _ Continued on bads Town of Queensbury• Community Development Office• 742 Bay Road, Queensoury, tv r tz-buq Name of Installer or Mobile Home Dealer— Address: df� �tCA_c Vlk 1,_ Phone: Complete information below found on('a"Plate"or"Sticker"which is affixed to the mobile home: ✓ Insignia serial number. - _2019 ✓ Name of manufacturer. V^ ^�- ✓ Plan Approval Number. R d C Q D ✓ Model or Component Designation: SC.,Ll� (New home only) ✓ Date of Manufacture: ;.r:<._::��«•-«•-«•z.r«-s...�za_z-:n-«•-«•-«•-«•:ram--.ate•-«•:r-:_�«<<c>--«•:r:.r--«--«•«--.rv:r«--«•:a�-�•«•--r-«--.r._•-s«—.rs:_-:.ra:;+ AFFIDAVIT J V Town of Queensbury State of New York County of Warren x V M �f J I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement y of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, the ZONING ORDINANCE, and all other laws pertaining to the proposed work y shall be complied with, whether specified o> not, and that such 5 work is authorized by the own r. Y z Signature: r Own r,Owner's Agent,Architect, Contractor c J y x �,.:�._�cazr:�.-�:..:a.-�._ _ _ _ _ _ _ __._ _A_M�x�.r.'xaw-w.'r.'�.-�:...-�.'�.'r:w'ra�.'x•_ _ _ _ _ __ __ _ _ __ _ _ SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804 (ELTOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 518-761-8201 AFFIDAVIT TOWN OF QUEENSBURY STATE OF NEW YORK COUNTY OF WARREN I swear that the following used mobile home that will be transported into the Town of Queensbury for placement will have the following. A building permit approved and issued, meet all zoning requirements, the mobile home's HUD sticker affixed to mobile home and meet HUD requirements for the Middle Zone. As the person responsible for the transport and placement of this mobile home, I accept total responsibility for removal of the mobile home from The Town of Queensbury, if it does not meet the requirements for placement. � 3 Signature: ' l ; U Date: 7 Mobile Home Owner, Owner's Agent, Mobile Home Contractor Signature: Date: Town of Queensbury Code Enforcement Officer "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 FINAL INSPECTION REPORT MOBILE / MOOULAR �7 Town of Queensbury CC)VA Building & Code Enforcement -- 742 Bay Road Queensbury, NY 12804 (518) 761-82.56 ARRIVE:DEPART: 144 1 - DATE INSPECTION REQUEST RECE�yG NAME: LOCATION_ Fn G6�1�L11fYlF� l RC`� DATE: ,7-- PERMIT# - MOBILE HOMK MODULAR HO= F00nNcS_ FOUNDATION` BACKFIL ., FRAMING N/A . YES NO 1. foundation support pier spacing per manuf. ........................ �L/r✓ 2 anchoring per manuf. water line shut off ................... 4. sewer line support a 4 feet .. S. heating crossover(dblewide) off grd. 6. dryer vented outside ..:................... — ? , v ti a. 8 hot water relief valve piping outside _ 9 deck, porches, steps, railing ........ — 10. furnace/bot water operating _ 11. garage hire proofing .................. 12. door closers ........................... 13. plumbing fixture ...................... 14. foundation insulation (if appl.)...... _ 15. smoke detectors ....................... 16. final electrical 17. variance required ..................... I8_ data plate okay ....................... 19. mobile HUD seal okay .............. — — Model# Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: FINAL INSPECTION Repoprr MOBILE / MOOULAR Town Of Query Budding &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 '2804 ARRIVEAV-36DEPART: INS DATE INSPECTION REQUEST RECEI NAME: t.�C—A LOCATION_ <R�_ A G DATE:KOIJILZ KOMR it F0071NGS— FOUNDATION BACKFILL— FRAMING NIA YES NO 1. foundationsupport, pier spacmg per manuf. ........................ 2. anchoring per manuf ............... 3. water fine shut off ................... 4. sewer line support 0 4 feet ....... 5. heating crossover (dblewide) off grd. 6. dryer vented outside x................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps, railing ..... 10. furnacelhot water operating ........ 11. garage fire proofing .................. 12. door closers ........................... 13. plumbing fixture ...................... 14. foundation insulation (if appl.)...... 15. smoke detectors ....................... 16. final e4ectrical ........................ 17. variance required ..................... 18. data plate okay ....................... 19. mobile HUD seal okay .............. Model# Serial# Manufacturer Date Of Manufacturer OKAY TO ISSUE CIO YES NO it 'p- -71-ALA -L775- FINAL INSPECTION RepopM M0931LE / MODULAR Town of Queensbury BuikFing &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 12804V ARRIVEZ INS DEPART.-2-- -lb- 'j DATE INSPECTION REQUEST RECEI NAME: LOCATION- 'DATE: PERMIT# MOBILE HOMY MODULAR HOUR FoornNas— FOUNDATION BACKFU.L— FRAMM N/A YES No I. foundation support, pier swing per manuf. ........................ 2. anchoring per manuf. ............... 3. water line shut off ................... 4. sewer line support a 4 feet ....... 5. heating crossover(dblewide) off grd. 6. dryer vented outside ..<................... 7. skirting ventilated .....I.............. 8. hot water relief valve piping outside 9. deck, porches, steps, railing ........ 10. fitmaceAmA water operating ....... 11. garage fire proofing .................. 12. door closers ........................... 13. plumbing fixture ...................... 14. foundation insulation (if appl.)...... 15. smoke detectors........................ 16. final electrical ........................ 17- variance required ..................... 18. data plate okay ....................... 19. mobile HUD seat okay .............. Model# Serial# Manufacturer Date of Manufacturer 4 OKAY TO ISSUE CIO YES NO Coinments: V_kl, FINAL INSPECTION REPORT ' 1081LE / MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbtuy, NY 12804 (518) 76141256 ARRIVE: k(�- EPART: JLJ�-W INS : � DATE INSPECTION REQUEST RECEIVj NAME: �C�/�in, ) �P l LOCATION: DATE: (� PERMIT r� MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION RACKFQL FRAMING N/A . YES NO 1. foundation support, pier spacing per manuf. ........................ _ 2. anchoring per manuf. ............... _ —_ 3. water line shut off ................... 4. sewer line support®4 feet ....... — 5. heating crossover(dblewlde) off grd. — _ — 6. dryer vented outside ...................... _ 7. skirting ventilated .................... — VE 8. hot water relief valve piping outside —9. deck, porches, steps, railing ........ 10. furnace/hot water operating ........ — — 11. garage fire proofing .................. 12. door closers ........................... _ 13. phunbing fixture ...................... 14. foundation insulation (if appl.)...... — — — 15. smoke detectors ....................... _ — 16. final electrical ........................ _ — 17. variance required ..................... _ _ — 18. data plate okay ....................... _ — 19. mobile HUD seal okay .............. — — Model // Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO Comments: � � d FINAL INSPECTION REPORT MCM31LIE / MODULAR Town of Queensbury WkIM &Code Enforcm" 742 Bay Road Queensbury, NY 12804 (518) 76141256 ARRIVE:101-qb DEPART- INSP: DATE INSPECTION REQUEST RECEIV 'OW '7"wc'0mm y12804 .1_56 T C I INSP� RE E V NAME: LOCATION: DATE: PERW MOBILE HOICK MODULAR Hot= FOOTMas— RXJNDATION BACKWL— FRAMM N/A YES NO 1. foundation stippoft, pier swing per mmuf. ........................ V/ 2. anchoring per manuf. ............... 3. water line shut off ................... 4. sewer line support 0 4 feet ....... 7 S. heating crossover(dblewide) off grd. 6. dryer vented outside x................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porchics, steps, railing ........ 10. funmce/hot water operating ........ 11. garage fire proofing .................. 1z 12- door closers ........................... 13. plumbing fixture ...................... K foundation insulation (if appL)...... 15. smoke detectors ....................... 16. final electrical ........................ 17. variance required ..................... 18- data plate okay ....................... 19. mobile HUD seal okay.............. Model# Serial# Manufacturer Date of Manufacturer 4 OKAY TO ISSUE CIO YES NO ,EF—D I C—A 16Lv— 0�37-7 FINAL INSPECTION REPORT MOBILE / MODULAR To" of Queensbury Building &Code Enforcement 0 742 Bay Road Queensbury, NY 12804 (518) 76141256 ARRIVE DEPART: < DATE INSPECTION REQUEST RECEIVED NAME: LOCATION: PERMIT# MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION RACKF&L FRAMING N/A YES NO 1. foundation support, pier spacing per manuf.. ........................ — — — 2. anchoring per manuf I ............... — — — 3. water line shut off ................... 4, sewer line support 4 feet ....... 6. 6. dryer vented outside x................... 7. skirting ventilated .............. 8. hot water relief valve piping outside 9. deck, porches, steps, railing ........ 10. ftu-nace/hot water operating ........ .................. C=W.. ........................... 13. plumbing fixture ...................... 4,44. foundation. insulation (if appl.)...... 15. smoke detectors ....................... 16. final electrical ........................ 18. data plate okay ....................... a9. mobile HUD seal okay .............. -70%LVC-3f-4,0-:71- Model # Serial It Manufacturer Date of Manufacturer T7 OKAY TO ISSMertO YESES NO Comments: FINAL INSPECTION REPORT MOBILE / MOOULAIR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury. IVY 12804 (518) 761-8256 i ARRIVE: EPART: I P: DATE INSPECTION REQUEST RECEIV NAME: 1.� LOCATION:- (SP— O0 DATE: — PERMIT# MOBILE HOME MODE LAR HOM FOOTINGS _ FOUNDATION _ BACKFHI-_ FRAMING— N/A YES O 1. foundation support, pier spacim8 per manuf. ........................Q. — — horing per manuf. ............... 3. water line shut off ................... / 4. sewer line support a 4 feet ....... 5. heating crossover(dblewide) off grd. — b. dryer vented outside ..:................... 7. skirting ventilated _� k:k,4V0 f valve piping outside sue• rading ....... 10. furnace/liot water operating ........ — 11. garage fine proofing .................. 12. door closers ........................... 13. plumbing fixture ...................... _ ✓ _ 14. foundation insulation (if appl.)...... _ 15. smoke detectors ....................... 16. final electrical ........................P. variance required ..................... _ — 18. data plate okay ....................... 19. mobile HUD seal okay .............. — — Model # Serial i Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: WNW^ FINAL INSPECTION REPORT MOBILE / MOCULAIR Town of Queaisbt" kv.,C)C) Building &Code Enforcement 742 Bay Road QuoerW)ury, NY 12804 (518) 761-8256 ARRIVE: J DEPARTAAD l—Llj�� DATE INSPECTION REQUEST RECEIV NAME: LOCATION: C, C Of-1 it DATE: _? PERMIT# Meaux HOME MODWAR HOME FOOTINGS— RXJNDATION— BACKEML— FRAMM— N/A YES 1. foundation support, pier spacing per inanuf. ........................ 2. anchoring per manuf I ............... 3. water fine shut off ................... 4. sewer line support 0 4 fed ....... S. heating crossover(dblewide) off grd. 6. dryer vented outside ..<................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps. railing ........ 10. furnace/hot water operating ........ I I- garage fire proofing .................. 12. door closers ........................... 13. plumbing fixture ...................... 14. foundation insulation (if appl-)...... 15. smoke detectorsi�J ...f .1�Q1 ' 16. final electrical ........................ 17. variance required ..................... 18. data plate okay ....................... 19. mobile HUD seal okay .............. Model# Serial# Manufacturer Date of Marnifichwer OKAY TO ISSUE CIO YES NO Comments: Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. .r Permit#_ Schedule Inspections Time t/ pm anytime Inspector _ Name f al Address { '/ :` f �-i 1 t Rough In Final Appliance Manufacturer Model# 0 Masonry Chimney Factory Built Chimney Flue Size Double Wall. Triple Wall Insulated Yes No -NIA Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only) ^ Firestop(s) Vertical Chase �l Wall Penetration._ + ,S-�' C 1 t } Chimney Clearances to Combustibles Grp k Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Or- Mantel(height above f/p opening) Fireplace Doors /Screen (required) White-Buflftg Dept. YeUO - mer Pink-Fire Marnhal f FINAL INSPECTION REPORT MOBILE / MOOULAN Town of QuewWxiry Building &Code Enforcement To Nk O o 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVEAMDS DEPART: INS DATE INSPECTION REQUEST RECEIV NAME: ` E� _ LOCATION: 1 DATE: —Z-�1 y 1, PERMIT# -� MOBILE HOME MODW AR HOME FOO TH40S FOUNDATION_ BACKIZI.I, FRAMM N/A . YES NO 1. foundatiioa support, pier spacing per manuf. ........................ — 2. anchoring per manuf. ............... — 3. water line shut off ................... 4. sewer line support a 4 feet ....... S. heating crossover(dblewide) off grd. — 6. dryer vented outside .x................... _ 7. skirting ventilated .................... _ _S. hot water relief valve piping outside — 9. deck, porches, steps, railing ....¢ 10. furnace/hot water operating *S;" — — 11. garage fire Proofing — 12. door closers ........................... ✓ 13. plumbing fixture ...................... 14. foundation insulation (if appl.)... (�k�'�— — 15. smoke detectors ....................... 16. final electrical ........................ 17. variance required ..................... — 18. data plate okay — — 1.9. mobile HUD seal okay .............. — Model # Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO —n3-063Cc, Comments: FINAL INSPECTION REPORT MOBILE / MOOU.LAR C) ESCT-EJ,)D HEirT' TRPu:z (3K,) t Lw Town of(2ueerastwry CS EvJER 1--11.�E �uPC� Building &Code Enforcement (:w6 N6 742 Bay Road t 04TA 1 1 Y EOTi LPT�7-O 6y, t R`T,k-% P6 Queensbury, NY 12804 p` l�J.�E� (518) 761-8?.56 Q FRRME \tJ P'kn �T�C�10(Z ARRIVE: DEPART: IL:!:k) INSP: DATE INSPECTION REQUEST RECEIVED NAME: 07 LOCATION: Q F��oF� ,►�v��,oiJ M� C3E�, .� DATE: \�'-Zj_-_[�� PERMIT I< MOBILE HOME MODULAR HO>I<[B Qj )tea _ FOUNDATION _ BAClcial._ rRaMltvo_ ��-�.lLRsJ ri--W'J N/A . YES NO 1►:ST ER1t� V��P-�1� 1 1���J GQFLa�! 1. foundation support., pier spacing / �p p.EMov� Hot�E MADE �3E-R per manuf. ........................ >,. anchoring per manuf / FRoM t. water line shut off ................... _ _ ✓ 1. sewer line support 1@ 4 feet ....... — � t 1 \ tJ(j�C'fl I`1� Q)vim— R00(Yl R i. heating crossover(dblewide) off grd. _ i. dryer vented outside .x................... � Z 1, skirting ventilated .................... _ GD D ETEC,ToR , i. hot water relief valve piping outside — >. deck, porches, steps, railing ........ _ t MAR t 1 -C'10 0. hunace/hot water operating ........ 1. garage fire proofing 2. door closers ........................... _ 3. plumbing fixture ...................... _ 4. foundation insulation (if appl.)...... S. smoke detectors ....................... 6. final electrical ...................... — 7. variance required ..................... — &data plate okay ....................... — — 9. mobile HUD seat okay .............. — ?odes # Serial # 4anufacturer )ate of Manufacturer OKAY TO ISSUE CIO YES' NO :omments: COMMv►J1Y1 Ac_'C'�nJ -TEFRR`Z ��� -63co cJ�c1rJ�cJ�cPcJ�r�cJrJ�cTrJ�rJ��1rJ�r1rJ�rJ�cJ�rJc1rJ�rJcl�rJ�r1rJ�cfrJ�cPrJ�clrJr�cPrJ�rJ�r�r�cJa �PcJcPrJ�r frJ�rJ�c 0.�- ��J�rJ�r trJ�c1�cJ�c1�'IlEry l�®r � 5 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE —7 S 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 S 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 S 5 CERTIFIES THAT 5 S 5 5 Upon the application of upon premises owned by 5 5 5 1 PITCHER RD. 89 GRE K INNEL 3 S 5 QUEENSBURY, NY 12804 QUEENSBURY, N, NY 12804 S 5 c5 Located at 89 GREGWOOD CIRCLE QUEENSBURY, TN, NY 12804 S 5 Application Number: 3055391 S 5 Certificate Number: 3055391 5 5 S 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 l i id 5 enta S Described as a Res occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor,Outside, 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other S 5 authority having jurisdiction, and found to be in compliance therewith on the 18th Day of December,2007. S 5 Name OTY Rate Ratin¢ Circuit Tvne 5 5 Panels 5 1 100 12 5 Service 5 5 1 Phase 3 W Service Rating 100 Amperes 5 5 Service Disconnect: 1 100 mcb 5 5 Meters: I 55 S 5 5 5 5 S S 5 S 5 5 S 5 5 5 seal S 5 � 5 S 1 of SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the Io0fignjndicate� 5 5 S r51 IF] Cnn����nrnrr�n�.n����nn��nn��n�.r�n�nr���rr�nr��nnnr������r��nnn�1��� ����� Ifflry o 4 � so O t NOTICE ANCHORING OF MOBILE HOME FRAME IS REQUIRED PER ` VANUFACIURERS SPECIFICATIONS tot .1 a-li L -� Ao �. o 2007-06-28 10:30 FOREST PARK 5187450808 >> 5187454437 P 212 ODO o 49 v) rn w �' m � � c c: D h 5 X m y Z 3 o v C� w N � ON. O 65 5 c y 10 12 N V — .—3�7 �g 12 1 V co r� QI a�1110 poomlig x a v �o na T 4� �` 2007-07-03 14:11 FOREST PARK 5187450808 >> 5187454437 P 212 I..............il-4 i I 3 :PTII 2007-07-03 13:59 FOREST PARK 5187450808 >> 5187454437 P 3/3 1 t 15� � J i i k t r �� y