04611 (RPL)4'4
P.O. BOX 1504 I '
Building5a&65 ,� Y 78-105 CALLE ESTADO
Address .LA QUINTA, CALIFORNIA 92253.,,
Owner
Gemini Group Inc.,
Mailing
Address
City Zip
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number '
Legal Description
Contractor Project Description Pool a Spa
Aaer ,can Poul Const ctio4 .. ...
. Address
CityZip Tela
Cathedral. Ci 9223 __422,-:040
.
State Lic. City
& Classif. 51.8742 Lic. # ���� Sq. Ft.
Arch., Engr.,
Designer
r -
Address
City fry ''•�
}
• LICENSED
I hereby affirm that I am licensed
7000) of Division 3 of the Business
• - effect h�`-
Tel.
IState.
Lic: #
ipter 9 (commencing with
and my license is in full ft
No. No. Dw.
Stories - -' Units
New ❑ Add ❑ Alter ❑ Repair.❑ Demolition ❑
-
OWNER -BUILDER DECLARATION J
I hereby affirm that I am exempt from the Coptractors License Law for the following
Estimated Valuation
�y�E�
$14 r oloo
reason: (Sec. 7031.5,Business and Professions Coded Any city ortcounfy which requires a
permit to construct, akar, 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
PERMIT
AMOUNT -
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 Any Section 7031.5 'any for
Plan Chk. Dep.x-+.�
'
alleged exemption. violation of by applicant a permit
subjects the applicant to a civil penalty of nol more than five hundred dollars ($500).
Plan Chk. Bal.
❑ 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
Const.
�
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,
Mech.
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
Electrical
-:
or proving that he did not build or improve for the purpose of sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
C)i
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
S•M.1.
• V
' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
,
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
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 c@rrt'tfied copy thereof.,(Sec. 3800, Labor Code.)
'us Fund
Policy No. Compan°y31i:d
' O Copy is filed with the city. 0 Certified copy is hereby furnished.
-
TOTAL
A33 5d,4
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
f 3'. {� Z>4?" 10
r. „ 6 ,� ,; y •t,, ,. ,;� ,
•.... • or less.)
. I certify that in the performance of thg work for which this permit is issued, I shall not
.,. •y a+vase ➢ a 4 V I WIT,. Y. G•+x wY • •4-1
_-
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
ZONE:
BY: -
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
• comply with such provisions or this permit shall be deemed revoked. '
Minimum Setback Distances: - '
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
1 .
Side Street Setback Irom Center Line '
_ 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.)
Side Setback from Property Line
Lender's Name '
Lender's Address - -
FINAL DATE
INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. t
. .
- I certify that I have read this application and state that the above information is correct.
Issued by:
Date Permit -
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. -
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, 'State, Zip
4� WHITE . FINANCE PINK APPLICANT GREEN BUILDING, GOLOENOCC) 11SSESSOR S OFFICE HARD COPY FILE a
c , ,
rf ,�.. ,.1.•x _„ � r�.y,+i.r•,.. - -..., ._..,,):,,,...,r...,
t
•
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEC&
IST FL SO FT 47 S
UNITS
+
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SO FT. a
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
FOR SO FT a
SEWER OR SEPTIC TANK
ROUGH WIRING
GAR SO. FT. Ft
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
DRAINAGE PIPING
CAR P. SO FT. a
HEATING (FINAL)
OTHER APP.IEOUIP.
WALL SO. FT. to
DRINKING FOUNTAIN
TEMP. POLE
URINAL
SO. FT. ra
GROUT
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE, Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOYDISHI
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
INAL INSP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
FIREPLACE
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID Q 1 V: c
SEWAGE DISPOSAL
SO.FT.GAR @ 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 8 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 APP.IEOUIP.
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
INAL INSP.
ROOFING ti 1-7
0
/ 2/-7 I 9, Q
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
7d
•"
1 1 .�
SUMSE
COMPANY
October 27, 1987
City of La Quinta
78-105 Calle Estado
La Quinta, CA 92253
Re: PGA West - Lot 19
The Gemni Group
To Whom It May Concern:
This is to inform you that architectural and landscape
plans for the above referenced lot at PGA West, La
Quinta, have been approved by the PGA West Architec-
tural Committee.
i
" =--
ruse R. Romju
Senior' Vice Pr ident
Sales and Mar ting
SUNRISE DESERT PARTNERS
BRR:rs
75-005 Country Club Drive, Palm Desert, California 9226o, Telephone (6i9) 568-2828
Builder of America's Finest Country Club Communities
T/
f o !�`.,
7 • I , \
IA. ,
�^ P.O. BOX 1504 /APPLICATION ONLY
Buildin/78-105 CALLE ESTADO
`Address wLr f7l' LA QUINTA, CALIFORNIA 92253
Owner S
Mailing
Address
City Zib-i? _; ;i Tel.
G•. i_ t ~` y ` ( � C ,.Y7"�''
Contractor `
Address '
~)
/City Zip ice'• i-:: Tel.
State Lic. City
& Classif. Lic. #
/Arch., Engr.,
Designer 7 . •-
Address r J Tel.
City Zip State
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.
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,Susiness 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).
O 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 sold within one year or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ 1, 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
❑ 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 thg 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 Callfornia.
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
Ihereby 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.
1 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
6 ,.Mailing Address
City, State, Zip
BUILDING DIVISION
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description 0 /
Project Description -:71,
ZONE: BY -
Minimum Setback Distances:
Front Setback from Cent 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:
Sq. Ft. S4t(8S
Size
No.
Stories
No. Dw.
Units
New ® Add ❑
Alter ❑ Repair ❑ Demolition ❑
3Od (
wAcc
Estimated Valuation
7d3
S/5/D
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
�O
Electrical
/ • 7
Plumbing
.2J 7. 00
S.M.I.
$'
Grading
o20.0�
Driveway Enc.
Infrastructure
DOO , 00
TOTAL
REMARKS
i
ZONE: BY -
Minimum Setback Distances:
Front Setback from Cent 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:
iIr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. a $
2ND FL. SO. FT. @
POR. SO. FT. n
GAR. SO. FT. @
CAR P. SO. FT. @
WALL SO. FT. L7n
SO. FT. 0
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TE . POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. p c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 34c
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
—7
PERMIT FEE
PERMIT FEE
DBL
OTAL 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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TE . POLE
GROUT
WATER HEATER
VICE
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CER?" OCC.
FENCE FINAI
COACHELLA VALLEY UNIFIED SCHOOL DISTRICT
CERTIFICATE OF CCMPLIANCE
(Government Code §53080)
Project Name: S
Project Address: 55
_
Project Owners Name:
Project Description:
- PGA WEST
Phone No.:
Building Type (circle one) Residential (Include No: Dwelling Units)
Commercial Industrial
Tract No. Lot No. 19
(If Tract attach Schedule "A" of all lots by tract,
each lot and total.)
square footage for
Assessor's Parcel No. -----------------------
(If Schedule "A" is used.show Assessor's Parcel No. for each lot if one
exists or Assessor's Parcel No. -for parcels before sub -divided.)
Total square feet of Building Area:
Certification of Applicant/Owner. The person signing certifies that
the above information is correct and makes this statement under penalty
of perjury and further represents that he/she is authorized to sign on
behalf of the owner/developer. -
Dated: Signature:
City/County Certification:
(signature)- OPTIONAL
• (title.)-------------:----�_.__
--- �� - (to be completed by school district)
School district requirements for the above project have been or will be
satisfied in accordance with one of the following.(circle one):
Gov: Code Gov. Code -Agreement existingY Not sub3ect;to
53080 65970 prior to 1/1•/87 fee requirements
(AB 29261 (SB 901
- , -
`
BASED LPON PREVIOUS AGREEI`- ENT BEFORE
-
Total number of sq. ft.
THE DEVELOPER FEE LAW OF 1987.
Amount per sq. ft. $
-.
Amount collected $.b2
School District Official
SSISTANT.SUPERIUTENDENT.,
w
ri°
_ Title g��ESS' CERVICES
s
Phone No.
6 - 3 - 5137 Date
r
" Note: AB 2926 SB 201
fees -capped
- '"
and
- ';
are at $1 50 s p _-
Pte. quare foot for
r �
P.
^
; residents al`yconstzuction. AB 2926 . is capped at $0.25 per square N
^ y
foot for camnercial
,i
and industrial.'projects
. E
x
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v
f 3." y., � - i
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p, � +.t
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.c�Y A D t 1��
a `' TC �' } � - fit .7r' = t��� � r' - P r ky�'tr. 1 -. y
}t'..d t�W
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..� .•n .� fid. .'S.'.a rd ..._�. �_.....w l.. ,- f._. �,.Si: ... M_ �. .. _..r. ...i 9Z). �� ....
0
EXHIBIT VA"
Lot 19 of Tract No. 2071772, in the City of
La Quinta, County of Riverside., State of California,
as per map recorded in Book 153, Pages 80 through 96
inclusive of Maps, in the Office of the County Recorder
of said County.
Said Lot is subject to the Declaration of Covenants,
Conditions and Restrictions forP.G.A. West Residential
Project, Riverside County, California recorded January
22, 1986 as Instrument No. 15570, in the Official Records
of the County Recorder of said County, and any amendments
or supplements thereto.(the "Declaration"), and the
Declaration and any amendments or supplements thereto
are incorporated herein and made a part hereof by this
reference. 11
EXCEPTING THEREFROM and reserving to the Grantor an
easement over the Northerly 10 feet of said Lot
for utility and other purposes." Also reserving unto
Grantor the right to grant non-exclusive easements to
various entities for utility and other purposes, including
but not limited to service for electric,_gas_,.,telephone,-
p --_
cable tel -on,., - - water; etc'. , over the Northerly
l0 feet of said Lot as described above.
ALSO, EXCEPTING THEREFROM and reserving to the Grantor all
oil and gas, hydrocarbon and other mineral -rights. below
500.00 feet beneath the sur.face,of_.said.land,• without _
the right of surface entry.
1
RECORDING REQUESTED BY
'RECORpIP;G at=QUE$Y�® ��
TICOR TITLE INSURANCE
AND WHEN RECORDED MAIL TO
r 7
!Vame Fred 0. Paulsell, Jr.
Street 1111 -3rd Ave. Suite 2205
i ddress Seattle, WA 98101 ,
City &
l
Is L J
r
MAIL TAX STATEMENTS TO
it Meme
'i SAME AS ABOVE
§treet
Address
U
CJ �, U
(11 Q z
6'G Y o <
U rc
O 'd N
U cZ
O 0: W
� J
rocc
Q H
0 Q O
`X
Pity &
state L
SPACE ABOVE THIS LINE FOR RECORDER'S USE -
CAT. NO. NN00586
Partnership Grant Deed
,
I TO 1925 CA (11-83) THIS FORM FURNISHED BY TICOR TITLE INBURER�
J I Z
J
Q a
The undersigned grantor(s) declare(s):
l....I
Documentary transfer tax is 306.35
( X ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time 'of sale.
( ) Unincorporated area: ( X ) City of La Qii i n r a E —,and
FOR A VALUABLE CONSIDERATION, receipt of'which is hereby acknowledged,
SUNRISE DESERT PARTNERS
a California Limited partnership organized under the laws of the State of California
hereby GRANTS to—FRED 0. PAULSELL,JR...,_an ;unmarried -man,•
the following described real, property in the City of La Quint a
E ' Couniy of Rivers ide , State of California:'
COMPLETE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF AS EXHIBIT "A"
e� - I
SUNRISE DESERT PARTNERS, A California
Limited Partnership
,s By: SUNRISE CORPORATION
Datpd:
01: pQr
�STATt
COUNT
! ( On
F t`
ift�CAtattt
` Cx01hic-,:t}
F $.
a r i t't��he'v
� la,�gFAt' SE10E>is
't �f wlTP
I
March 18, 1987
/
ion as a Partner of a Partnership)
I ;¢ ,
OFCALIFORNIA
y?Op .11 j ` Riverside
arti er,hl"".exec
l;S$ my Xn 3
c ;r *r;
a ,
1�4
ltre
No —
A California corporation, General Partner
By:
PHILLIP K. SMITH JR!
EXECUTIVE VICE PRESIDENT
„ I
before me, the undersigned, a ,Notary Public in and for
I
L11RT Tti k'!TT1 ""S --��'-�- " 1 I
r r---
re or proved to -me on the basisW satisfactory evidence to be the person who exccuted
as the EXECUTIVE VICE i,. president, and
personally known to me or proved to me on the basis of satisfactory evidence
executed the within instrument as the' I Secretary of
executed the within instrument on ! '
.IDESERT-PARTNERS., A'maseoaaasassasassasaoaoamsaesseasaa
2, Pthe partnership that executed c OFFICIALi'SEAL m
and acknowledged to me that such o ti CONSTA�dCE GORSUCH
d tha
the same as such partner ant • C `a .. NOTAY PUF]LIC-(ALIORPJIf, ¢
tied the same. a" <� J A'iOTfiRY Ci0C r;LED !N
rich
d tz flCial seal. j J RiVEFt:,I.O"c CdUNTY r:
s IAy Comm:s,6on Expires PVay ice, 1989 0
firma+yaasal�sss1raaasaaaasa�e:��„sasa,asae '
(This a -'for official notoria( rose!)
Escrow or L an No.
�. 1
MAIL TAX STATEMENTS AS DIR `COED ABOVE.
�� T,