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2241NOTE * 1� With proper validation this form constitutes an encroachment permit II 4 ^For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS CITY OF LA QUINTA —APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) Subdivision Improvement Permit — Class I I I DATE: 9-29-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Calle Tampico and Washington Street at La Quints Village Shopping Center (Street address or Description of Location) PURPOSE OF CONSTRUCTION perform stater main „Hot Tap„ Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Relocate 8` sewer cleanout % install 2-12" stub -out connections and install 3 See attached conditions detector checks only See CVWD drawing Vfi' DIMENSION OF INSTALLATION OR REMOVAL )Move h sewer 20767, 20768, 20769 cleanout 6' P/0 existing locations Avorox 1 days ` stub --out on SIZE OF EXCAVATION, IF NEEDED X APPROXIMATE TIME WHEN WORK WILL BEGIN 10-04-94 APPROXIMATE TIME OF COMPLETION 10-15-94 ESTIMATED CONSTRUCTION COST $ 178,549 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) _ In consideration of the granting of this permit, the applicant hereby agrees to: CVWD to own, operate and maintain all sewer and water lines Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons 'or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Coachella Valley -Water District P.O. Box 1058 Coachella, CA 92236 398-2651 Name of Applicant (please print) Business Address Telephone No. same as above Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee _ Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. -0- $ -0- Received by Date r 2241 PERMIT VALIDATION PERMIT NO. 2241 DATE APPROVED EXPIRATION DATE 1"3 qA/ DATE ISSUED %0 ^ `9 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 J Y CITY OF ILA QUINTA SEP 2 31994 NOTE:. With proper validation PUBLIC WORKS this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS LOCATION OF CONSTRUCTION APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class III Minor.lmprovement Permit Class IV Sketch (attach construction plans if appropriate) PL 4T %� e ll -F !0 Ga -I U l l 60 ^J A.s.r%oa �� disfr-icf !ir'a.�� d �s .20767 ,2076F X07&9 APPROXIMATE TIME OF COMPLETION-49�• l9SI L 1 ESTIMATED CONSTRUCTION COST $ L71; SV?- �� cVAJD Tv OLA) N (Including removal of all obstruction, materials, and debris, backfilling, com- ^a 4.11 _Latj0."' paction and placing permanent resurfacing and/or replacing improvements) �✓ u' �!^+JJ. In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under -the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Qulnta and to pay for any additional replacement necessary as the result of this work. r Signature of Applicant or Agent ec%i el�w , C e_r /.t f . �D . 28 o -X jaa. 14mc-46 X12;36 Name of Applicant (ple a print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. .D- $ —0— Received by Date Recorded by 1 "06 PERMIT VALIDATION PERMIT NO. Z Z DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 `4 � u p C..' -: t 'he followina tienerea aria Special Provisions are anacnea to aria meas •Dart of 1'erfhrt No. GENERAL PROVISIONS The following snail always away: ENCROACHMENT ON PRIVATE PROPERTY This permit authorizes war% to be accomollsnea wimin City Of La Quints r'gnt at way ONLY. Whenever construction emends wltnln Private Prooenv. it snail be the re soonslowty of the oerrnrttee for Itis contractors) to secure permission from adunlnq procerTv owners. Suen authorization must tie securea by theTRACpefminee prier t0 starting Wort Davao surface CONSTRUCTION EQUIPMENT: Cleated trecxlaving construction epulpmem shell not be Permitted to dived auRlce unless imeowatn smooth-tacea street Daus. All mechanical outriggers snail OO tIReO Wltn rubber itte :n� bevin0 aurin operneonam g excavations. Ruboer-urea equipment only shall be used In aacidill operations In Pavea area aria. to Orating Pavement is scarrea. scadea. or mason curing the term Of this contract. or If the pavement la martO0. City p} La V' 1} the existing that these portions at road be resurfaced over their Ontlfe width. Resurfacing shall COMat O} One cost at Quints snail requeat surfacing plus appropriate pal coat as specified above, _ two incus 12'1 of A.C. PROTECTION OFQ TRAFFIC: All lacWo sInspectors. excavations and wore areas salt baours Openy llghteo and bameaded as aeemea nepeeyn,pyme City Engineer orl.aQuantaCity PublicWorks24Hr . in.SvancedetoursanddetoursignssnallbeplacedendmaintainedformeDuration of the proles The City shall be notified 24 Hrs, in at}vinp of any traffiC detours at delineattorts CARE OF DRAINAGE STRUCTURES: Any drainage structure Including corrugated metal pipe, concrete pipe, steel Culvert aro ccrecrete structures encountered during extaysucn which necessitate remover snap be replaced in kind. In the avert[ It bacomp necessary to remove a cut Basting drainage structures. City of la Quints call be natrtied prior to commencement at tnta wort. Drainage structures and open drains snail be kept free Of debt's at ad HMOs for proper Drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excaysuon and backfill operanoa shad be removed from the right of way. All paved surfaces snail be broOmea dean o1 earth and other abjectlansole materials immetdu[etyaherbact}illaroCo Existing gutter line and drainage patches snail be replaced to their Original Sana t ri boner. All tsiv at material snap De romovea prior c Paving. hr aft Water [anter snail be used, as required. to sprinkle the job site to keep down oust conditions aro &nod be used immedately cher backfill. DE -WATER OPERATIONS: If de -watering operations are required and Dumps are forcing water an City of La Quinta roads, it shall be the rescansiodity of the perminae Icantractorl to control this water aria 10 Dfovwe off-street o'arn{adea when nwagogry CLOSING STREETS: No street shall be ClOssd. A minimum of Ono 'One Of traffic shall be maintained at all times to orbvide''rnrtea access far me sOloining ProD" owners aria amergener venlCles. In the event h is f Olt by the permmOe that tie mYR ctOae a sties[ fpr any length of time. cermanee shill contact this office t0 attain to necessary permission. SPECIAL PROVISIONS The folhiinng shall apply ONLY when indicated; NOTIFICATION: Peree shall nota Nthe Ci hat777-707'- �dY 8 et least 48 hours in advance of starting ccnxwuctan. R2 CASH DEPOSITS OR BONOS: A cash bond or an approved surety bond in an amount of not less than s shall be furnisned in the name of City of La Quints to cover all work involved in the restoration at the vartpya LA Quanta foods and survey monuments. This bona snail be continuous until cancelled by the City Engineer. This pOoted prior to cOmmencamem'of any work an this project . band must be 6R UTILrTYCLEARANCE:ISubstructureslPriortomakinganyexcivationWithintheCityofla0uantanghtofw"eumorazed by permit. the permmee snail contact all concerned utility companies relative to the location of existing a Damage to existing substructures resulting tram operations conducted under Into Perron fhallbe Ihatple ubanrcturea. of the permmee. resOOrtsibility RL UTILITY CLEARANCE. fSurfaca structures[ No worst snail be done under this permit until all utilities aril dear of the proposes wort sna. The permmee snail notify all concerned utility companies of the proposed want. R5 PAVEMENT WIDENING: Area between the proposal Cortefete surfaced with inches of A.C. pavan putter line and the existing toed pavement anal) be having an"R'valusafnot less than 9plaeedan ineheaotelaa and in conformancewithCitvofLaQuintsRosa Improve_ aggregate ment Standards and Specifications. Ordinance 0461. p antStanaards ($$' PARKWAY GRADING: Area between the property line end top of the ed conQe[e euro shall be pndedtoa slope of 1 /4 inch to one foot 117. propos R7 GRADES & STAKES: City of La Quints shall establish graces Ono stakes for aria proposes concrete corp and goner OR8 GRADE CHECKING: City at La Quanta snail check grades upon reeeaotOfPlan and Profile and/or grades asasablisheoby a lit-ensea engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing conCrete curb and/or curb and gutter I removed. Curb and/or cure and gutter shall be saw cut prior to removal. Decreased curb. matching concretleetlahell be e gutter end Codriveway approach snail be constructed in conformance with City of La Quints Standard 0207. RIO DRIVEWAYS, A.C.; Driveways snail be constructed as not to alter existing Drainage pattern. Surfacing between the property line and the existing road paving snail be 2-1/2 inches of A.C. paving placed on 1 -'1 of cla_� aggregate case. Driveway construction sn811 conform to anacnea drawing. R11 CULVERTS. A :hcn Diameter 1 inches below aria in iane with the existing flow arae. Culvert) instauation snavert se if be il conformlled withthe to the attached drawing t 2 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction snail be assured aria maintains& R13 . SOIL STERIUZER: The area to tie surfaced shall be treated with soil sterilizer. Rate at application snail com ry.with the manufacturers specifications. R14 COORDINATE WORK: The proposed work shall be suoordinatea to any operation which the State of California or City of La Quints may conauct In this area during the period of this permit. Work shall be coo, inat to with the State or City of La QuimO forces to preclude delay or interference with State or City of La Quanta orojects. SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments wnictf east on the cemeriane of all streets or property lines when Involved shall be compteteryneo out so they may tie reaaaly aro correctly be to tri q ov • monuments civil engineer or surveyor at me ex Denw dt"ttermrttea A Compute wt of notes showing me ties totriedmancc"wwshallitsfurnishestomeCityEnarrnwonortotheremw laenvmmwmems.rhisorricesna11 tie rratmed upon epntdrepph of reaapeme"i Of all survwr manunNme ter ereasweraers earir n_ - -- - - - UMENTS. P•,or to excavation or oeoknnino or Construction. as an survey monuments snap ++ =i La kluinra apo suiiapie bavmenr or guarantee or Payment spall Pe m be n ads as ra, 11 semem ror all work iNv rime. PAVEMENT CUTTING: Pavement will be meenanlufiv silt to a I^rarom egos error to ex worn invplveq, cutting spall be approved tnroudn the ottree or the City Engineer. iUnder no circumstances snailheMeth Off used to excavate odor to cutting or oavemenn. Excavation material snail be olaceo in such a pavement facilitate the general how or trattic. Prior to nnai Paving operations. anv oant mage to pavement stra�ated a snail be ' Position as to best / corrected. r PAVEMENT CUTTING. Pavement snail be saw cut artor to removal. Prior to final gat nage sage be pavement straight edge snail De corrected. paving operations. R1 LIMIT OF EXCAVATIONS: Excavations snail be emlteoto 1, any damage to t Or Open Trench begin. All excavations snail be prooerry barricaded with Iight�s0oviernidnt on weexengs and no before aays Tar tie Drotaction at oacktill oerotons must tnetravelingpubllc.7hePuDllcWarkslnsoeaorshalldelermrnetnesuitaDllitvotexeavatronOarricadin in matersexcavationiscala remain open for a eeflOd exceeding true ISI day, No axe snail be mane unless LRJ COh$afuCuph material is actually on the work site. g Caen case. No R20 BACKFiLLMATERIAL Badcfdlshall befree Ofbrush. Mats orother a Of Producing In adeduataay Cpnsolldateo Daektlll. Anymatanal whichthe tvot LnCe antrlmento....; arpurposes saturated matenaal which is eneounierea during excavaton snail be used for Quints ui backPoems fill. t snag be supplementedl(spongy or reptacea civ an epprdvad sand or gravel. _ unsuitable or R21 BACKFILL SAND: esckfill ahall be approved transa.mn, sand or ate,,or I equivalent and shall be la throe feet 13'1 and vibrated using vrbrotomoer or equivalent squlpmant. Alternate methods mad In his of Case a relative compaction of 95 carcem shall be ansined within the t:ru'ctural Seaton at the roadway greatefahan v De supatftutea. but m any R22 BACKFILL PLACEMENT: Bac till snail be @Callao in lavers of not more than 50 percent of the total d before flooding or a maximum of five-foot 161 lihs where trenches arevf excessive aeptns. Cara is to Pse backtill material Is not s eathOfthetrench resulting ubiectea td extreme ewell by flooding operations. Backfill material shall be pypap tllatple g CbmdeQlOn shall be not leu than 90 dereem or eduiva lam to the surrounding compaction. Where dancing or flooding Is used for a maximum seRlement. aoaouate dikes will be con to fret the 9Ground, be c nevarIsthegreeter the water. Where tettfng Is used. the lets shall be Of sufficient length to reaching bottom of each :aver and flys supply shall be comnnuous. er and t to rater COMPACTION TESTS: If so required bythe inspector, bottom tests shall be made at Intervals of not more vaster feat and a minimum of one 11) test on each road One I1) Copy of seen test shall be forwaroetl t0 the C! :pprovalenofiledpriortomakin p �an1��0 Standard SpaaficatlonlL Division Of Hanent re errs. Compaction tests snail Da moos Asoutined In SectiontEngineer for R2 COMPACTION TE Highways. State of Cal"Oh"18, dated January 1973. B 3 01 at the STS: If so required try the inspector. Compaction tests small be made tar e°en crossing Otto i l) CODY of seen test shall be forwarded to the City Engineer tar adprovel and tiled onor to making C -03=10n Iasis shall be made as outllmed kit $eCLOn g aatvre hire. Of California. Dated January 1973. 6.3.01 at the gp°ri^a^atttropads. Specifications. Division of HphwaYa, State R TEMPORARY PAVEMENT REPAIRS: After eomplatton of baClcfill and compaction operations. a t consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary after a m°xlmum Of 3.000 lineal feet at trench has been0stnivated and backfill Operations completed. but I° nn temporary Paten p ry paving shat ba please the placement of the temporary pavement exceed a five 15) day limit. R2 PERMANENT PAVEMENT REPAIR: After backfill and compaction ease shall Consisting Of two inches 121 of SC -800 shall be plated immediatelly.rA permanentave oateeen n ofoaeted, a to surfacing pieced on a�orory Dafen _.inchclass•—�baseShallbePlacednolaterthan �utph°a A. C. ._ temporary rasa repair. dayseheroptthpletlo A. at R27 PAVEMENT REPAIR: F.A.S.: Upon cOmoletion of bzckfilland comoaction. a temporary Patch consisting of twoinches 121 of Cold mix paving (SC -800) shall be placed immediately. A permanent paten of three inches (31 of A.C. surfacing be Placed on six Inches 161 concrete base as directed. but not later than fifteen 0 5) days after COmpleno �^g• Concrete Ws° snail be of five -sack mix and shall conform to the Ci of LL c shall °� Speafiea ICTI& Ordinance 0461. ly Cluinta Road lm i n,Stan aary p ovemasttStangards R28 FOG SEAL: A fag $eat coat consisting of an application of asonaltic emulsion snail be applied over all dwarmlt+ed by the City Engineer. Paten alas as R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all wh@re such seat coats existeo prior to IssuanCa at this perm^. Seat or armor Coats shall be applied as speckfi 37, Standard SpeCrficatlons. State of California. division of Hi din S areas be accomplished shwas, dated January air. Work at paver r Section by a licensed contractor engaged in me business of pavement repair. em repair to R30 STREET RESTRIpING: Where street striping is still visible on streets to one excavated. such striping shall be repaacee upon COmdletfon of permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quints road right of way shall be accomplished by a licensed. Danced and insured tree service. and handled safety whtnout mterf ere nce or hazard to the trawhng public. It shall be the resoonslbility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed In sections whichcan be handled safelvwithout interference or ha traffic. The entire width of the tree stump snail be removed and disposed of so that no debris remains in view of the highway. The stump hole snail be backtklled and thoroughly compacted as � h paragraph. Wier it becomes necessary to restrict traffic. the work shall be restricted to a maximum ofr500 feetla any one owing eWhere it signs. flagmen and/or bamcades shall be provided to protect the traveling public at all Ames. Adequate Large holes resulting from tree removal shall be backfilledano compactee to not leu than 90 dert:en[ Or equlValem t0 the SWOunaing ground• whichever is the greater Compaction as determined by the Impact or field method Compaction tests shall comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State o} California.Cgated January 1973. R32 TREE TRIMMING: a. Only the necessary trimming snail be aCCOMMIShed to provide clearance of the facility for one calendar year. All broken or week sections within the trimming snail be removed. b. Where It becomes necessary to restrict traffic. the work shall be restrictea to a maximum of 500feet at anyone time. Adequate signs. flagmen. and/or barricades snail be provided to protect the traveNng public at all timer. C. If tree trunks are partially outside of the City of la the roan right of way, permmee spall meta ars own by this with adjoining progeny owners for consent to the trimming In addition to the authorization provided by this oermrt. d All tree trimming on EVERGREEN TREES. PALM TREES, and other ORNAMENTAL TREES shall be aCeompalshed to the satisfaction of the City Public Works Inspector. 0. Abutting prooe+ty owners shall be aonog8M In all instanced, pnor to trimming or topping trees. f• Pruning snalL in all Instance& one at the shoulder Of the :.,'• -: n.••+"'::.y ;�; ....� .-., .�: ,:,..,.; ,,..•�.,r+:. -, ...gra. - , . rr .+ - SPECIAL CONDITIONS --PERMIT NO. 2241 --- CVWD --- In addition to the standard permit conditions, the following shall apply: 1.. All work shall be performed in accordance with the latest edition of the Standard Specifications For -Public Works Construction. 2.. Permittee shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. Contractor shall comply .with the local noise ordinance. Operation and maintenance of equipment within one half mile of human occupancy shall be performed only during the following time .periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00.p.m. May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00.a:m. to 5:00 p.m. Work shall be prohibited on legal holidays including Sundays. 5. Permittee shall assume responsibility for repair of any pavement breakdown at the haul road access to -any public or private street and for any damage to other City streets or facilities. 6. Permittee shall submit a traffic control plan to the Engineering Dept. for approval prior to starting work in travel way. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual) . It shall be the permittee's responsibility to detour and barricade this site. 7. Street closures shall not be permitted. A. minimum of one travel lane on paved surface shall be maintained with flagmen at all times. 8. Permanent pavement replacement section shall be one inch greater than existing. Existing pavement section on Calle Tampico and Washington Street is 4" of A.C. over 6" of A.B. 9. All landscaping irrigation decorative rock etc. shall be protected in place as much as possible or replaced to .its original condition. 10. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133. 11. All work' shall be coordinated with the City's contractor and others working within the area as directed by and to the satisfaction : of the City Engineer. Special Conditions - Permit No. 2241 Page I of 2 SPECIAL CONDITIONS - PERMIT NO. 2241 CONTINUED 12. Should additional work, materials, or modifications of the work be required in order to meet city standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. ; 13. All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil within the top 2' of finish pavement surface shall be compacted to 95 % relative dry density, all base material shall be compacted to 95% relative dry density. 14. When work is within 500' of a signalized intersection , the permittee shall notify Riverside County Signal Dept. at (714) 275- 6894 or Caltrans Signal Dept at (619) 688-6845 as appropriate. 15. Site clearance of'600' 'in either direction shall be assured and maintained at all times. 16. Street striping that is damaged, removed etc. shall be replaced to its original condition by the permittee at no cost to the City. 17. All excavations at or near the travel way shall be backfilled and paved as. directed by and to the satisfaction of the City Engineer at the end of each work day for the'protection of the traveling public. 18. This permit authorizes work in the City of La Quinta Right -of -Way only. It is the permittee's responsibility to secure permission from any other abutting agencies or property owners. ' 19. Ingress and egress for all properties shall be maintained at all times. 20. The City will determine the final limits of asphalt replacement. 21. The pavement replacement section width shall be one foot greater on each side of the trench. 22. The median crossing on Washington Street shall be performed by a bore and jack operation or the median curbs shall.be removed and replaced at the nearest joint. 23.. Trenches shall be backfilled with a slurry mix approved by the City Engineer. The mix design shall be submitted to the Engineering Dept. for approval - 22. - If the work is to be ' performed by forces other that of the utility company the contracting company shall be required to apply for an additional encroachment permit and pay the appropriate fee. Special Conditions - Permit No. 2241 Page 2 of 2 K® kill Eta a 1j"A"Iffies® IHI 50 50, _MI MM I ®®I MME P I 4 i� li n so C.V W.D. DRAWING. ''APPRDVAL, _. _. D768 I I =;;F Aolt z J= ��i APP DAIS. A I A If lw� 6 ) 76S 11, F• - I ,� LLCATt01 !F M<�11D S UEALA 1Y CWTACTDSi ... nSTY Umlllff�J1® ERVICE ERT AT 1-000-IEN199 ,t 9 �:1 7 F ., a 3. - dJ O 0 2 39. ? 0 0 SID l 3 2 3 .Z V : . 'lr N � h lh N 61 N (q , t 0 N tf1 � G 1 f ; c 0 m .o 3 f� G ro T6 11 U69 . o 0 T U H � ; R 6G ... i -. I J 9 D -777-7 , a i j 24 2 2 28 3 I i F• - I ,� LLCATt01 !F M<�11D S UEALA 1Y CWTACTDSi ... nSTY Umlllff�J1® ERVICE ERT AT 1-000-IEN199 ,t 9 �:1 F• - I ,� LLCATt01 !F M<�11D S UEALA 1Y CWTACTDSi ... nSTY Umlllff�J1® ERVICE ERT AT 1-000-IEN199 ,t