BA 81-0176 Certificate of Compliance 1984-115318
C:ITY OFPOyvAY
BY'
.
1657
)
)
)
)
)
)
)
)
)
)
) :'
)
)
)
~'" 84':"11.531:8
-,,'o.:cn"'!)f'O ",I 7""", ',I
,.._ .....,.. . I. "
OFF ICll(C ;<[O%D:)
,OF' SAN DieGO CDUNI y, ",\,1
" R,,:tORDINGREQUESTED
,~ .;j<'
AND wHEN RECORDED, MAIL TO:
CITY Cr,EgK
CITY, OF POWAY
'P'.,'Q. J30X 78 S
'POWAy',tA 92064
1934 MAR 29 PM 2: 5 S
I ' ..VfP,\ U:",E I
~UN1Y HtCQ[\P.[~
IRf/7~
MG r '
(This space for Recorder's use)
Boundary 'Adjustment
CERTIEICATE OF ,COMPLIANCE
Bo~ndary Adjustment No. 81-0176
The City Council of t.he City of Poway, on March 6 .. 19 84
determined, that the pa:r;cel(s) of real property described below have
resulted from !3- boundaI;'Y. ~9-j'u'st.roent in cornp'liance with the Subdivision
Map Act and with the City of poway Subdivision Ordinance.
~", '-"
OWNER: ,
See attached Exhibit A
DESCRIPTION:
See,.'attached Exhibit Band Bouiidary Adjustment plat
wh~ch,is made a part hereof;
NOTE: ,The description(s) attached have bee,n provided by, the property
owners and neither- the City of Poway nor any of its offi~ers or e~ploy~es,
assume -responsibility for the accuracy of. said descriptioii (s) .
This. Certificate of Co~pliance .shall in n6'~~y affect th~ requirements
of any other City, County;, State, FederaL,.or lbca1 agency that regulates
development of rea'lproperty.
DATE: March 7, 1984
B/A NO.: BA 81-0176
RECEIVED
ASSESSOR'S PARCEL NUMBER: 273-900-40, 42,4S, 46, 47, 49 & Sl
Portions 'of AP,No. 273-900-17, 48 & SO
(}UJ,~.~
A1an,D. Archibald, R.C..E. 21869
City Engineer
\
,-
APR 1 9 1984
CITY OF POWAY
CITY CLERK'S OFFICE
.
1658
,
EXHIBIT A
TO
CERTIFICATE 'OF COMPLIANCE
Boundary Adjustment No. 8,1-0176
OWNER:
~9berts II, Ine. I '.A '8a'1-~.~ornia: Corporation
Timothy H. Treadwell, Trustee, UDT
Da ted 11/10/82
.
Bruce' K. .Drayton ahs]: ~rJ'o:r:ie A. Drayton" Trustees of the
Bruc~' K. Drayton 'and ,~atjorie A. Drayton Dep~aration of
Trust Dated 1/18/84'
1 of 1:
.
i65g
.
~
EXHIBIT B
to
CERTIFICATE OF COMPLIANCE
Boundary Adiustment No. 81,...0176
PARCELi'A" - PLAT B81-o.I76.- <=ITY OFPOWAY
.
-.
BEING A PORTION OF LOTS 17 AND 18 OF COUNTY OF5AN DIEGO TRACT
~842~1,IN THE CITY OF powAy, COLlNTY0FSAN DIEGO, S'(ATE o'F
C,'\tIFORNIA,ACCORDfNG TO M,o;PTHEREOF NO., 9620, FILED IN THE OFFICE
OF THECOUNTY RECORDER :OF ,SAN DIEGO, A'EIHL,15, 1980., 'DESCRIBED AS
FOLLOWS:
COMMENCING AT THE:sduTHEA5T CORNER OF LOT 15 OF SAID MAP NO.
9620.; THENCE N;,880 lio."5'&" w., li70FEET TO; THE BEGINNING OF A TANGENT I
CURVE CONCAVE NOR THEASliERLY AND HAVING A. RADIUS OF 25,2.0.0. FEET; 'I
THENCE NORTHWESTERLY, ALONG THE ARC OF SAtDCURVE, THR0UGI:I AN ~
ANGLE OF 340 lo.'58!', 15o.c,}4 FEET; THENC!,-, T,e;f\i~ENT TO SAID CURVE, II'
N.540 30.' 0.0." w~, 303.0.0' FEH TO THE TRUE POiNT OF 'BEGINNING; THENCE,
CONTINUING, .540 30'OO"W,,'J86.23 FEET TO THE BEGINNING0F A TANGENT
CURVE CONCAVE.EASTERLY,ANDHAVING A R'A DI US OF 20.,00. FEET; THENCE I
NORTHERLY, ALONG. THE: ARC OF SAID CURVE-, THROUGH At':' ANGLE OF
8t~5'.i9",30.(;3 F;EET;: 'r8EN<;;'E, TANGENT TO,S1\ID:CURVE, N. 33015'~20."i,E., I
llo..T4'FEET TO THE' BEGINNING OF A TANGENT .CURVE CONCAVE NORTH- '
WESTERLY AND HAVING A RADIUS OF 2,624.57. FEET; THENCE NORTH... I
EASTERLY, ALONG HIE ARC OF SAID CURVE, THROUGH, AN ANGLE OF
l~ 47"30.";,82,0.7 FES1';'IH,EN"CE, RAmAL Tei ,Sl;!D ,~(jRVE, 5.580032' IO"E.,
120..75,FEEq;; THENCE 5..3700.3' 28" E., 99.13 :FEEI; THENCE S.,350 30.'00.'" W.,
190..0:0: FEET roi-HE 'TRUE,POINTOF BEGINNING. SAIO PARCEL "N'
CONTAINSL013 ACRES.- -
,Page 1 of 4
.
.
1660
EXHIBIT B
to
-.
GERTIFICATEOF COMPLIANCE
Boundary Adiustment No. 81-0176,
PARCEL "B" - PLAT B81"107.6\- CITY OF POWAY
BEING A PORTION OF,!';O:r;S 16',17. P;ND 18 OF COUNTY OF SAN DIEGO TRACT
3842-1, IN THE CITY OF POWAY, COUNTY bF SAN DIEGO, STATE OF
CALlEORNIA, ACCORDING to MAP THEREOF NO. 9620, FILED IN THE OFFICE
OF THE COUNTY RECORDER OF SAN DIEGO, APRIL 15, 1980, DESCRIBED AS
FoLLOWS:
COMMENCiNG At THE, SOUTHEAST CORNER OF tOT 15 OF SAID MAP NO~
9620; THENCE' N. 880 40' 58" W., 1.7.0 FEET TO THE BEGINNING OF A T ANGE~T
CURVE CONCAVE NORTHEASTERLY AND HAVING A RADIUS OF 252.00 FEET;
THENCE NORTHWESTERLY, ALONG THE ARC OF SAID. CURVE, THROUGH AN
ANGLE QF340 Ib' 58"," i}0.34, FEET; THENCE, 'TANGENT TO SAID CURVE,
N.yfo 3o'qo"W.,i}3.QQ'FEET TO THE TRUE poiNT 'OF BEGINNING; THENCE,
~.()NTINUIN-G, N. 54030'00" W., I7.0;00 FEE~; THENCE N. 350 30' 00" E., 190;00
FEET; THENCE N, 810 31' 33" E., 149.89. FEET; THENCE S. 390 28' 40" E., 64.33
FEET; THENCES, 350 30' 00" W., 277.40 fEE'I TO THE, TRUE' POINT Of
BEGINNING. SAID PARCEL "B" CONTAINS COO7. ACRES.
'Page 2 of4
.
.
l~61
EXHIBIT B
,to
. . ..; ~
CERTIFICATE OF COMPLIANCE
Boundarv Adiustment No,. 81-0176
PARCELIOC" -PLATB81-107.6'-CtTY OF POWAY
.
BEING APOgTIONOF LOTS 15,16 AND 18 OF COUN:ry OF SAN DIEGO TRACT
~842~1,; IN. THE CITY OF POWAV., COUNJY 'OF SAN DIEGO, STATE OF
CI\L1FORNIA, ACCORDING TO MAP THEREOF NO. .9620, FILED IN THE OFFICE
OF THE COUNTY RECORDER OF SAN DIEGO, APRIL 15, 1980, DESCRIBED AS
FOLLOws:
COMMENCING AT THE SOUTHEAST CORNER OF ,LOT 15 OF SAID MAP NO.
9620; THENCE N. 8&0 40'!j8" W., !;70 fEET TO THE BEGINNING OF A ~ANGENT
CURVE CONCAVE NORTHEASTERLY AND HAVING A RADIUS OF 252.00 FEET;
THENCE N6RTHWESTER~Y', ALONG THE ARC OF SAID CURVE, THROUGH AN
ANGLE OF 6026,'04", 2&.30 FEET TO THE. TRUE POINT OF BEGINNING;
THENCE, 'CONTINUING ALONG, THE AR.c:::QF_SAID CURVE,THROUGH AN
ANGLE OF. 27.0 44' 54", 122.04 FEET; THENCE; TANGENT TO SAID CURVE,
N. 540.30' OO".W., IJ3.00 FEETjTHENCE ,N._350 30' 00" E~, 277.40 FEET; THENCE
$,'-3902&' 40" E., 67..7.4 FEET; T}iENCE' S. 60-2&' 42" E., 17.l.45 FEET; THENCE
S.I019';02"W.,12~~00 Fc:ET TO THE TRUE POINT OF BEGINNING. SAID
PARCEL "C" CONl'AINS 1.024 ACRES.
Page 3 of 4
.='.,.:
"
.
16t62 "
.
.;.~
f'
'.;'"
,.
EXHIBIT B
-
to
CERTI,PICATE OF COMPLIANCE
Boundary Ad iustment No. 81-0176
PARCEL"D" - PLAT B&i~OJ76 - CITY OF POWAY
BEING A PORTION .OF LOTS 15, 1&, 19 AND 20 OF COUNTY OF SAN DIEGO
TRACT 3842-1, IN THE CITY OFPOWAY, COUNij'Y OF-SAN DIEGO, STATE OF
. " . .. . ...... , ~ ,..~- .
CALIFORNIA, ACCORDING' TO MAP THEREOF NO.i9620, FILED INrHE OFFICE'
OF' THE€OUNTY RECOgDEROF SAN DIEGO, APRIL 15, 1980, DESCRIBED AS
FOLLOWS:
:BEGIN.NIN<:;ATT:HE SOUTHEAST CORNERof LOr 15. OF SAID MAP NO. 9620;
TREN€EN.,&&O 40!-5&" W., 1.70 FEET TO THE BEGINNING OF: A ,TANGENT
CQ,RYE,CClNCAVE' NORTl-jEAgERLY AND HAVING A. RADIU.S ~F ,252.00 FEET;.
THENCE NORTHWESTEg,r.:X, AtON~ THE ARC OF SAIQ CURVE, THROUGH AN
ANGLE OF 60 26'04"; 2&.30PEETj THENCE. N:,Jo 19'02"E., 125.00 FEET;
THENCE N. 60 2&' 42" W.,lzl.45 FEET; THI::.NG)E,N~ 390 2&'40'" w." ;132;07. FEET;
THENCE N. 250 40' OO!' W.,166.50 F;EET;. THEONCE N; 67.0 31' 56" [:.,'7}4.99 FEET;
THENCE S. 10 19"02" W" 639.5& FEET TO THE POINT OF BEGINNING. SAID
PARCEL "0" CONTAlNSUO& ACRES. -
Page 4. of 4-
.
1663
.
OWNER'S CERTIFICATE
We., :the undersigned, .being record owners: :of the foregoing described
, - - .. .' ,.' ,- .
parcels, certity' tt~t.the above_ descrIptions -accurately describe the
,parcels as adjusted :per Boundary Adjustment No. 81-0176, conditionaHy
approved by the City' Council of. ,the City of poway on November 3,. 1'981,
a'nd. we" :consentto 'the recordation of :t~.is':Cer.tificate.
.'
PARCELS.A & E:
Roberts II, Inc.
'>,;/
L
arJo e A. Drayton ~
r arie A. Drayton
1974 '
~..,."
, .
" , ,
Tim~thy.H.Treadwel1 .
Trustee und~r Deed of .Trust
dated Noyember 10, 1982
;)-;-
_ _ .Z--
Ivan 8. Sirnovich
,Vice Presldent
c
EY
Trustees, of~ the Bruce K.Drayton
'Dec~aration of Trust,
PARCEL C:
kll4r
. Ei'uceK. Dr' ton
PARCEL D:
(Notary Acknowledgement Attached)
" GENERA'LACKNOWLEDGMENTA 1664, .
(~,~~~~';";":--~"'-'~F~~~~~~~~..;r..,...~~~, ~~-2?~.-?~~~~~~:
..\~'~ ' . State"f Ca 1ifOrilia} On this the 29thday of, February ,19 84, before me, ~
.. . 55., %'
San Dle.go Evia L'. Powe1i -------------------------- \.
:, ~ Countypf' ~~
'~ ~~
1 the undersigned No.taryPublic, personally appeared ~,
~-:
\.
,I;
(!.,
;'\"
W
(~
~,
1\'
~,
,\,
~!
~:
~
~"
~
,
OFFICIAL SEA:EJL
EVIA L,POWElL
NOTARY PUBLIC, CAliFORNIA ,
SAN:OIEGO COUNTY' " '
MyfcOI11!r!~..e..xpi.r.~s'::A~G. ?1; l~~.ft
~.....-......~~
'\
:v
~
1;'
,PARTNERSHIP ACKNOWLEDGMENT
BruceK,br<!;Y:tc;>n & Marjorie A,. Dr.ayton
o personally,known' to me;
r!} proved,to'meonthe'basis of satisfactoiy",~vidi,rice
to b'e the person(s),whose name(sl are
withi'n inst'rumen't; and acknowledged that
WITNESS 'my hand andoffici~,seal.
/G
. _\\ l n 1
subscribedito,the'
they ex~c0tedit.
R,~
Notary's Signature
State of
Ori this'the_ day of
19_, before,me,
)I" <
} 55.
,.
,
County of
',~
\,
;,
(/'
,~-=:-~~-~~.;;.-?-~;.;..;..~~......;..
,CORPORAl:E ACKNOWLEDGMENT
State of '
California
} 55.
County of' ',San Diego
"
OFFICIAL SEAL
EVIA L:POWELl
NOiARY PUBLIC. CALfFORr\ilA
SANOJEGOCOUNTY
My comm. expfres''AUG 21 1984
..,;::':'.' ...'.,1
the undersigned Notary Public"personally appeared
0' 'personally known to me
o proved to me on the'basis'ofsatisfactory evidence
tO,be the person(s),who,e~,ecuted,thewithin instrument on behalf ofthe
partilersnip, and acknowledged'to,methat the,partnership executed it.
WITN ESS my hanctand official'seal.
...."..--::-
Notary'sSignatLire
~~~ ~~~7~~~??~~~~~~~~=~
" I
~~~~==.=~~~~~~
Onthis'.!he 1st day of
EV,ia .L. Powe,11
March
1984, before me,
''''-''1\',
the'undersi~ned Notary Public, personally appeared
"
Ivan c. ~Simovich
o personally known tome
:jg proved to'me on'the;basisof,satisfactory evidence
to,be the'person(s) who executed the within instrument as
V,ice P residerl't' ' or.o'nbehalf of the corporation therein
named, and acknowled ' 'to'me"thaUhe corporation executed it.
WITNESS my handa d f:~i;-:}s~a~ Q
, ' , I
~/,/,~~~?'"~~~)
(~ ,', ' . ,Nota~y:sSignature
b .
'-. ~~~~~~~'='~~~~~?.I'""'-~
.
GENERAL ACKNOWLEDGMENT'
.....m.
.....;.._~ h_
OFFiClALSEAi.~I(
EVIA l POWEll '
N07AR"f PUBUC C.4.LlFORNrA f!
SAN DIEGO COUNTY '
~MY_ C~.;e::~~s AUG~.21. l:~jt
.
o personally known to me
Ql: proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is
within instrument, and acknowledged that
WITNESS my hand and offlcla~ " ",,,.
Notary's Signature
"
g,
~,';
he
subscribed to the
executed it.
~
.'
<-
"
~:'
O~J"OL
g
','
;"i'
.~,
it
THIS IS TO CERTIFY THAT
?UBLlCWATERISEWER IS
~'';V,e;ltA'BLETOSERVET8'1S' ~- -
PRORERTY;..
- - -:.' BDyEPT~;tWWI:f~ &J~JJ,~D USE. ", -0
4:-~ Zr'
'-D~TE' - 7//P./KI _. ,::::'o~ee ~,~:~~~i:;, _~~-=,9~,~~
/-...;~: ~4!._'~."~'t'tt..~...-"." ~~. .. .. .. L.'~
. ~ ~bW~ER~~';:'X:,,;'';'' ..'j. ~' .h, <:'. 'ADDRESS ;;pd.. a 0 x ; 7-Y< 9 -. · ~'
./'" . .r// C"I.TY'" ~,;,:".;.;...'.:.. ;-C/,_ . //., _ . '/7.-..,. .9,'~, _./ ". .~, r-.',.,....
~'~HO~E;N6i>.z/~-':H A;:;9:~ oS ~.,..., , UN' ~~ '::'/.:S,= ~"", ~ ""<O...~..>,'
~~:I~-P-::T-~~SPB~P~RED..!"JT~~Y~NOW~EDG~ANDCONSEN1.~. ,he e,~;/<' ,.; Z.'. "'1"
'- ~_ _SIGNATURE ':'-..
(SliM!" A5 4BOVE) MAPPREPAREDBY P..:?/C -rf::JOP5 - --=----~ -~ ~
ADDRESS 2Z.?~ AVE. ?EoL4 p/j;y'~1, .(~ fj.:.tA, c.4 ~
PHONE NO. 454:9/6::: R;E. OR LS. NO..8.CL /5if1:z:. ()\,
:
l6:65.
.)
.
.. l'."
~ 11,' "'. .
.".'
. .'. "
",.
. ~:: "-.'
- .". -",-,
". ..
~-;".~
'"""',,',,."
. " "'\' '
.... ':~\,.;F"
j~~PARTMENT OF lA~J~ USE DA~~;WNVIRONM[~TAL REGULATION
':j~~,;', PLA T', , -
". -,.,,~~. .,
....;"...
....;.. ". -', ~-
t
." . / ~
: , 0 . 'I;:", I .' <,; n< CD ,1, /D47'?O" R'2b24'.57' L'8Z.0Z'
.SCALE.! IN,~/IJO FT, . /""'~<1..p...-: '----- r.~~-/, _~ "" Lj,()O/:J0>" R'cC,24.'51 L,'/o,oiY
. ~C' ............-....,...A..r.;, .'-_"" I<J
'''f,; ,..".~.. SITE. . .J-:"...-'..C'-....-.,.~c:.JiJJ.,j=0"39'/fj..R.iYcZ!451.L=30.PI':
.' . .,'.", - " . 1,\)" ',".\..': ~~""'~~.J @Jj',OoSS'06'f?c2t.'ltl-.!51'L'42.<<:
i "'~fl"!Ii ;;:"~~' / "~OVl~' '~:'~>~ ,..'~'~r(~~~;1~.U}(R)Z.E2:' ~
N . :? (\. Jr::...-p~(o::::v 't' t\~ (......''''">-.,''. L' 01:: l~ _,
- -. 'l1 il!,~",' 4>-- '?-;/ " ,'~ , . ' /,_./ p\v""'.~ \~
!J """ 'I" ,; .. '~.) , ,J -----'C'v.
(} \i .'J ' , ,-..;. " '. 0 "- I '3"
,'I, '" ,';<. tI . '\ . -----. ',,' -' 1';, I, j , Q I '-.
->.( . 1:; ~ ,," . I:J' , '" " '" '.: ~ t ". "-10.:-- 09' '-.
"'I iJ I,; / ~. "'-' 'r"" A (. ,.16 ~tf.' en
,.' . ,;::, (J rl9~: / ,'~' ..' '. '~i+\')/' '~JW-( .' ~-" -. \ '
, . " - ,~< /i.' p,) '" ", '7;' . "\' , \lJ
, ., ~ "',. / ",.q' . ,>"J"/ '/"-.:", \' . , - ~
," E5POL.A RD. ';Jl"~"" '" -P:. .",_",,[)2 I'~ .'/" -,.,.'Il, , " " 'I'
. I . ,'j \. :'\." -.s-&o..::J~~ if.... f\,...) . t-- - .
; V/CIIJ/TY, '::J'r,,"J." ....fT""~:,:\W':':1 / . "~~~\P4t?CEL ",0" ~
,I '.' 'M..<1P -- l"li~~I'rl '7A<"<?~J/p.:.. i"f!e; '." .;tlr~ ~. /.3084tSRE5 "
, '. /VO SC.c:lLE" ,,1.,1\" ~?,?' 'f;J,-., Z(-,__ "'<:I \ ~ (\,
.~ . .<. r..::.1~'"' W; / 1~!~~,,~~" ~""'\~/<:"'/',.J ~~6 ~-; ~. ~ ,~.
, ' , (, :\,'o..V,;; , .:. ;l,;.y:$i:., ~~''\'~{-\ ,.!.:,'.> 9 -"" ""S(-' \. "i ~
, . . .,,' N '0:" V "'/ '4.,' ~..?/~.. :;;..-S; \.-":::----' " ~" , ~
",', Q If$) '0 '---: '~,jf0'<v-~'::'~<':, 1iX~'~ I ' /./,0 ;~.'
,t < ,,' .: ''l~'};~,,~i~!S~~:- , <.c;-.:.:.,~~:,:e~1:3~;~e '" "'l'.- 90(-:".. ~;Y!
i , '" i: '!:I~~'~V'~~0)'O:,<ii" .Ii":'~'?'~';>"';<;";;! {,'>fL8!P3~~,Bf/,~S' '\ ~o '. \";',:",;~ > ,i8
,~ -', "c.' -cl" ,\'-'-'--- ',,, "I . ,",., '~'\,'" ~ ~ . n,.,."" "" "'<\ ~ ~
/. '*?~I" '.~ ~":'",' o45'f:'or-Oe,'j0,', ;,\i::r~~;",,\~{ '10;/:,'\ ~'jJ~l/I' '~,,''?a\)O;'" -=--:-..; , - ~
,\) ., tJ-o 't'.!!. , '"'1"" '"v. '1'" '""." .:'___ ,v-. '-"0 "' '" ~
,'V.' '../ '.':I?~eo ':;OARCeZ"'2 (' ,:"", Y' ' (., '~"" ~ '~ \rj' ~ tl1
"\1l' It. '. 'J, "(~'Q":;':","'1/.";>"'''''''Ac.'n'''", .,j,l)':OO. :,1 Ar"X,. .-' 'I ~-:-" '- \,g ~
T- .""W I. . :,\\-.,I;'t 'V'..?'~ .-:04;...- 1 .~- . ", ~fl' '/ ~'\- ,," (n
~ ,.j ,. \),J. ",'p, .jt'fI!p' ..r::'(~""'~4~'1 ~ l~ ;'''0 0 ~". ~. <l',y ,,", ~ ',~ " ,
l~ ,,' ~~' 1_'tJ,l'I;~ A"~~!>~"\if"W/~;I~~~~ ~'~'~:tP~S'I:;tl~Jfr,~k:G;~l!,~ri~K';,~~o 0 IJ~.;,)Jf.!/Jj~~'~rl,,;,-,".,~.::*,:'~\~*r;\;{;\, -J: I . ,~11l4i'1,~. ",'l".. '",1 ~ "~..
L ',! ''''':'~h,~~''''';'~\P''':''' ~~;;~'tI4"~~l::~~;;:{;~'~O'/P~RC~?;'~';''''')- 'j "{\"'~'-----';; ~ '~
, . ',~; ," . ,-t:.'.:s-- '. I'''~; ,.f-; \' 'i rj,OCZ;;4CRl:'S 0 1 J ~ I~')..
'.'),j::,,'If.'.t'i----I u~~'._9 "~:,d"~l'-.'~. ".,'..t::;', - ..'" ..: "0. -j "'. ljj \;:, (.
". :', -"". "t"<"'" . ,-,'S',..>.. 0>0. ". )\' :" ''''<-:(':-'')~. . "0. Q .,'1 ..~' I\:i f'l
" . . ~....-.6o" "'6' ~~}{\ / ' ~..~I~ Sl) :<
. .' '7"",,"-,'; 1 '"'\ . 1)," '. .t, ..' "'t-- /"'. Il.: '-.,
.,'. '. , '70 7-, '_'" ~:; Vj .e. \& ~ t1!::<l: "-1
i ..LI~SlfS5().R:S 7.4Y.P.~RCEl.: " <z.-... '~a . . .. .' 1.~' . .. ~ ,~~ &.
"fOTNO~,/5:.?73',9ClO,k:;. N:.;:.. '1:",.>":\:5l-.s.o,'" .' a~ "P.4k'CEL "C:~. I{" ~"Ii'
. '/6:' .?73'9'iXl-/G ....,..~,..~s., "-... . . .~O~.If'.1.024 dCRES . ~;::: [:'~
17, C'7.3'-rOO '/7 \'c:,.~ fI I ~ () I\~
. ..' /8: .? 7':; , 'roc - /6 :"h'':"t-- '- ./,J)T ,'5, I ~ ..., ';:i
t" ,,/.3.: ?73 ''ijO(J -/.9 'f"tJ ~"'--...:..AI/"/~'O?';E' I I' \,. fl;; ,;"
, ~. "FO: 2(3,99,0:2.0 . . '0' _______.. 125,00\ .<:l a \l)
L,[G/tL 'j.)E5C;:?/PT/OIv' e; ~o'.. ~ -___ \ I~ 1.tJ :::;
BZ/I./GL07'/5d"/:,O,RT/ONS Or?07,"5 ~~ "'7}.--":.. <:1'~C';>~ ,I"i?~ v) ~
/0.. I'l-/RU,~.""O.. OFC"t':.7L/AI'.7YOF.. ..5.~.iN \Ofjl~ ,,"'t>,;'/C'.?~':"7;}1~.~ :.~
D(EGO :TR4CT .3642-;~ M';JP.N~; V" {Jlj-' .. 'e:s-;-:' " \
9G:?<: /),1 /;t./E c/TY',OF POIYA,Yj ~ (1Y . <O's<"'<::-/""-0.3<'.
r:0t./N7YOr- SAN' o/eGo, s7;;:7G QF ,(l'l-.::...'v' ~-----. N8C"40'.58('/1~:"'C',.,,,
---</"--'~"V/'" ., ""'-'. (,.v , -----. /7,0' ';.l\'-.~
~":"'/;-'-"""'-:-', /~ --" .'" -. ..~. -,.;. \'1 V
,e.k/5T/!/6:eON/NG:: RRI .,.. P,-<2C;)P05!.:"[) I./S.:;:S/NGLE F4M/IJ ~'"
. HEAL TH'DEPARTMENT CERTlFI~ATlp~" '.;' '." '," .,FOR DEPAR(I'MENTAl,USE ONL Y '/i~';'"
i.
APPLICANT
ADDRESS'
f'.l:lgNE ~.o,
LuEFl,NO" 239
.....~....
."-...'
,.~
~-
"~~
.,.
:JJ .0
m ')>
n -'1
o m
. co :T1,"
-< r
m
o.
~
"-J
.0 ~
"-
'-'" 1
t...,
(". ~
co"", """-
'-'
\)
'tJ
:JJ
m
r
S
. -
z
~
:JJ
.' --- ~~
)>.
n
"1
o
o Z
-Ll:- ;~~:';;',
, '''1
m
r'\-n
~'..~
go'
,IJ.')>
'bn
.::J"1
~16
..:.IZ'
o
)>
"1
m
~ '. "