HomeMy WebLinkAbout026-939-09-5305-LUP-1998-550 � _
Application for Land Use Permit ,� ��
County of Sawyer � � �
PO Box 668 -Haywazd WI 54843 �
715/634-8288
The undersigned hereby makes application for a Land Use Pemut and agrees that all work �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin.
PRINT—USE BLACK INK OR PENCIL �
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Owner Builder �
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Mailing Address Mailing Address :;
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Ciry,State,Zip City,State,Zip \
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Daytime Phone Daytime Phone
Building Land Use i
O New O Filling Zone District 1� > �
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size
( )Moving On ( ) �
( ) ( ) Acres J', 9� �
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m
Primary Structure Accessory Building Addition ;� �
( )Dwelling ( )Gazage-attached/detached ( )Deck �, �
O Yeaz round O#of caz stalls O Porch o
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room -
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom {'
�
( )Other primary structure ( ) ( )Relocate/enlarge
� � - ( ) ( )#of new �
Type of Construction -
( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete =
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� )Other j�/' � . , � r� :._ �:`� �
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Construction Cost$
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Vol �3 a Pg '�_of Deed Certified Soil Test# /U/1� f�? `': �;
CSM Vol Pg Sanitary Permit# ��/�'
:;n
Plat Envelope Or: z
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Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: �
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Application for Land Use Pernut - Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteratio�.
#1. #2. #3. #4.
Size ft. wide ft. wide ft. wide ft. wide
ft. long ft. long ft. long ft. long
F1oor azea sq. ft. sq. ft. sq. ft. sq. ft.
Hgt fivm gade to peak ft. hgt. fr. hgt. ft. hgt.
Stories stories stories stories
# of bedrooms '
rear lot line or waterline of ` ,lake/river
In the box ske[ch in:
Location and size of all
existing and proposed structures.
t— ,
Location of septic system. �� � � / !���j � {` � � �
Indicate distaoce to:
Waterline
Road
Lot lines
Septic system
Distance between structures.
Indicate North.
Fire Number:
lc � l(�
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`��,.K-'�F�l F�C, � / ..��� ��
Signatum of Owner
"Ibe above certities tbat the listed
information and intenaons are irue and
wrrect. The above person/s/hereby
give peemission for access to the
pruperty for onsite inspectioa ------ centerline of road------
IssueDate September 30 , 1998 ExpireDate September 30 , 1999
Office Comments: �/ /� ����d���
Signature of Zoning Adminis[rator
�m _ APPLICATION/PERMIT FOR RIPRAP PROJECT'S
�sp ____,«, pursuanc co xction 30.12(3)(A)3, Wis, Stats. Form 3500-91
�
This Corm is required under Section 3012(3), �Yu. Stats. Refusal to provide this in(ortnation may rault in the dismissal ot your appll�tioa�
Personalty idenuCable information on thic [orm will be used for no other purpcue.
Landownds Name Pmjcct i.omUoa 6 6�� T�Q/'�J i- / '—
Wl�!��� � , SG �d�
s���o�Ro�« t.�c �� �T o � � iLd�> �,� K�
7 .. ND�S 1 /?/ ua, iia,s«�� r 3�_x,x �
cry,S�ata Zip Code � ( ) Qty (yC)T� � �viV�or
rnN :,a/�E � 8�6
Home Teiephone No. Wort Tdep6one No. Fice Number Ta Parcel No. Comry Name o[Watvway �
; > c ) �� f SAcUYE/l C�C �auhT D,�.t:�1 r:
1 hereby ecrti[y thal the inCo�malion contained heiein b teve and accvrat� f am the oavntt oC thc riperian p`vperty or em the duly authocrzed fepresentative and
may sign this epplication on behnlC o[the oavner(a)of seid pmperty. [have fesd and undrntand aIl oC lhe condiuom of thn pe[mit listcd on Ne[eve[se sidc and
will wnswa tbe above mrn6onm project in compiiance vrith all such mndition+. I undmtand that tailum to mmply with afry or all ot the p'ovisiom o[the
pelmit ernden lhe aut6omation wnuined hecein null and wid and may cault in a fine end/or imprisonment under the promiom oC s.3017{5),�Ye.Stau.or
foRriwm under s 30.15,Wia.Stett
Printed or Typed Fuli Name o[Appliont �, Signatum o(Fjpplicant � !? Date eigned
.N�RT �J 57�2 L � , L �r"� �C��f
, �5 ifv ,a��---f.�r-Y,�G� �f� ,''�� ° -/c-
ATTENTION!! YOU MUST COMPLY WTTH THE CONDITIONS ON THE BACK OF THIS PERMIT
FINDINGS OF FACT
�
1. '!be applimnt lus mmp6ed�vith a0 pmaducal end Icgal fequ'vemenu oC Wiuonsin law. � �
2 'il�e p'opened pmject vdll mt rtsult in e matcisl obstructioa to nsvigetion,will no�adveesely aRect wa�er qualiry,will oot incrme aattt pollution iu
surface watas and will aot�xuse arvievnmmtal poilution u deCmed in s. 144.01(3).Wis-Suts., i[thc p�oject is mvstrvaed in ecmrdance with this
permi4
,3. TSe Depanmrnt haa detttmined thet the geanting o(thi+ pecmit would not be a major a�atc action significantiy aRecting the quaGty oC lhe human
eavi[onmmL
4. 'ILe Depsnmml and the applicaot have completed all proetdutal requircmrnts and the pfojecl a+pecmitted aill eomply witA sll applitable requieemrnu
o[Wucomin Administ[ative Code and Wiscomin Seamies �
'fy
5. 'IM p�ojea v�not Im{ma weelands.- .
CONCLUSIONS OF IAR'
1. 'ILe Depactmrnt haa authoriry unda s.30.12(3);Wis.Slats.,and appiiable Wisrnnsin Administcative Codo to issue a pecmit [or t6ia peojecL
2 TLe Depanment has wmplied wi�h s. 1.11,VPu.Stats.md NR]03,VY'u.Adm.Code
NOTICE OF APPEAI, RIGHTS �
I(you believe that you have a right �o chalienge this decision,you should tnow that Wixonsin Admipistrative Coda and Wiscomin Statuto esubii+h time periodi
within whidi 'equcu to tevfew Depanmrn�decviom must be fled. ��
To rcqua[a wntetcd uu hmring punuent to x 227.47,tYu.Stati,you 6ave 30 dap a[ter the dedsion is mailed,or othcrvvise urve� by lhe Departmrn4 �o
sern a petition [or 6earing on q�c Seactary o(thc Depenmrnt o[Natural Raouras. 'Ihis notice is prwidcd punuant to s.227.A8(Z),VV'a Stats.
LEAVE BLANK-DEPARTMEI�I'OF NANRAL RESOURCE USE ONLY
SIA'IE OF WISCONSIN-DEPARTMENT OF NANRAI.RESOURCES
For thc Sevetary
liiued By_lVl� +-r �G ({� ' / ' �wVl Date Signcd .q/'� � /l Q
���
r��r S���� � �sti � l� �o �� r� st�
pERMIT CONDITIONS: RIPRAP PERMI7'
PAGE 2
LEAVE BLANK- FOR DEPARTMENT OF NATURAL RESOURCE USE ONLY
1. Your acceptina thls permk and beS�lnnina to construct the prolect means that vou have read, understand
and aaree to foltow sll condltlona of ihfs oermk.
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2 A photograph of the completed proJect shall be submitted to lhe Departmerrt wtthin 10 days of proJect completlon
/
3. You are hereby aulhorized to place ciean fleldstone or quarry stone 6 to 24 Inches In dlameter along '7� Aneal
teet ot the shoreline. The stone may extend up to 3 feet weterward es measured hom the e�clsting bank The
stone shall follow ihe natural corrtour ot the shorellne and shall nrn be placed hlgher than��'�Viches ebove lhe
ordlnary high wetertnark. The flnal nprap slope shali na euceed 2 feet tiwlzonW to t foot verticaL
a. All grading and axcavatlon must be conflned to the minimum area necessary for consVuctlon end shall not exceed the
maxlmum area allowed by the local shoreland zoning ordlnance or 10,000 square feet, whicliever fs less.
5. The use of fltter cloth, or a fiRer layer, under the riprap Is recommended to ettend the IMe of the sUudure and to Imprwe
effectiveness.
6. The project shall be constructed In a manner that preverrts upland soil losses and sedimerrtazion of ttie wazerwray. Temporary
erasion control measures such as mulch, sift fence, and/or svaw bales shail be usetl as needed end shall be pul In place
prlor to arry predpRation or H work ceases for longer than 24 consecutNe hours. My upiand areas disturbed during
construcUon shali be properly stabilized Immediately following projea completlon by seeding and mulching.
7. The removal ot Vees, shrubs,�and other shoreilne vegetatlon shall be kept to a minimum and arry vegetffiion removal above
the ordinery high watermark of the wffierway must comply with the shore cover remwal requiremerns of the bcal couMy
zoning wtlinance.=
8. No waterward e�ension of the upland property Is pertnttted other than what Is reasonaby necessary for the placemerrt ot
rlprap to stabilize and protect the exlsting bank. No fill materlal may be placed In a wetland or below the ordlnery high
watertnark ot arry surface water.
9. This pertnft fs not valid unless you have obtalned all required apprwals hom other LOCAL, STATE and FEDERAL
Jurisdfctlons.
10. This permft expires on November 1 oi the calendar vear followinq the date of issuance. No construdi�r
may take place after thaz date unless you obtain a wrttten extension of this pertnft hom the Departmertt before the date ttie
permn expires.
1 t. You must keep e copy of thls pertnit at the proJect site at all tlmes unUl the proJect is completed.
12 You must allow DepartmeM employees access to lhe proJect stte to make Inspections at arry Ume to detertnine whettrer th�
work Is In complfance wi[h thls permit and arry o[her legal requirements.
13. It necessary, the Departmerrt may:
a Amend this pertntt by changing or adding condRlons to ensure that the project is In comptlance wRh all appilcable
legal requlrements.
C. Revoke thls permn to protea the publlc Imerest or preverrt materlal ImpalrtneM of navlgation.
t4. You must malM�n the riprap In good contlfUon.
15. Other condftlons: �` �—xca� �, � � Uti �D S�Yk 4 /"ez-S G�O k o-"(Q or
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permlt�ent to: ConurvaUon W�rden •
Counry�nlnp AdmIN�V�tot �" � x� "^/°� ''"' �.('�'� o u n � of ����✓t� -� ✓�'fe 1� �1 v�(�
U.S.Army Corps of Enpin�en �.J J Z� T�'� h a(�Z"Q �j �n r`� _ 1� /,c,.� G /S}-
Iaotio. siecc�: "
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Show route to project site, incfuding ncaeest main road and ctvssroad. �� � P[RE # Cb 7�/�
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...�.vVINGS OF PROPOSED � � y� ` - I
ACIMTY SHO�JI.D BE PREPARED \1 ` ���'`��,Il�c-r. -. . �
IN ACCOR.DANCE WITH SAMPLE N �f�
DRAWING SHEET �w� =' �Y 70 ,oy" �� io��
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PROPOSED MATERlA1S: N���'r'�� T��'�s
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PROJECT PLANS iv D Scale• 1 inch = feet
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Please include a top view and rypical cross section with your plan. Clearly identify dimensions or indicate scale and indicate
the nor[h direcrion. (LJse additional sheets if necessary.)
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Shov�, ro�te te prvjcct sice, Including neamc main road and a�nssroad. FIR� #
L7RAWINGS OF PROPOSED �
ACTIVITY SHOULD BE PREPARED � .
IN ACCOR.DANCE WITH SAMPLE
DRAWING SHEET
PROPOSID MATERIALS:
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Please indude a top view and rypical cross secdon with your plan. Cleariy identify dimensions or indicat� �cale and indicate
the north direction. (LJse addirional sheets if necessary.)
Stnte of Wlscronsln APPLICATION/PERMIT FOR RIPRAp pROdECCS �
•Department of Natural Resources Pursuant to seaion 30.12(3)(A)3, ws. Stau. Form 3500-91
'R�'; form is required under Senion 30.12(3), Wb. Stats. Refusal to provide thit in(ormation may rault in the dismissal of your application, �
Personalty idencifable information on this form wili be used for no other purpose.
Landownds Name Pmject I.omtion � � 76 '��D/.�,s ��
lvi t c R �d�, �A � �o an7 Qd��'�� l_f� L '}
St�ect or Route
'��,: d 1/4, 1/4, Section Q 9 . T��N, R�� (� (W�
Ciry. Statq 7�p Code ( ) Gty (� Town ( ) Viliage ot
5 £ �� Ati .� c
Home Telephonc No. Wort Telephone No. Frc Numlxr Tax Parcel No. County Name o( Watrnvay
c '� � /99 c � sA.�.�� �oc �au i 6 �'l.�G£
I heeeby certiCy that the in[ormation contained herein u we and accvrata I am the owner o[ the riperian pfoperty or am the duty authorized reproentative and
may sign thia applimtion on behalt of the owncr(s) o[seid pmperry. I have read and undmtand all oC Ihe mnditions oC thu permit listed on �he cevase side and
will conatruct the above mrntioned pmject in compliance with all such mnditions. I undentand that Cailuee to comply with any or aIi of the pfwisiom o( the
permit mnden the author'vatiom m�uined haein null and wid and may rtsWt in a 6oe and/or imprisonmrnt under the prowiom o[s. 30.12(5), Wis. Stats. or
fodeiwrc undcr a 30.15, Wi+. Sta�i
Printed or'lype.d Full Name do(AApplimnt Signatuce o[Applinnt Date eigned
/Y�/p7 � Jr,�,J/� C � � � ��
.tJ f �4 ^ -
ATTENTION!? YOU MUST COMPLY WITH THE CONDTTIONS ON THE BACK OF THIS PERMTT
FINDINGS OF FACI'
1. 'Ihe appiimnt hea complied with all peocedual and legal rcqui�emcnv o[ Wisconsin Iaw. �
2 'Ihe p'oposed pmject wili nol caull in a malerial obstcuction to navigation, will not adveescly aQect water quality, will not ineRau waler pollution in
sucface waten and wiii not ause envimnmental pollution as defined in s. 144.01(3), Wu. Stats., if the project is mmtructed in accordanee with thu
permit.
3. 'Ilie Depanmrnt Iw deteemined that the ganting oC thu permit would not be a major sute action signifiantty aRecting the qualiry of the human
emironmrn�
4. 'Ihe DepaRment and the applicant havt compktcd aIl procedual cequimments and the pfoject as pormitted will mmply wilh all applicable requi¢mrn�s
o[Wuconsin Adminutrative Code and W'ucomin Statute.
5. 'Ilx peoject will not impaa wetlands.
CONCLUSIONS OF LAW
1. Tlx Department Iw authority under v 30.12(3), Wis. Seau., and applinble Wisconsin Administative Coda to issue a permit (or this project-
2 Tlie Depanment has complied wilh s. 111, Wu. Stats. and NR 103, Wis. Adm. Code
NOTICE OF APPEAL RIGHTS ,.
I[yrou believe that you have a right io challenge �his dccision, you ehould know thal Wiscomin Admipistative Codc and �Yumnsin S�amin aublish lime periods
within which `tquau to m�icw Depertmrnt decisions must bc �Ied. '
To requa[ a contated �ae hearing punuant lo e. 227.42, Wix Stat�., }rou have 30 daya a[ter the decision is mailed, or otherwise xrve� by the Depanmrnt, to
xrrc a petition for hearing on the Secretary of the Department oC Natural Rnou'cu. 'Ihia notice is p'ovided punuant to �. TZ7.48(2), Wu. Stau.
LEAVE SLANK -DEfARTMENT OF NATURAL RESOURCE USE ONLY
STATE OF WISCONSIN - DEPAR'FMENT OF NA'NfL1f. RFSOURCES
For the Sccretary
� �
/I � �/'/` o C/ c.� C
L�'ued BY'✓�'� C / Date Signed � � / � ( /
Titic �22 i L't l�-,/� C,:J,—�,C. ,`J /J �G�9J `�
I.oc�tlo. S�etc�:
Show route to project site, inciuding nearat main road and croszroad. FiRg #��
Di<AWINGS OF PROPOSED `,
ACTiVITY SHOULD BE PREPARED � 1\�� Z��C� �/�LF_ �
[N ACCORDANCE WITH SAA�tPLE N I
DRAWING SHEET Nw� 27� 7c� � �,
'T o F�R� # '�
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PROPOSED MATERIAiS:
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P JEC"T PI.ANS Scale: 1 inch = NDaLfe�t
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# of structures = ` `
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Please include a top view and rypical cross section with your plan. Cleariy identify dimensions or indicace scale and indicate
[he north direcnon. (ilse additional sheets if necessary.)
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SCALE: I INCH= �}'00 FEET FOR ASSESSMENT USE ONLY `:N'
DRAWN BY: DATE: INTENDED TQ SHOW CONCWS.
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR �
BOUNDARY LOCATIONS
DOCUMENT NO. OUIT CLAIAI DEED . ,I
STATE OF WISCONSiN-FORM 11 •
G. V O L. 2 3 2 P G• �- �, � TMIi iPACE NEEEBYED FOR RECORDIM4 DATA I
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R�iAter'e Office � �
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I TIiIS INDENTURE, Made thia 9�1 day of —ALLC}115� � Re v�:ci :o: .- '. t�,� _y,-���� ol
I A. D., »71__ , �rw�� ..�ver_��t_S�ramm and _Bertha Schramm , ''
� his wife , _ - c:,� r, . 1� � :• 3.� ..:. �.
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part 12S of the first part, and � �L�-� � - �' �-`�,r` ;i
i w ;.�m Schramm , _ also known as William E . Schramm � ;;
an�� Yv �,; , e Schr�amm , his__wife , " � —
— - -__ — Lop��ty j�
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ti,a rr j (�S�( t h� Eecond part. R E T U R N T O
'�V i t n � s s e t h. 'Chat the said parQ�_ of the first part, for and in consideration �
of � ,. .um oE Ori�_ il-O �
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-- ----------_-�3otf,n�s;to thP�l------(n hand paid by the said partieS of the second part, the receipt whereof is hereh��
c��r,i��sed and acknowledged, hau_� given, granted, bargained, sold, remised, released, and quit-claimed, and by these presenta do _.. give,
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�,-:tnt, bargain, sell, rcmise, release and quit-claim unto the said part l�� of the aecond part, and to �'1C']Y'heirs and assigne forever, the i
i��lfo�ring described real estate, situated in the County of Saw�ter and State of Wisconsin, to-wit:
j�, "'he East 200 feet of the West 400 feet of Government Lot Three ( 3 ) located j;
'' in thP Northeast Quarter of the Southeast Quarter ( NE� SE� ) , Section Nine ',j
I ( 9 ) . Township Thirty-nine ( 39 ) North , Range Nine ( 9 ) West , except the South
�i 700 i eet thereof o li
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To Have and To Hold the same, together with ali and aingular the appurtenances and privileges thereunto belonging or in anywise
� thereunto appertaining, and all the estate, right, title, interest and claim whataoever of the said part l�S of the 5rst part, either in laa or
equity, either in possession o� expectancy of, to the only proper use, benefit and behoof of t6e said part�_ of the second part, thei.x
j' ----------heirs and assigns torever. I
In Witnese Whereof, the said part �£S of the firet part ha Y� hereunto eet t�1Y' hand�— and seal S.— thia�3��_
day of A�u S1- , A. D., 19�_ .
' SIGNEU AND SEALED IN PRESENCE OF � (SEAL)
�' F.vorai-f- Sch mm
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� __ Bertha Sch amm
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II 1b�%�=�'�/�l�� 1/�� " " =--.-.-�-.�- (SEAL) i
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�' STATE OF �j�Q,�G, I11 in �S
� Du P aa e County. � $g� ;
Personally came before me, this 1 3th day of AUC�USt , A. D., 19 71 , !
the above named EvPrPtt Sch�'amm and Bertha Schramm � his Wlf 2 �
to me known to tx the person�_who executed the foregoing inst:ument and acknowledged the same�, �/
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This instrument dratced by , �`", � Notary Public �/7 -, i�f(- County, SdnO. I��I�.
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QUP_1� t�p Johnson , • �-�'� � . ` My Commission (Expires) (Is) � i
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A �t�rnPy at L3sr,t=_ ,. �
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(S�cunn 59.51 (l) of the Wlsconsla Statnte� �ro�fde� th�t dl Inatrument� to be reeordcd �hall h��a pl�lnl� printed or t�pewritten c6ereon the (
n.me. M �he pnnton, 0.tintees, wltnense� �nd eotaq). f
. .� � . , , . ... � , _. .. .. �- s•t•r. .�r �..r..rnr...rnt n�nnt *tti t� 'I �