31A-035 (4) DEPARTMENT OF BUILDING INSPECTIONS
, 212 MAIM STREET BUILDING e /p, (,% 7/7/3/NORTHAMPTON, MA. 01060 PERMIT F0.
3IA - 35, 36, 37 VALIDATION
DATE July 7. Is 81 PERMIT NO, 321
APPLICANT William B Bron ADDRESS S. Franklin
Addition (NO-1 (STREET iCaaR's UcENSEi
V NUMBER OF
— PERMIT TO NeloanSurmmr,-lnn 1_.) STORY ylanfl{� Qam[Ei DWELLING UNITS
ITYRE DIST
O
ZONI
AT (LOCATION) 5 U Franklin "Pine Peat Nurcing Home^ RG
iNoa ISTREET1 DISTRICT 1818
BETWEEN RID, AND PrnapPeF
(CROSS STREET) (CROSS pi NEETI
LOT
SUBDIVISION .– LOT BLOCK. SI$E
BUILD1iG 45 TO BE FT. WIOE EY FT. LONG BY FT. IN XEiGNT ANO SHAl4 CONFORM IN CONSTRUCTION
TO TYPE USE GROUP... BASEMENT WALLS DR FOUNDATION
I TIRE)
REMARKS: Handieap ramp h r9+1ing
AREA ORQ� PERMIT $
VOLUME ESTIMATED COST $ .iE II _ FE£ 1Oa OG
IC C/SauARE FEET) 1
OWNER Pine Rat NSSre ng More BUILDIN. ,EPT.D T///
ADDRESS 5 Emaah)ia St_. Northampton, Ma 010A4 BY Le-e-{ -le-id
WHITE - FILE COPY a GREEN - FIELD COPY • CANARY - APPLICANT COP ' - ASSESSORS COPY
i Osp or autumn LesrscTIors
, . Z, . $7 BUILDING se # gio.thr 744/
r sorivrraorr, NA. 01060 PERMITit
i
31A RP 35, 3p, 37 VALIDATION
j BATE Jrly 1, 18, 61 PERMIT NO. 321
APPLICANT William L swam ADDRESS S r:anknii
y i,t-'OSSZ M S 010.1 (STREET) tWNTRA L6EKOEl
1OF
-- PERMIT TO New P.m1PPeamtiam ( ) 'STORY
(TYPE OF IMPPOVCMMT{ O. Hm�.@Y
V SPOHO E11RM EI OWELLRING UNITS _
y��
AT (LOCATION; 5 Q **Olin *Piss ten r.riias bee DISTRICT RE '
1 - 1014 t TRW" -
1 BETWEEN u. AND .a..�mE
ICROR• STREET) ICROES STREET;
LOT
SUBDIVISION i OT BLOCK SIZE
RUILOINO IS TO BE FT. WIPE ET FT. LONNOI•'RY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS ON FOUNDATION.
SES Inn)a
REMARKS: ndh'Pp near 4 Saint
1„SC) j r 'SS0
EE E loUl
VOLUME I ESTIMATED COST $ KEMIT $1)1(11.00
ICUMC/3OUME FEET)
OWNER Ma last %m•imss`Nw BUILDIN DEPF a ,aireeiLd
ADDRESS 5 Froulia St., yttbar F1 O'Y . BY ��i
WHITE - FILE COPY • GREEN - FIEL COPY • CANARY - APPLICANT COP a ASSESSORS COPY
}} P
is
C� FYI
NORTHAMPTON PINE REST,INC' APPLICATION FOR
5 Franklin Street
Northampton, Masa. 07060SrPLAN EXAMINATION AND
� / - f - �/. ' BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O
".—__ -�� pppq lr'�'y ,[1�1 ZONING /� pp
AT (LOCATION) '� '' �'+/"^^�""'.N DISTRICT/ r2
LOCATION INC./ (e.REETI
OF BETWEEN et Ai-I4ORTkAvT/r AND ,PL acl4-9J -' I
BUILDING CR`75rMAF%,p %...
_ ICRCs STREET)
LOT
SUBDIVISION aett'9, Mask
Glub.l LOT BLOCK SIZE
V.
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -i
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
-1
-1
1 I I Nev. building Residential Nonresidential
2l 1 Addition(If residential. enter number 121 One family 161 I Amusement, recreational
of new (rousing units added, if any, 13 Two or more family - Enter 19 t
in Part D. 13) L_ U Church, other religious
3 Alteration (See 2 above) number of units————y20 Li Industrial
14 1 I Transient hotel, motel, 21 Parking garage
4 I I Repair, replacement or dormitory Enter numberService station, repair garage
5 I I Wrecking (11 multifamily residential, of units
enter number of units in building in 15 1 I Garage 23 Hospital, institutional
Part D, 13) 16 I I Carport 24 Office, bank, proles Si on al
6 I I Moving (relocation)
7 Foundation only 17 LTi Other — Specify 25 Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
B Private (individual, corporation, 28 Tanks, towers 1
nonprofit institution, etc.) 29 Xi Other —Specify/L-47 I{.,,1'v', r,„~
9 U Public(Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ / R n school, secondary
ondary school, college, parochial school, parking garage for,
departmentstore, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical O� _ ,
S. Plumbing T / Oh''t ���� ..A.....6,7
c. Heating, air conditioning
d. Other (elevator, etc )
11. TOTAL COST OF IMPROVEMENT $ ) 9 d 0
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
4830 rj Masonry (wall bearing) 40 E l Public or private company Number of stories
49. Total square feet of floor area,
31 K Wood frame A�v�-y 0^� 41 Li Private (septic tank, etc.) all (loins, based on exterior
32 kfStructurol steel ! dimensions
33 I I Reinforced concrete /// H. TYPE OF WATER SUPPLY
34 El Other — Specify 421 . 1 Public or private company 50 Total land area, sq. ft.
43 U Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SL Enclosed
35 1 1 Gas Will there be central air 52. Outdoors
36 U Oil conditioning"
L. RESIDENTIAL BUILDINGS ONLY
37 ri Electricity 44 I I Yes 45 i I No 53. Number of bedrooms
6I I Coal
39 I I Other — Specify Will there be an elevator" { Full
54. Number of
46 I I Yes 47 1 l No bathrooms
Partial
NOTES and Data — (For deportment use)
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Cumber. _street, rill, and Seat,- ZIP code Tel. No.
I. A 0
Oweror a 41 _ e ' u. / r _i �
e� r a QtOCQ
Lessee -{��
•
z. F lB....,r..lA.: _._ 40NR. .�icivOr f r it , / . u�eiderso. �fi'�735
co,,,,,,,, 0,2
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I hove been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant (/�� � .� AddNogTr6MPTON PINLtES I,IFP, Af Iicotion dote
„9„Franklin Street
y„pe.mpron.Mau, MOND (yea t , //7 / "9rY/
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
P Ions Review Required Check Plan Review Date Plans Dote Plans
quire Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER = PLUMBING
CURB OR SIDEWALK CUT = = ROOFING..
ELEVATOR SEWER
ELECTRICAL ��- SIGN OR BILLBOARD
FURNACE - STREET GRADES
GRADING �� USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building ��� FOR DEPARTMENT USE ONLY
Permit number
Buildingn Use Group
Permit issued Alf 19 (8/
Building ���/// ___ // Flee Grading
Fee $ /0 /IC Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee S
LE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
aN
r . ;
1
•
T.
c r •
i s
. r
j
1-11.
BOCA FORM APEBP - 669 01969 BUILDING OEE¢ULS & CODE ADMINISTRATORS INTERNATIONAL. INC.
_3LnidSNI ^NICTIng
'L 11w-47
•.tilaxooaTc.
4Iaotloe3ej{IIF
aq o, e1saada yg •aoomz d o ; , 71=)dc
LC `92 aged _S( - 't •:In£
(F ql" rp
111 '` tt. `T11 - P ._,y coJ rnn 1 [B. 11d::?TeV
.6'-01i: •obi Zba(•
!:O .e, 41A10N
uI f>:azzy, c
soon `?ut.1ne_ 1":.; Bq yJ
;i!
y:,hl `L 3en2ny
CITY OF NORTHAMPTON, MASSACHUSETTS
Board of Appeals
City Hall
"A"
Addendum to: PETITION TO BOARD OF APPEALS re: NORTHAMPTON PINE REST, INC.
1. Variation from the requirements of Section 6 .2 (Minimum Open Space)
of C. 44 of the City Ordinances of the City of Northampton.
2. Variation from the requirements of Section 8.1 (Off-Street Parking
Regulations) of C. 44 of the City Ordinances of the City of North-
ampton.
3. Variation from the requirements of Section 6.2 (Maximum Floor Area
Ratio) of C. 44 of the City Ordinances of the City of Northampton.
STATEMENT FILED IN CONNECTION WITH
PETITION FOR VARIANCES BY
NORTHAMPTON PINE REST, INC.
"B"
ATTACHMENT TO NO. 6
Petitioner has been notified by Federal and State Authorities that the
building in which it operates a nursing home no longer complies with appli-
cable safety codes. The anticipated expenditure of a disproportionately large
sum of money and the loss of licensed-bed capacity render the further renova-
tion of the existing structure as completely unfeasible and unsatisfactory.
Therefore, in order to continue operating the nursing home at all, and at the
present quality and level of service, petitioner has designed this proposed
facility to continue and improve its business and provide the area with a quality
long-term health care facility.
The reasons for granting the variances sought are due to the conditions
especially affecting such structures, but not affecting the zoning district
in general. In light of these conditions, the literal enforcement of the Zoning
ordinance would involve substantial hardship to the petitioner. Furthermore,
relief can be granted without substantial detriment to the public good or sub-
stantial derogation from the purpose of the ordinance.
The hardships upon which the variances sought are being predicated are
as follows:
The structure on the parcel is substantially unsuitable for any use allowed
under UR-B without extensive and expensive modifications. The variances being
requested are in conjunction with a use that is allowable under special permit
• Page 2
Continuation of Attachment to No. 6 - "B"
Re: Northampton Pine Rest, Inc.
in the UR-B zone. At the same time, petitioner is faced with external
pressures (i.e. Other than Zoning) , by State and Federal agencies, including
the Department of Health, Education and Welfare, the Social Security Adminis-
tration and Massachusetts Department of Public Health, to correct by repair or
otherwise certain deficiencies in the existing structures. If petitioner fails
to make the repairs and modificiations, it will lose its license for the opera-
tion of a nursing home. These changes cannot be made to the existing struc-
ture under the provisions of the Zoning Ordinance. However, without these
changes, the structure will have no marketability under its existing non-conforming
use and, as previously noted, is not readily adaptable to any allowed use. Thus
its marketability in its present state is reduced substantially by all of these
factors; and to require the petitioner to comply or to prohibit the proposed
changes would, under these circumstances, cause it to bear an unjust and dis-
proportionate share of the price of community welfare. By making it possible
for the changes to be made, the petitioner will be left in a position to preserve
the marketability of its property.
Furthermore, it would be a hardship if petitioner was unable to use its
property in the most profitable way by not being allowed to expand the structure
for the purposes of normal and reasonable business expansion. Inasmuch as
zoning is intricately concerned with property values, it would be hard to imagine
that any zoning ordinance was intended to strangle an existing business by com-
pletely negating any growth, anticipated or otherwise.
Therefore, the desirable relief sought will in no way substantially dero-
gate from the intent and purpose of the zoning laws. Also the variances are
being sought not from usage but rather from building requirements, such that the
derogation is of minimal effect as far as the Floor Area Ratio and Open Space
requirements are concerned, since there will be no appreciable change from those
presently existing on the parcel.
•Page 3
Continuation of Attachment to No. 6 - "B"
Re: Northampton Pine Rest, Inc.
As for the parking requirements, there is ample basis for the premise
that, as it stands, the zoning ordinance does not accurately reflect the
intent of that particular provision. The requirement of one space per bed
at design capacity is unrealistic from a practical standpoint for several
reasons:
1. The State requires only one space per four beds for nursing homes.
2. The Northampton Planning Board has been contemplating the downward
revision of this parking requirement (i.e. 1:2 or 3 rather than 1:1) .
3. The use of the parking lots at area nursing homes does not approach
that which would merit a one space / one bed ratio even at peak use
hours.
In light of the foregoing, the fact that the zoning ordinance already
provides for a 20% variation where it is deemed appropriate (Section 810-13) ,
and the fact that the proposal provides for parking at a 1:1.54 ratio, the
granting of a variance would neither substantially derogate from the intent nor
be a substantial detriment to the public good.
I . Clan
June 2S, 'Col
William B. Erorm
Pine Rest Nursing home
'int • k11n Stie€:C
th;enp ton, Ma, 31060
. Sta';n;
I _m __. S d C1i) U iia SLliaiCaj. 1.EW, ihie is a clearer
_ <_ i-.tion of Croi hardrai:s then the Archit:cts sketch,
if you will have your contractor take a petnit f:Ev thin
office, :ne ' r..3t411 rhe tail, to these. speci€ ea.ionay riser.
rw> ::i)i ppre.:a tfi= farip.
SLLCE1766)
Lee:: I. (Zeck
BUILDING INSPECTOR
CIC/Ip
•
_. er mittern eagityl& ideleP
At 141+ y' QQ /Q
DYY((��IISION cF 1H FPGILM7 REGULATION
A0 ✓lnp/✓oma 5(6Crt .20laa'VUf6
IFRED L. FRE7H V:E, M.D., M.P.H. Irene R. !+!=Manus, M.P.H.
c_...i.MSEOLE. Director
May 21, 1981
Henry K. !'itzceraid. Jr.
Prisnftecn
F.F. i- trieraic, Jr. _ ._.SOCITrcr . Inc.
31 Cnannirc Street
Newton, Massachusetts U2158
RE: Pune Rest Nursing Hare
5 Franklin Street
Northampton, Massachusetts 01060
Dear Mr. Fitzgerald:
The sketch for the proposal ramp at the Pine Rest Nursing Hare
:.s acceptable to this office.
Plan approval will only be issued once the sketch has been
approved by the loran building nnspeutnr and the Department of Public
safety inspector.
If you nave any questions, do not hesitate to call at 7z7-8750.
Very truly yours,
Emile J. Guy
Project Enainneer
Office of Plan review
cc: Pine Inst Nursing Hare
architects • engineers
F :FitzGerald jr
& associates inc.
March 6, 1981
'Ir. Em.- le Guy
r,ff ice of Plan Peview and
Life Safety Code
Eby stop St. - Poop 1135
. Na . ._il [.
Enclosed please rind two copies of a sketch of the proposed ramp
construction at the above subject home which is being submitted in
response to your letter of March 3, 1981 .
it is the owner' s intention to have this ramp reconstructed prior to
May, 1981 .
Very truly yours,
h. K. FitzGerald, Jr.
President
HKF:caah
cc: air. Brown
31 Channing Street • Newton, Massachusetts 02156 • Tel. (6171 527 5029I3G)
V9\1\In ` ^+ a L a\e•N *11-12 o N BCTZ0 Wn114 'mW14
whork14", +; ' r '&N& 1.4 3-2;, 3N o -3u, s..,., �tnr„.
a new- NO) 7-3 47 er Ai
._ 1 I
C -
1 I Il'
- t/ -f ' O Q "1�
- - 1OB qxi/�i�1�!dY
� ,
1-7
.31 <- -- 3 Q10-1c3
ty
'7•9 '741441 4rA
‘.1- 1.'""1. 1� '7N11 v Q»A\
W 4 Z1' , dgjv A a1A1,
L9_ P
1 i//I I /:
i /
I - - 111}y .1NTr' j
2316 .,,yid rr �
r
D -i( = 91
P 1
I
L_____
?_i OGt7j Zyo -1
Fin ` ,7 L.
-
'5" r
1 1 rr , - "rte 1 tr>
II U ,py I. LI„ L',
1
; . �,
-, - = _x - _ = ir- f s -} 4 = —may3 i ; - 1 I
r .411 �i
lq-v Cetyl ;•-C
.1/2,-.3,4, 1:11e,.
1
+ i5b
•
u1/Tcazz: ry •
•j '"'tri -LT-fu iyib.. J KK1\l" (, M
BOARD OF APPEALS
AUG 191976
City Holl
INSPECTION DEPT. -
failure to supply all required information shall be grounds for i MtW kR1`S pe S'tion.
oti se:- 'Nils petition must oe filled out in inw or typewritten, tojether with s-+�ert
copies, and accompanied by/j sets of plans of the affected premises showing
location, dimensions and area of the lot, aid the locations, dime.nsionc and
the distance from the boundary lines of all structures erected and to be
_
erected. it shall be filed at the office of the 1Suilding Inspector andshall
cc accompanied by a filing fee of :75.00 and a charge of X2.00 for each
person entitled to notice.
PETITJOrd TO DCAftD OF APP±.ALS
Feti Li ones(s) . . Northampton Pine Rest, Inc. Address 5 Franklin St. , Northampton, MA.
. . . .
Owner of
Pres:ises . .19rt1.13nPRAQ11 P1.110 .$gs.t.. .Tflq• Address. . . 5. Fr@pc11P.Sc, . Northampton, MA.
. - pe ti over is the owner ple:eseezp=s=.zaf.4=4i=gtr—=..-_ _r t.:F=z -v-err=
e--- -- e- eQ*.e a the premises affected by this ?etition. (Cross out
11r:.2f: cable words, hot applicable to petitions for review) . -
Teti ti on is hereby made for a. .tllree, ,(,3) "a.ria.t.ics from the requirements of
Tas= =a€=a=d=em =n
v4.,2 -9*. .17,P
•
S1laneet9r==wise
SEE ATTACHED "A"
Section paragraph of C. 44 of the City Ordinances of the
City of i•o rthampton. -
_ ..,a Pre:-rises affected are situate on the.... FPFth?F?-y side of Elm
Street; designated as Parcels .15.aft4V.Sheet No.. . 31A of the Assessors' Plan
of the City of Northampton and are xnomm as. . 11• ?pg. 219. Elm• Street and 5 Franklin Street
. . . .. . . . . . . .. . . . . . .. . . . . .
Proposed
Description of and/or Building •
Existing
1. Size of Existing building. . . 5252 square eet, Yf stories
. . .. . . . . . . ... . ..... . . . .
Size of Proposed Building,. . . .5774 square feet,,• 2, stories_ . . . , . . , , . . . •
2. Ccc'.._sncy or use: (of each floor). .Nursing homes Basement Provide admFnistrative
and ancillary.faci,litles, ,groun4 4;4 2qd floors, to, provide, pptient•j pp9919 and
living, dining and recreation areas.
3. zone nstrict URB
4. has there been a previous petition concerning the affected premises?. . .Te9
+' yes; aped fy. . .9.PcSittQqARK .thSag varian.se✓S, wAs• MO. about• a,year ago,.but was
allowed to be withdrawn without prejudice.
5. Oznnzi 1ptior of proposed wor,c and use: ,T.o raze two• existing, apartment.buildings located
pp, 21J.,ppcl,21S, •St teat .qq4 to ,Qo s,cruct .a 2M stoty,,, Jp g-term health care facility
prpyidlpg,Lcyels,m .e'i4 ,Qq;G„ .aa ,aq .a4tftfgq to tpe• efcfptJpg• pprs ins home located
f. S. Frapkllo.Street •
6. The reasons cpon which this petition is based are as follows:
SEE ATTACHED "4"
to Siam-t:r'e of owner or aitent
•
. -
•
•
(xm) hereby certify that the persona below hre "all the owners ofthe ,property % ;
utting the premises affected and the owners -.of: land next adjoining the land ,:`-%.'
- the abuttors, the parcels being identified by reference to the Assessors' Maps, .-.;.:7
ge and Parcel Number,' as they appear on the most, recent tax list. ' / . .-: \?.; -:. _. ,;•• '" '
Asoessors4 Maps,• . - . -.Page and Parcel
;ries - .Addresses ..
h Hatfie3d.72�a1Py,.P.T-Qct -. . . .
,rt229. r)-m.Stl-c$t : " -- 31A-i4'
ane. Fe,PA'o914.c9$_koviss .4-..aErwr: 225.F1V1 Sti4Yt .31-A:15. ;• •
Dnald R. Waibuiton - 18 Franklin Street 31A-I6
1.car• payid_d xiSrPan ¢Alitt am UsheF dtr}sPNp n.frkIs Tin.$tcK11.`: -.31A.32. . . .
;x-)c. t al ;s mom:$cekaw S:Fa trti C• Xis•. 35.Fyapg u.Street . _ .7..31z731.. .. .:
33. ..
lomrce--H Bruce: :•.,. - 7:.Fxanklm Strec ,' + ` '-. 3]A 34 '
3. .3-ve. k-. PPPV M4;.ct4.cels ' ` 2P5. F-)mStre-et .-}7k.3B_ . ..
-)avid J. O'Connell. and Cathleen M.. O'Connell 127 Elm Strutt - - " 31A 39 - -
lc/lard R. Resci-. . sc• ' 77_ . .
�.an.d,la:�,. .� >,a:: :. 2. CI -::;31A-42'.4:
rn e. 7,. Stz- vvse .273. Crescent-Sttc'.t - ..318:93:. :.
n▪ e3ia:n1 P4_?nd.??na.Goiw§eq , , ::'" 2b7. ci c'.z1t.St -set . . ': :3 A-ft: . .-:
bnatd ?.. 'Aain tsar_ .-. .. . .. - - • 1 6 Elm 5t • • . . .... ..• '37A-68
Tohn F. Gnatek and Vict4r:a.C•• 41dte)c .. 295-F)m_Strtet. . . 31A-5?. . , .
1
'a9.1. Re. Frans.mpd.Sally_$. .Evans - 230. Elm.Street - :,318-70. . . . . i
't)Binia_h,_fbristie.. . . . . ... : :: : :-:: "218.Elm.stmet, :: . .. - . . - . :. . . . . .: `1::••• 311711• ::
?.Hard_$T,_Mat,.5.?Mary.$4se -i47,4b 222- Fla strect _314772.
Thr'srrr. A,,Bazwiloski.&.Edith A.- Aanaiknsld. , 234.Elm.Street' ' -• 318:73_ . . .
rbler- matt:&•Pi:Ssie.M. .G3Ulet " 73.14.1$18 tot".8ven ..-.•"-.--..."-..•.".'.•.•." -'_•• •".318:2Q$: . '
'array J. Kiteley & Jean V. Kiteley 25 HaTripn-Ay 11a, _31 _2O9 .. . I
,arles_1W xamjneer A,.04rAt r..i'[ Fte vv r 20.1Jamsvn.8wrenve 37h-23Q
'.,alel Chornesky_s Alice Chomesky-. .._. 14.Harpispn Ayerra .- -31A-231
v 1 T. Fec3unan et al e 2 . i
s (Gent 1 R:. Ai vX,. €t.40 ..1.bicr14instcrl A nna '.-.::4 --:. /
23 . . .
nlpy-M,.$) i s.5 WLOt))y'A: gl.k.in5. -.- 17_ICepsington AYas?ue . ._ - . • . . ._ . ._ . 3]A-233 .. . '
:ell:A_.Bish .
�. .& CQta lie .h•: k� h> 9�e5s��t.Stitet 318.322 . ..
• "Signature . .
.. . ' -t!
r ''. : .- ,'C .=. _. - - ... r ...)-e..4.
. . . . . . . . . . . -. �� -- . .a. F.