13721 (SFD)Building
Address
Owner
y4
P.O. BOX 1504 N o .
51-920 Ave., Velasco 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
1. Sunrose Corporation
Mailing
Address 72-850 - Somera Road
City lZip Tel.
Palm Desert,. "A 92260 346-2844
Contractor
Same
Address
City Zip I Tel
State Lic.8 53367€# (City 1 137
& Classif. Lic. #
Arch., Engr.,- Same
Address Tel.
City I Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licegsed under provisions of Chapter 9 (commencing with Section
000) of 3usin� and'Professions Code, and my license is in 1II for a�
`t ffect. r
'SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bufsness and
Professions Code:, The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
, y
❑ is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.),
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shaft be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant -Date-
Mailing
ate
Mailing Address
City, State, Zip
13721
BUILDING: TYPE CONST. OCC: GRP. R3
A.P. Number 773--174-009
Legal Description Lot 9 Block 62
Project Description SFC
Sq. Ft. I55(j _ No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block 'walls
or pool.
—BY:�+
Minimum Setback
Distances: ? `"
S
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
Estimated Valuation
$93,901.00
INSPECTOR
PERMIT
Date Permit
AMOUNT
Plan Chk. Dep.
' • 250.00
Validation:
Plan Chk. Bal.
269.30'
Const. _
612.50.
Mech.
55.5.0
Electrical
,35.95 ,-
125.95-.-
Plumbing
Plumbing
` 144.00
S.M.I.
9.39.
Grading
20.00
Driveway Enc.
100
Infrastructure
2,074.52
Precise Plan
25.00
TOTAL
3.586.16
-3,336.16
REMARKS
j
ZONE:
—BY:�+
Minimum Setback
Distances: ? `"
S
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS /
SEWER -
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. S0. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SO. FT.
=$
LUMBER GR.
FINAL INSP. Ap A.
URINAL
SO FT ®
ROOFING j�.� -o�
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
IKITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET`
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING -a-
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /
SEWER -
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. A
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. Ap A.
FRAMING �.�/��� ZDV
FINAL INSP.
ROOFING j�.� -o�
yJr�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL "8_gYC/J
LATHING
MESH
INSULATION/SOUND
t
FINISH GRADING
FINAL INSPECTION �D
O
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
*de
Owner
'; 4W A05
Mailing
Address
Zip
Contractor
.,t --
Address
City Zip Tel.
State Lic. I L;Ity
& Classif. 8 _ FJ 33 G 70 Lic. #
Arch., Engr.,
Designer
Address Tel.
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
p LA QUINTA, CALIFORNIA 92253
City lZipState
I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. =`"..�'_~ . , _% _e
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
l I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is soldwithin one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Cgda.)
Policy No. Company '5f I L� I t{ H�:rINO/l/
l7 Copy is filed with the city. ❑Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING DIVISION
11LDING: TYPE CONST. 5 e': OCC. GRP.
P. Number —/75
Igal Description
oject Description
Sq. Ft. No. No. Dw.
Size Q Stories ( Units
New ❑o-' Add ❑ Alter ❑ Repair ❑ Demolition ❑
imated Valuation
PERMIT
.Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
ZONE: BY:
Minimum Setback Distances:
Front.Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property, ine
FINAL DATE—INSPECTOR 1
Issued by: Date t/ Per
Validated by: �� �Q//r•
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES NO.
PLUMBING FEES
$
UNITS
SLAB GRADE
1ST FL SO. FT. @
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
OUTLET
ROOF DRAINS
GAR. SQ. FT. 0POWER
GROUT
WATER HEATER
SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SO: FT. @
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
DRINKING FOUNTAIN
WALL SQ. FT. @
FINAL INSP,
FRAMING
FINAL INSP.
URINAL
SO. FT. g•
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
VENTILATION
FLOOR DRAIN
MECHANICAL FEES
FIRE ZONE ROOFING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 1 / c
SEWAGE DISPOSAL
SQ.FT.GAR Q 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE MECH.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING
ELECTRICAL HEATING & AIR COND.
SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP,
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201 "
Document Cannot Be Duplicated 619-775-3500
D ate 7/1/94
Type of Permit La Quinta
No. 12918
Permit #
r
Log
Owner Name Sunrose
Corporation
C'
No.
51920 Street Avenue
Velasco
:;heck
city
La Quinta Zip 92253
Study Area 119
APN #
Tract # I
Lot' #0
Square Footage 11550
Type of Development
Single Family Residence
No. of units 0
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/ carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from "paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.65 X 1550 or $ 2,557.50 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Sunrose Corporation Telephone 346-2840
Name on the check
By Dolores A. Ballesteros-
Superintendent
r
Fee collected /exempted by .Vickie J. Durrett
C'
Payment;i<eeeived
'
Signature
:;heck
N[& -'597-4
Collector: Attach a copy of county or city plan check application form to distrct'eopy`for a11_waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt : Copy - Accounting
' RECORDING REQUESTED SY
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO.
NAWEr—
Sunrose Co., a Calif.,
STarry
ADORES. General Partnership
CITY 72-850 Somera RdRd.,,
STATEL Palm Desert, CA., 92260)
21•
Title Order No ............................. Escrow No ................
NO COR. FIL'
Grant Deed
THE UNDERSIGNED GRANTOR(s) DECLARE(s) //// QQ
DOLUNIEN'TARY '01ANSF•ER TAX is E�LlO
� unincorporated area 1[3 City
Cit ofI
Parml�No. 773
X, Computed on full•value of property conveyed, or
.❑ computed on full value less value of liens or encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DAVID J. ERWIN and TRAVIS ERWIN, husband and wife,
hereby GRANT(S) to
SUNROSE COMPANY, a California General`Partnership
the following described real prol)erty in the city of La Quinta
county of Riverside , state of California:
tot 9y Block 62, Santa Carmelita at Vale La
Quinta, Unit 5, as per map recorded in Book 18
oL-Maps, in th-e- office-' of --the
County Recorder of said bounty.
Dated- Nov. 13, 1.987
STATE OF CALIFORNIA Davi J . Er
COUNTY OF RIVERSIDE . _ J SS.
On this _16th day of November , in the year�p��
19 8 7 • before me, the undersigned, a Notary Public in 3.s Erwin
anti fui said County and State, personally appeared
iLVTD ,T_' RR TN and
mRAVTG F.RWTT4
personally known to me (oi proved=to=me-on the basis of satisfactory'
evidence) to b
e the person S whose name S OFFICIAL SEAL` ,' '�' .r t
are. subscribed to the within instrument and VAUGHN DISHMAN
acknowledged that the executed the .,.� .. ��:- Notary Public -California
same. ° ° Principal Office In
Riverside Count
My Comm. Exp. Oct. 21, 1988
Signature
VAUGHN DISHMAN
Name (Typed or Printed)
Notary Public in and for said County and State FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
t•lW '
Name Street Address City k State s
`v W 4),
cc
a
Q C.)
`v
W
$
a '
ie
W
Q
This space for Recorder's use
Grant Deed
THE UNDERSIGNED GRANTOR(s) DECLARE(s) //// QQ
DOLUNIEN'TARY '01ANSF•ER TAX is E�LlO
� unincorporated area 1[3 City
Cit ofI
Parml�No. 773
X, Computed on full•value of property conveyed, or
.❑ computed on full value less value of liens or encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DAVID J. ERWIN and TRAVIS ERWIN, husband and wife,
hereby GRANT(S) to
SUNROSE COMPANY, a California General`Partnership
the following described real prol)erty in the city of La Quinta
county of Riverside , state of California:
tot 9y Block 62, Santa Carmelita at Vale La
Quinta, Unit 5, as per map recorded in Book 18
oL-Maps, in th-e- office-' of --the
County Recorder of said bounty.
Dated- Nov. 13, 1.987
STATE OF CALIFORNIA Davi J . Er
COUNTY OF RIVERSIDE . _ J SS.
On this _16th day of November , in the year�p��
19 8 7 • before me, the undersigned, a Notary Public in 3.s Erwin
anti fui said County and State, personally appeared
iLVTD ,T_' RR TN and
mRAVTG F.RWTT4
personally known to me (oi proved=to=me-on the basis of satisfactory'
evidence) to b
e the person S whose name S OFFICIAL SEAL` ,' '�' .r t
are. subscribed to the within instrument and VAUGHN DISHMAN
acknowledged that the executed the .,.� .. ��:- Notary Public -California
same. ° ° Principal Office In
Riverside Count
My Comm. Exp. Oct. 21, 1988
Signature
VAUGHN DISHMAN
Name (Typed or Printed)
Notary Public in and for said County and State FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
t•lW '
Name Street Address City k State s
Ide( No.'
Escrow No.
Loan No.
M WHEN RECORDED MAIL TO:
8
SUNROSE.PROPERTIES, INC.
c�
72-850 Somera Road
4y Palm Desert,•CA 92260
8 ti
q -
Ic cc)
cc
H �
a � N
SPACE ABOVE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS T0:
DOCUMENTARY TRANSFER TAX$............�...........................
SAME AS ABOVE ...... Computed on the consideration or value of property conveyed; OR
..... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Declarant or Agent determining tax — F,Irm Name
QUITCLAIM DEED
N
FOR A VALUABLE CONSIDERATION, receipt of which,is hereby acknowledged,
SUNROSE COMPANY, a California General Partnership
do hereby REMISE, RELEASE AND FOREVER QUITCLAIM to
SUNROSE PROPERTIES, INC., a California Corporation
the real property in the. Ciiy of La Quinta
County of Riverside State- of California, described as
Lot 9, Block 62, Santa Carmelita at Vale LA'Quinta, Unit 5, as per.map recorded in
Book 18, Page 63 of Maps, in the Office of the County Recorder of said County.
Dated May 10, 1989
STATE OF CALIFORNIA Iss
COUNTY OF
On - --T
before me, the undersigned, a Notary Public in and for said State, per-
sonally appeared
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same.
WITNESS my hand and official seal.
Signatu
SUNROSE COMPANY, aCalifornia Gener
artne ship %
By:
C EL-UVELL, Partner' ir
ROBERT E. -TUVELL, P,-rtner-
(This area for official notarial seal) /
1085 (6/ )
MAIL TAX STATEMENTS AS DIRECTED ABOVE