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MFH and Shed 1997
TOWN OF MONTVILLE BUILDING DEPARTMENT CERTIFICATE FOR USE & OCCUPANCY Zone: R-40 Date: 8/26/97 This is to Certify that the structure at: 55 Rainbow Drive constructed as: manufactured Home under Permit No: 13563 conforms substantially to the requirements of the Building Code Ordinance and Zoning Regulations as adopted by the Town of Montville and the State of Connecticut and is hereby approved for use and occupancy under Use Group: R-4 Section: 309 .0 of the Basic Building Code of Connecticut . CODE: CABO 1989 TYPE OF CONSTRUCTION: 5-B SPECIAL CONDITIONS: Signed: _1( /// NOTICE; Retain this certificate for future reference . Form No_ B .D. 002 TOWN OF MONTVILLE,CONNECTICUT-CERTIFICATE OF COMPLIANCE NUMBER: 92-97 DATED: 08126197 Permission is hereby granted to JENSEN'S INC.to use the facility located on 55 RAINBOW DRIVE;ASSESSOR'S MAP 16,LOT 5-29 as a REPLACEMENT OF MOBILE MANUFACTURED HOME in accordance with zoning permit number 97-116 dated 6120197 and in compliance with the Zoning Regulations for the Town of Montville,Connecticut. PLANNING AND ZONING COMMISSION,TOWN OF MONTVILLE,CONNECTICUT Agent for the Planning and Zoning Commission The recipient of this certificate accepts this certificate on the condition that he as the owner or as representing the owner, agrees to comply with all applicable ordinances and regulations of the Town of Montville and the State Statutes of the State of Connecticut regarding the use,occupancy and type of activity to be instituted. It is furthermore understood that any change of use of the facility for which this certificate is being issued does require a new Certificate of Compliance. NOTE: Changes granted applicant after issuance of the Zoning Permit are to be clearly specified in the Certificate of Compliance. TOWN OF MONTVILLE ///)211 Building Department D v 848-7166 ifsL APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 13563-E Approval Date: 7/16/97 Expiration Date: 1/16/98 Estimated Cost: 700 .00 Fees: 10 .00 PRF: C .O Owner : Jensen 's Inc , Address: Southington Tel : Job Location: 55 Rainbow Drive Code: 06 Contractor : M J Electric Address: Coventry Tel : 429~4848 Stick Built: Modular Home: Manufactured Home: Commercial : Addition: Garage: Car Port : Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: Electrical : x Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement: Type of material used/discription: electrical service for manufactured home Size: Type of Heat: Fireplace: No .of Stories: No. Rooms: Breezeway: No . Baths: Garage:. Use: I hereby certify that the proposed work will conform to the Basic Building Code and all other Codes as adopted by the State of Connecticut , and the Town of Montville . 1 Applicant 's Signature: 144 (` 7 .��Date: `71 If signed by Contractor , type o l-erase/regi ra ' .n & No: G"l- 102© Zs Building Official 's Signature: // / �� ir; ate -off /, 7 Date of Health Dept . Approval : / .,:004 P / Date of Zoning Approval : THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE, SECTION 119_3 ACERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO ANY USE OF THE STRUCTURE_ A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING. DEPARTMENT IS REQUIRED FOR INSPECTIONS . , /J L TOWN OF MONTV I LLE Building Department 28a Application for a Permit T *— Owner: J t hl4EMS _1_NC , Address: T O,3ox fD3 S NUJ/(;T)v6,Tel : Job Location: *SS //N1np ,,J Contractor: NI . a- r/ t�C i/Z1 L Address: 1,o, i x- 2/74���r� �T, Tel : 4294-.011-A Stick Built: Modular Home: Manufactured Home: )0 commercial : _ Addition: Garage:9 : _ Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: — Chimney: Windows: Pool : _ Demolition: Plumbing: _ Heating: _ Electrical : — Air Conditioning: _ Gas: Patio: Porch: Deck: Retaining Wall : _ New: _ Repair/Replacement: Type of Material to be used/job description: e2vrCLQ OnrC '�' Size: Type of Heat: Fireplace: No.of Stories: No. Rooms: Breezeway: No. Baths: Garage: Use: / TOWN OF MONTVILLE 9. Building Department 61 \, ‘ 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 13563 Approval Date: 6/20/97 Expiration Date: 12/20/97 Estimated Cost : 42 , 000 . 00 Fees : 240 . 00 PRF: 12 . 00 C.O: 10 . 00 Owner: Jensen ' s Inc . Address : Southington Tel : 793-0281 Job Location: 55 Rainbow Drive Code: 07 Contractor: P & H Construction Address : Montville Tel : 848-2372 Stick Built : Modular Home: Manufactured Home: x Commercial : Addition: Garage: Car Port : Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows : Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas : Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement : Type of material used/discription: replacement manufactured home Size: 26 ' x 44 ' Type of Heat : gas Fireplace: n/a No.of Stories : 1 No. Rooms : 5 Breezeway: n/a No. Baths : 2 Garage: n/a Use: residential I hereby certify that the proposed work will conform to the Basic Building Code and all other Cod as ad, $ted by the State of Connecticut , and the Town of Montville. Applicant 's Signature: n .e.""- r -- l.A�-+_Date: a �/fi 7 y 1. II sligned by Contractor, type i� cense/reg ' i tr ' on . o: _,,g17-- ui ing Official 's Signature: ' "T ty7 of - r...- _,,,IL. te: " -Arp -7 Date of Health Dept . Approval : J� G d Date of Zoning Approval : ________p_;g:5c __ ___ __ THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE,__SECTION 119.3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO ANY USE OF THE STRUCTURE. A MINIMUM OF 24 HOUR_NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS. TOWN OF MONTVILLE gl . % . ./� /� Building Department �/� ,10A`7 / pplication for a Permit (540 re eael Owner: �✓\Sl-,n-3 J✓�4, Address: pa- �uoa d(s- &lir- ,Q Tel : k(1)-7S.3-Q�&I Job Location: SS (gc=Aloud Dr.t. e. 6)Ac43.411(e Contractor: e+ /4 ,rvL4AA Address: AA-it //e &la-013 M Tel . Stick Built: Modular Home: Manufactured Homer Commercial : _ Addition: Garage: Car Port : Shed: II& Remodeling: Roofing: Siding: Fireplace: Chimney: Windows : Pool : Demolition : Plumbing: _ Heating: _ Electrical : '''O Air Conditioning: 1° Gas: L/' Patio: _ Porch: _ Deck: ✓ Retaining Wall : _ New: _ Repai Replacement: _ Type of Material/job description: R 4ernpi,4 (4 J✓3, 4///444.1- uJear--Ce e 42.^A: Size: ç77' Type of Heat: G -LP Fireplace: A/4 f No. of Stories: 1 No. Rooms : 4//-4- Breezeway: No. ical : 'Garage: �J` N/A- Use: �` e Ce^• ZONING PERMIT ZONING PERMIT NUMBER 9,2_33 DATE SUBMITTED 3l/1/92_ EXPIRATION DATE: 3 —/ 92 Applicant: Jew en:r inc. Applicant's Address Pp dor 60f;Sav/tii,,,4r, GT Of' 'f 9 Telephone No. 7.9?—c / Property Owner: ,mom e Property Location: S'S' Ra,"allow 41elve Assessor's Map No. Lot No. Subdivision Name: l-ovre/ /lei1f Zone: IR-40, of Area: ± /0100S -� ilding Height: ± ' Total F oor Area of Structure after Development a� y� -FP- wAr, Total = i/ Z7 ...r 4144 Sign Area (If Applicable): N/A T042 QR'r fo 6c .Ac sQr►7e; fwo) Nature of Request/Proposed Use: S�hf/c ,rgvni/y rcrddrnce -Reikcc „v6,l/ flume w%,LlI a NW Cole( h-a"Je• This zoning permit and two copies thereof shall include plans drawn to a scale of at least 1" = 40' showing dimensions of the lot, the size, area and location on the lot of existing, proposed, principal and accessory structures, driveway sanitary facilities and water supply, parking facilities, and adjacent streets. Distances of structures faro property lines and centerlines of public roads must also be indicated. In the case of fill or excavation requests (under 500 cubic yards), dimensions of fill or excavation area must be included. Any other specific uses must also comply with the zoning regulations. A plan prepared by a Connecticut Registered Land Surveyor may be required. The applicant guarantees to adhere to all the applicable requirements of the zoning regulations. In addition, the applicant agrees to notify the Ccnmission or its appointed agent of any alteration in the plans. The use specified above shall NOT be authorized until an actual Certificate of Use and Compliance is issued by the Commission or its appointed agent. THIS PERMIIT AUTEORILLS THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FCR ANY REQUIRED PERMITS 3 —l�-yZ � �. Oki? ✓doe's"r• lec- ission Agen Action/Date p rcant PIAN REAR YARD DIMENSION LOCATION OF PROPOSED STRUCTURE OR USE • Flof P61/7 G4rO< cn • 6 w f � BUILDING LINE DIMENSION (WIDTH) ' l��, TOWN OF MONTVILLE / Building Department Application for a Permit Owner: C SRIiN 5 c'sosLE / Address: rmruBo✓ Q2Tel : ?Lig. 14 1 3 (b / 5 5 LIAF Job Location: mON4� ; Au�Q/n Contractor: AffiQit:b-41 (fl 0.0- Address: 54 5 ° " " Tel : '67-4 Stick Built: Modular Home: Manufactured Home: 1/--commercial : Addition: Garage: _ Car Port: _ Shed: _ Remodeling: _ Roofing: Siding: _ Fireplace: _ Chimney: _ Windows: _ Pool : _ Demolition: Plumbing: _ Heating: Electrical : _ Air Conditioning: Gas : L-19 Patio: _ Porch: _ Deck: _ Retaining Wall : _ New: 4.--'--Repair/Replacement: Type of Material to be used/job description: $eJ /— /L'e'^-' IGNO fi //o6' 7;04( is i,u4r-a ep�^'S Size: Type of Heat : Fireplace: No.of Stories: No. Rooms : Breezeway: No. Baths : Garage: Use: TOWN OF MONTVILLE Building Department lD 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 13563-G Approval Date: 8/20/97 Expiration Date: 2/20/98 Estimated Cost: 250 . 00 Fees: 10 . 00 PRF: C.O: Owner: Carlin Moore Address : 55 Rainbow Drive Tel : 848-1213 Job Location: 55 Rainbow Drive Code: 06 Contractor: Amerigas/Mark Pires Address: 52 Lower Bartlett Rd. Tel : 848-9277 Stick Built : Modular Home: Manufactured Home: x Commercial : Addition: Garage: Car Port : Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows : Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas : x Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement : Type of material used/discription: set 100 gallon tank and tie in to gas line Size: Type of Heat: Fireplace: No.of Stories : No. Rooms : Breezeway: No. Baths : Garage: Use: I hereby certify that the proposed work will conform to the Basic Building Code and all other Codes as adopted by the State of Connecticut, and the Town of Montville. Applicant 's Signature: fala. ( Date: I^ F3 C 4 ) If signed by Contractor, type of license/registr- tion & No: -t 00303-1/ // Building Official 's Signature: ala4.004661 gAr.,! ..) , Date: g-,20"'772- Date of Health Dept. Approval : P Date of Zoning Approval : THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE, SECTION 119.3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO ANY USE OF THE STRUCTURE. A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS. N2 - TOWN OF MONTVILLE �J PERMIT FOR PUBLIC SEWER CONNECTION DATE / /��/9 FEE $ p 1 PERMITU� .3 ,�� NO. / y TYPE �. NO. OF UNITS / LOCATION 6-5 R41086(.43 _DR, OWNER(S) OF RECORDS joc5 , NAME (00 Sou r ►,v 0 MAILING ADDRESS TIE-IN ,ah CONTRACTOR P/14),4 DafO kt)sr DATE 2ONA 9)INSPECTED B 4f;�1w ,VCA AGENT METERED METER NO. DATE FIRST READING INSTALLED SKETCH OF LOT SHOWING WELL OR WATER PIPES, BUILDING AND PROPOSED TIE-IN ROUTE TO STREET STUB. Show as-built connection complete with all measurements from a, permanent structure to pipe exit from building and all cleanout locations trap and vent (if outside) , grease pit (if any) , grinder pump installation (if any) . (Use back of white sheet if necessary. ) /) SAW - s • A- 15 - 3- LAyE�d9L ' Novr� 0 -EN :1)� C- s--5 13o6J a a WPCA COPY INSPECTOR COPY OWNER COPY "` � '` (white) (yellow) (pink) • ��I • Vim► • t1 I I O r i I I � r • 'r. 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RI 111 O Z C' 1-- Z }- Q w . • t R. o � m > Cl) U. *. a 00 D5 W U ��11 1 U¢ d W Li Q \'...... J o W�.¢n ¢ > aCVa LW} CC MO cc • 4. N.,6,... * E Q \ IllW �, W Q c7 z U J Q W O j OZw p Q Z O O W �V 1' ( w :, a¢ w i 2 U¢ U ZO � w � CI o it a z ❑ �o� w U o 2 0 v w w }} p ><CZ YU U F I mmZa0QOC 011=0❑❑ (`1, O w ia i a. U) 0p I. W m 4. a Q q '' 1 "..• ❑ ki.0 Z W ZQ . 4.- art- cv y .I o z 'GAJ !` 1+ a o o • ZZ Q " / Q N O \44 ri �. ill O� p LU(f) H > 0cp Li, 0 = w �Y At % .14'0) ,- 1_ �a'• {1 U W (I) O CD w 1-- a ) Y , � . >> Z p O 5 r` Z u), c ¢ wIII I II-I / sIMi ' et./1 ,..1 r Q NMI 3. The Company MARES NO REPRESENTATIONS OR WARRANTIES,EITHER EXPRESS OR IMPLIED WITH RESPECT TO ANY PROPANE,EQUIPMENT OR SERVICE SUPPLIED PURSUANT JO THIS TALES/SERVICE ORDER,INCLUDING ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 4.. UNDER NO CIRCUMSTANCES SHALL The Company BE LIABLE FOR INCIDENTAL,CONSEQUENTIAL OR SPECIAL DAMAGES, INCLUDING,WITHOUT LIMITATION, LOST PROFITS AND BUSINESS INTERRUPTION DAMAGES.THIS LIMITATION SHALL APPLY REGARDLESS OF WHETHER A CLAIM OR REMEDY IS SOUGHT IN CONTRACT,TORT (INCLUDING NEGLIGENCE AND STRICT LIABILITY)OR OTHERWISE. 5. It is agreed that title and ownership of all appliances and accessories furnished by The Company'here stated shall remain vested in The Company,its successors and assigns,until all of the purchase price herein provided is fully paid in cash,and thereupon the title and ownership shall pass to the purchaser. In the event that suit is instituted to collect the amounts due on this invoice,an additional amount to be set by the court as and for attorney's fees may be charged. • GAS APPLIANCE SYSTEM CHECK IFA GAS CFECX Performance Check:Item Central Heating 1 Space Heater 2 Water.Heater 3 Range 4 Clothes Dryer 5 6 Manufacturer /�itoy �o Model No. I G' r�� F""�,"0~ / f Serial No. m �/ "! 7c$' cI C D., 'T 3}'f! LA m i-A -os', AC KC—a5 7./.;99-0 oa In.4 Fuel c.,P BTU f `, 000 000 000 N/A N/A 000 000 Age 4` 4} Nei..) pQ:,t, Manual Shutoff(Installed/Existing) lc- f,uJ fa + � r;� 4 Sediment Trap(Installed/Existing) 4,--• fize,. :Ns i,ht/ � Control Mfgr/Model No. -` 1 I Pilot(s) er"---- G b:,6 rir i,-, Ignition System(s)Mfgr/Model No. ! J 6�� f� ,( ' Thermostat(s)Mfgr/Model No. a �y��� c� Imo• (C7r,�,` Pilot Safety System Burner(s) 616 fi 6 Heat Exchanger 1 N/A N/A Filters +z, N/A N/A Motor/Blower/Pump (23-C-1 t3 i N/A N/A — — Sufficient Return Air P� N/A N/A N/A Draft Diverter — Venting G AfA Combustion Air G Red Tag(Removed from Service) ND N`0 / I — TANK/CYLINDER SIZE SERIAL NUMBER MFR. MFR.DATE LAST LOCA. TANK PAINTGAUGE TEST.DATE 1105 FITTINGS RELIEF VALVE EAKTES COND. COND. r CON . COND. COND. DATE COVER -LEAK TEST I a� Ni .Y)+r!- �'` '', q6 f 6 tN N iv fire-.- 9 4. ,frC r PIPING/REGULATOR OPERATION/CONDITION PIPING REGULATOR REGULATOR SINGLE MATERIAL SIZE MFG./DATE CONDITION MFR. - MODEL REGULATOR VENT HOW FLOW LOCK UP 'fit AlLOSITION PROTECTED PRESSURE PRESSURE STAGE u 7 S/ / A/ t�-J " 1 �S l;. 03,.....leL.R.t,,.,rE /6 IN.WC // IN.`NC TWo 1ST 1 STAGE 2ND --t — — PSIG PSIG IN.WC SYSTEM LEAK TEST START PRESSURE END PRESSURE TIME HELD - SYSTEM OK SINGLE Comments __ STAGE �, n wC�`L ,� IN v;C 10 �c;`)( 1ST PSIG PSIG JTWO --STAGE 2ND IN.WC IN.WC This inspection covers(propane/LP-gas) items and equipment visible and accessible to the service technician and represents the conditions existing on the date of inspection.It does not —cover latent or manufacturing defects,the internal working of sealed equipment,or structural components,and cannot be construed to cover future defects or unforeseen happenings. I, c7 e' 'Y G r Reference Invoice No. Date - (Please Print) Mo.; Day Yr.i • Know how to turn off gas in case of emergency. I, • Have smelled propane and can detect its odsy, (Please-rind --- Certify that I have comp) as prescribed. ted the System Check i • Have received the Consumer Saiiui �Uon ar}dr ar I. j • Had gas system def s or cpfre Ira rlyex ed to me. Performed Odor Test Yes Performed Pressure Test es • Am satisfied wi eryf ork-fie <Y r ` Placed Safety Decal ❑Yes Left Consu afety Info and material 0—Yes .: ��ystome ig u Se, ice acs Signature l at least 18 years of age and agree to inform customer,Mr/Mrs. __ of all items discussed during The Company's G.A.S.check inspection. Signature Dale ZONING PERMIT -- genet/Y=0( ASSESSOR'S MAP NUMBER ige- LOT NUMBER EXPIRATION DATE g1/4.‘77_7 ZONING PERMIT NUMBER %3-is APPLICANT Jei4-eh'J- ,Z h= APPLICANT'S ADDRESS PJ 17,,Ar J ovd4itif/qi O( 1-A/y TELEPHONE NUMBER 7F..3--(-22,1"/ PROPERTY OWNER .3-404e LOCATION SS ggihdew Urlve LOT AREA ± / WO 74771 Z ZONE 8-140 BUILDING HEIGHT t /sPROPOSED FLOOR AREA 8i,...5" )( £/ 'q " = f 1/272.4- 1-2742- NATURE fZNATURE OF REQUEST/PROPOSED USE So/f/,'q ni.4i 4402. / e 114‘444711.7r wi,/,4 a 47/! a/'Hoafe_/iv'I 1 m HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY I I YES ( I NO HAS BOND BEEN FILED? I ( YES n NO SKETCH BELOW OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1': 40' SHOWING: DIMENSIONS OF THE LOT, THE SIZE, AREA, AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILITIES AND WATER SUPPLY, PARKING FACILITIES, AND ADJACENT STREETS; DISTANCES OF PROPOSED STRUCTURES FROM PROPERTY LINES. IN THE CASE OF FILL OR EXCAVATION REQUESTS (UNDER 500 CUBIC YARDS), DIMENSIONS OF FILL OR EXCAVATION AREA MUST BE INCLUDED. A PLAN PREPARED BY A CONNECTICUT REGISTERED LAND SURVEYOR MAY BE REQUIRED. THE PROPOSED USE SPECIFIED ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL CERTIFICATE OF USE AND COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS. THIS PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS. Plat P441 JNf21e ,fir" a rIffh4/ pevlry,%/. THE APPLICANT AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 3, CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT LOCATION, 4, CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF A C.O. APPLICANT'S SIGNATURE 4 �� UI' J° Ci/ ;1'116:' DATE 2./e1i3 THE LETTERS NA (INDICATING 'NOT APPLICABLE') SHALL BE NOTED IN LIEU OF A ZONING PERMIT NUMBER IN THE EVENT THAT A ZONING PERMIT FOR THE PROPOSED USE IS NOT REQUIRED, /ffOle/177Jvi 2 /9-3 COMMISSION AGENT DATE 06/12/97• 14:33 $814 764 5658 NEW ERA HOMES 0 003 Q L' Li W 2 2 U U I-- -- --t-- 25.-S" IMMO -_ —= Q ,2. (.2) 0 !m y g 'cJ �\ _ CL J ;/� o�U f V O I! T I O 1 Cc 4. �U 0 fY / CO a 0 W c 2b—! CD st .r I— I N � '%moi Y - tj m= PHONE I ¢,c TWA 31Nf>7ld 9-<E, 1 j ib ] cs., II MiNeeimm N- �� ( •I. a 0 tuIQ� N a 1 . Z - 0 /\ ra �u J m (-f-s' r rte--� �, / 3 :13t/PS 'i :l p a ice- II a� / Z i �L 15 �� ----� . N/1 PRSOONE e O W—k > z 1 !I • / N 0 ;q. 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