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Home My WebLink About3939DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.56 -1 -9 BOX 30 j % a ' t I- i� ils ' ' • jr miss Is 03939 BRUCE. R_ Public Health Director ,..LORE TAIMOUNARd R:.N.,.M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 April 17, 2000 Richard Rottenkolber 65 Ridgecrest Rd. Lake Peekskill NY Re: Addition- Rottenkolber- 65 Ridgecrest Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.59 -1 -9 Dear Mr. Rottenkolber: I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated April 17, 2000. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three without prior approval by.. this department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours William Hedges WH:kg Senior Public Health Sanitarian cc: BI ME DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road 3 3 O Brewster, New York 10509 Tel. (914) 278.-6130 Fax (914) 278-.7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE- R FOLEY Public Health Director STREET &A TOWN i TX KkP NAME ONE 5� °�? I �I� PCHD 4 MAILING ADDRESS (P5 kIOL�1C W>r 4AQ try fCELjh.4 LL N.1, 16 -T7 r-- DESCRIPTION OF ADDITION S i�fi--c' NUMBER OF EXISTING BEDROOMS -3 PROPOSED # OF BEDROOMS-3 (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County_.Sanitary Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 rr,.) r 3 s -e d Richard Rotteniwibor 65 Ridgecrest Road Lake'Peek". MY 10537 Tax Mafia #83:59 44 First ;FW - 52 �± -tea .�, X111- -,i1t1 _ /y N L7Family Room = _ . _..... Foyer Cki�t i� 1 � O r I II iti C COJN H01 ISE PLAINS APPF I if i i� n: .i e� �t f: y r OF. HEALTH � �E' Signature & Title to 0 0 0 Pro r os e- Lake' Peeks6i�B'�l' =1 Q�3� S%' -?°�. DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 BRUCE R. FOLEY; R.S Acting Public Health Director Re:Q�� OG Residence Tax Map A, Town P. Gentlemen: According to records maintained by the Town, the above noted dwelling IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: 0 THER' - 9 CO CO -0 C:) CO 469-2" 130 30-9p 10 4 -7'p 49-1 In Richard Roftenkolber 65 Ridgecrest Road Lake Peekskill, NY 10537 Tax Map #83:56 -1 ®g ExisHing House Bedroom Living P<it&en II Bedroom Dining a w Cf) C� i. f_...._._� ........... i i. u Contlnento/ Vi //o o N- 29-3`5-00 -E 'a ` i i SHED - O Q /00.78 / ST. FR. DWG 2 j, � _ •- t v / t 117 n! d � d . K . • S-28-36-00 • W ...., .. ...,, , .,,,.... �.,,... =-- 100.57 i F RIDGE CRE, T ROA D •� t , G PARCEL SHOWN HEREON KNOWN j AS LOTS 118 TO 122 INCL., BL. 62, SEC. F OF LAKE PEEKSKILL, AMP 185). f •eoQt .... �� !F r i (C: 'off /tits SURVEY OF PROPERTY FOR" I `%� Ca I A 4 A A /— /7 M DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #i�� / /'' /� WELL LOCATION Street Address Town VillageC'itpy> Tax Grid Number ,- /�/ ,0G� GsP�S 7- eo,4p j%¢ %� '�`Ol.] d eb • /V i s WELL OWNER Name �li" �ii �� Mailing Address ^�/ Private D Public USE OF WELL 1 - primary - secondary RESIDENTIAL ® BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY CjAIR /COND /HEAT PUMP ® FARM O TEST /OBSERVATION t3 INSTITUTIONAL O STAND -BY ® ABANDONED O OTHER (specify 13 . AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 3�' /EST. OF DAILY USAGE gal ® REPLACE EXISTING SUPPLY O TEST/ OBSERVATION GI ADDITIONAL SUPPLY ❑ NEW SUPPLY NEW DWELLING ® DEEPEN E ISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING 5g&jL4a qwnx /�11 d NO m4r4tf OVA r NAM OF PUBLIC WATER SUPPLY:�A9/�/POPre�/t$��%� �I,l�/� /G% TOWN /VIL /CITYA4dE',4r,0eCA2FK1agAle WELL TYPE DRILLED DRIVEN ®DUG ® GRAVEL. ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. STATER WELL CONTRACTOR: Name 4/10 -90 " MM&NOAI Ad r ss : IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: E NO m4r4tf OVA r NAM OF PUBLIC WATER SUPPLY:�A9/�/POPre�/t$��%� �I,l�/� /G% TOWN /VIL /CITYA4dE',4r,0eCA2FK1agAle DISTANCE "TO PROPERTY-FROM NEAREST WATER* MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION' PROVIDED O owry ON SEPARATE SHEET (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty. (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all swell drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: If Date of Expiration 19. Permit Issuing Official'— Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller w.„ MA -RVIN O'DELi Cl Inspector It TOWN HALL _. ...., ..:_PU.TNAM_. VALLEY._ N.Y. (914) 526 2377 TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT August 27, 1991 Department of Environmental Health 11Q Old Route 6 Carmel, N.Y. 10512 Re: Proposed Well TM# 87 -1 -1,2 & 3 (New #83.56 -1 -8,9 & 10) Donald Merit Gentlemen: 65 Ridgecret Rd. -Lake Peekskill,NY The proposed Water -Well site as shown on the attached drawing was inspected on 8/22/91 , and as could be determined was found to be a minimum-of one hundred (100') feet from any reported sub - surface sewage disposal area. Applicants that receive,permi.ts shall upon completion of construction, submit.to the Town of Putnam Valley (Building Departmeht)a copy of the well drillers Log and -Water- analysis report . before said well is put.... _. .__ .... . in service. _...._ ... -._. _ - -.. MARVIN 0 DELL Building Inspector MO'D:es DEPARTMENT OF HEALTH �3 S L _ _c/ _ Jo Division of Environmental Health Services "110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 /0�5 �17 jIrur APPLICATION. TO CONSTRUCT A WATER WELL PCHD PERMIT #(� WELL LOCATIO Street Address s- 91',06,5' C,&56 AMP Town/Village/City Tax KJ4, CZ= Grid Number WELL OWNER a Name Mailing a /7• W, la- 5� Address Al-41 dd;�j— ! Private O lwkl Public USE OF WELL RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP D ABANDONED 1 - primary 13 BUSINESS O FARM O TEST /OBSERVATION ❑ OTHER (specs -.secondary ❑ INDUSTRIAL 4 INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PFOPLE SERVED /EST. OF DAILY USAGE g. REASON FOR ❑ REPLACE EXISTING SUPPLY ❑ TEST /OBSERVATION 12-ADDITIONAL SUPPLY DRILLING ❑ NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL fl C X DETAILED /iMiND .7 REASON FOR DRILLING _ WELL TYPE DRILLED DRIVEN DDUG GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES K___NO IF WELL,T-S LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 410 Lot No. WATER WELL CONTRACTOR: Name &4, /-jd& dM6fjSeW r4i KI% -I IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: _ 'E NO W/l/jew oN-i y NAME OF PUBLIC WATER SUPPLY: IIOgk, TOWN /VIL /CITY G P � $/►� /LG; /!/ DISTANCE 'TO PROPERTY FROW`NEMST "WAT R -Mfg:- . y1V j�Yv�/f > ✓� �cR�SS r",Po�: dF LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED 1-vo "�wrx OON SEPARATE.SHEET ('date) ( signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty* (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear'. 2. Disinfect- the -wel- 'in accordance with the requirements of the Putnam County Health Departmen',t attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Departm'en During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste ,products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or.groundwater. Date of Issue: 19 Date of Expiration Permit is Non - Transferrable~ 3/89 19 Permit Issuing Official White copy: HD File Yellow copy: Bldg. Insp. Pink copy: Owner Orange copy: Well Drille. PETER C. ALEXANDERSON County Executive JOHN SIMMONS, M.D. Deputy Commissioner DEPARTMENT OF HEALTH JOHN KARELL. Jr., P.E. Director. Division Of Environmental Health Services 110 Old Route 'Six Center, Carmel, New York 10512 (914) 225-0310 August 11, 1987 Mr. Donald Merit P.O. Box 230 Lake Peekskill, New York 10579 RE: Merit Proposed well Ridge-Crest Road Lake Peekskill, NY Dear Mr. Merit: Receipt of an application for approval of a permit to drill a well on the above captioned property is hereby acknowledged. In order for the Department to review your application, a map -drawrf to.--scajq ;'!Rhpxkng, the, yotiepirqpjosOd all surrounding sewage disposal system within 200 feet of the proposed well must be.provided. A copy of the map must be submitted to Mr. Odell of the Town of Putnam Valley for his review and comment. If you have a question, please contact the writer at Ext. 304. Environmental Health Services JK: pt cc: Marvin O'Dell JK File COQ 69A4-y � DEPARTMENT OF HEALTH Diviss- on of Environmental Health Services - :' TWO COUNTY CENTERCIRMEL, N.Y. 10512 (914) 225 -3641 S37®! 'APPLi6XTI0N TO CE TRUCT A' WATER WELL" - °`v,w PCHD PERMIT #//-J - /Nay LSe WELL LOCATIO Street Address Town Vit1�age City Tax Grid tuber r'�~- R� Lek P _ :•Z4 WELL OWNER Name Mailing Address Private 7 Dd N Z b Mc" F, 06 4 /1Jr' , ' O Public USE OF WELL &RESIDENTIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O ABANDONED 01- primary (3 BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify 2 - secondary ® INDUSTRIAL O INSTITUTIONAL O STAND -BY ®' , AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED ;2, /EST. OF DAILY USAG E gal REASON FOR WNEW SUPPLY OPROVIDE ADDITIONAL SUPPLY [3TEST/OBSERTATMN DRILLING O REPLACE . EXISTING SUPPLY O DEEPEN EXISTING .WELL DETAILED - VAI R iv r VV te ' , ! r W ' REASON FOR g . iVIA177& L 5® DRILLING WELL TYPE VJDRILLED % aDRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES Y NO IF WELL 'IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:'. Lot No. WATER WELL. CONTRACTOR: Name ��i(��G�/fV ��$�G�' �'d,�J� Address: P�� N� e✓/L� �� IS PUBLIC .WATER SUPPLY AVAILABLE TO SITE: S�✓MaJc�' �/U YES NO NAME OF PUBLIC WATER SUPPLY: r0�' L=d 1�4�.54e1',164-_ UYSTANCE _ TO PkCiPE'RTY "FKOR*NEARES'1''R`ATER 'MAi 1 " -='_ _ _. .._ LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ❑ON REAR OF THIS APPLICATION ° ON SEP E SHEET (date) (signature) J11 MR// APIN055, �11,1r W- 9A 5r- A9 5 W YO Wk I A/ / `00,9 " -- - - -- - - PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance With the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: 19 Date of Expiration: 19`.': Permit Issuing Official Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner 287 Orange copy: Well Driller PATRICIA PETTERSEN 7`a'i Njj& kVAY`MENTRECEIPTFORTAXES RD 12 OSCAYANA LAKE ROAD FISCAL 01/01/86 PUT .VALLEY. NY .19579 _ 'YEAR 12/31/86 — + - R ^P —SCR ' 3 28 t0= } _..._ i .. •a.+.:" .+ -x•pR "p!.... .,,r.,. n.. - _ . _ _ _ - _ -. -8 — —2 cc FR FT- 1000E DEPTH- 84000 RI06ECREST CLS -260 ROLL SECT -1 SCH- 372803 8L 62 SEC F MAP ISSE BILL NUMBER HOUSE 6 LOTS. 118 -122 003508 "'DARE "T 12131185 UUMIINV I-CIVALI T rMtt rtMIUU r-NUM VRR, i I %/Aro > j IUTAL IAA UUt yyy.yp IF PAID AFTER JAN 31 ADD APPROPRIATE INTEREST PENALTY AS FOLLOWS VARIABLE INTEREST RATE3122 PER ANNNUMJUNE Sz. - JULY bA MERIT DONALD S LAURA T 13691 THE TOTAL AMOUNT OF LOCAL ASSISTANCE TO bE 2115 WEST 9u2 ST RECEIVED FROM THE STATE OF NEw NEW M YO RK ^ Y I t O2 S YORK DURING THIg FISCAL YEAR ESTIMATED STATE AID f$; ` ADDRESS CORRECTION AND NOTIFY YOUR LOCAL ASSESSOR. VALUE COUNTY OF PUTNAM 49050 4,050 27.817000 112.66 TWN CF PUTNAM VAL 4 9050 4,050 47.277000, 191.47 PUT VAL FIRE PROT 49050 4 :C5C 3.252500 13.17 LAKE PEEK.._IMP. 49050 4,050 ' 439747300 177018 TOTAL* •I -- g O I; U JAN 91986 TOfA LLECTR 0 AJ _ , LVEY UUMIINV I-CIVALI T rMtt rtMIUU r-NUM VRR, i I %/Aro > j IUTAL IAA UUt yyy.yp IF PAID AFTER JAN 31 ADD APPROPRIATE INTEREST PENALTY AS FOLLOWS VARIABLE INTEREST RATE3122 PER ANNNUMJUNE Sz. - JULY bA MERIT DONALD S LAURA T 13691 THE TOTAL AMOUNT OF LOCAL ASSISTANCE TO bE 2115 WEST 9u2 ST RECEIVED FROM THE STATE OF NEw NEW M YO RK ^ Y I t O2 S YORK DURING THIg FISCAL YEAR ESTIMATED STATE AID f$; ` ADDRESS CORRECTION AND NOTIFY YOUR LOCAL ASSESSOR. c PATRICIA PETTERSEN ifou `3o" A8E PAYNIE 1TRECEiPTFOR TAXES RD X12 OSCAMANA LAKE ROAD FISCAL 01/01186 ;:PUT. V•A,thEYp .IVX....,Q5.79 YEAR.- 1-2011.�•9b. 372800 87 -1 -1 Cc FR FT -. 40.10C DEPTH- 83.00 RIDGECREST RD CLS -311. ROLL SECT-1 SCH- 372803 8L 62 SEC F MAP 185E BILL NU LOTS 123 -124 003507 •DATE T 12/31185 DURING PENALTY FREE PEHIUU. FHUM .V M W 6 I U `/ q ro is I U I AL I AA UUt Y �. •( y JAN 31 ADD APPROPRIATE INTEREST PENALTY AS FOLLOWS. IF PAID AFTER VALUE . COUNTY Of PUTNAN 350 350 27.817000 9,:74 TWlk CF PUTNAM VAL 350 35C 47.277000 1646'55 PUT VAL FIRE PROT 350 350 3.252500 1.14 LAKE PEEK. IMP. 350 35C. 43.747300 15031 TOTAL 1 9 I C 02 ( ?a YORK CTI ESTIMATED STATE AID IS ADDRESS CORRECTION ' " AND NOTIFY YOUR LOCO ASSESSOR. JAN 2 1986 —TAX—C TnWid OF 'f9 UL UTN.4!Vi ,1EYY DURING PENALTY FREE PEHIUU. FHUM .V M W 6 I U `/ q ro is I U I AL I AA UUt Y �. •( y JAN 31 ADD APPROPRIATE INTEREST PENALTY AS FOLLOWS. IF PAID AFTER . FES 12 - MAR-','- 22 e APR 3% - MAY 4X - JUNE 5% - JULY 68 r VARIABLEcINT{*REST RATE 122' PER ANNUM MEIR�IT DONALD `j LAURA 61 THE TOTAL AMOUNT OF LOCAL ASSISCANCErOBE 21 J 2 S T ® RECEIVED FROM THE STATE OF NEW DURING THIS YEAR ' N E Y YORK N Y 9 I C 02 ( ?a YORK CTI ESTIMATED STATE AID IS ADDRESS CORRECTION ' " AND NOTIFY YOUR LOCO ASSESSOR. I C c PATRIICIA PETTERSEN TblAl�� PAYMENT RECEIPT FOR TAXES RD 0Z 5: OSCAYANA LAKE ROAD FISCAL 01!01186 ___.. PUT.. VALLEY N.Y 579 _PROPERTY 1 O(`ATION 372800. 8.7 -1 -3 CO FR FT— 12090C DEPTH— 86.00 CLS -311 ROLL SECT-1 SCH- 372803 8L 62 SEC F MAP 18SE LOTS 112 -117 RI.DGECREST RD 0 WARRANT nATP 12131195 y C; ESSED VALUE TAXABLE VALUE COUNTY OFFuTPUTNAM 850 8500 27.8117000 23;64 PUT VA PFIREMPROT 850 850 43.252500. u2 :76 LAKE PEEK 7 *..IMP. 850 85C 19 TOTAL 1 Fl 78 JAN 2 1966 T COL lrowN OF PUT ECTC9 A`«i l.AaLLEY� UUMINU rtNAL.I T rntt rtNIUU- HUM VA 51 a I V d A{v is T LITAL TAX DUE j u.3 a/ O IF PAID AFTER JAN ADD APPROPRIATE INTEREST PENALTY AS FOLLOWS FEB 14 — MAR-2% — APR 31 — MAY 4% — JUNE SY — JULY 62. VARIABLE IN; E. REST RATE 12T PER ANNUM MERIT DONALD L L /IURA T 1369100 THETOTALAMOUNTOF LOCAL ASSISTANCE TOBE 215 M 92 ST- RECEIVED FROM THE STATE OF NEW YORK OURING THIS FISCAL YEAR NEW YORK NY 1 CO2 ESTIMATED STATE AID IS ADDRESS CORRECTION AND NOTIFY YOUR LOCAL ASSESSOR. /J9 ,13 ... _ a_ u G.. _ .. e _ - :C. c "`S =c rR' - ^: t^" J.u. n ^e +;. � .r. ... ...e_ s._. :._- v^ - a � v-C. £� .. • u :.. .- /qQ N �o 7? 64.57 . k t4 /?B y 60 /17 J c7 /26 59 se /15 ng �` /24 '� 3? a `,10 23, 37 ' , o`\ 8 "\� h le <20 y P d� ^b g5 D 0,; 13r . �y & /10 19 ,Ir 24 19 /0j 0s N 5/ 25 10, 08 C4. - -C , i/o & 7y o co w . //1 V 46 / C14, 45 l �4 0 Bi �9Y \ ` \ Y \ &4 F 41 15 7 27e MAP — a BALE_ 83.49 P RED I M I NARY i —; - P UTNAM VALLEY 50 .3 83.57 TOWN OF AERI AL pNOT i looco� PUTNAM COUNTY, NEW YORK DATE Of NV STATWE E AC. CAL 83.64 83:65 2.34 0 72 -- - ° U/740h' /G/Y2Ei�. 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Sord ce�f. fr c i2o � 4� II 122 123 i2•E � 7`%e �e�sor/ iar_.. ✓rho , r`r D�r'f• I o cmd on Als beha // �o ajency a ,)c/ /e, he.-ebn, ono/ Ao -Ah& or,, I 46 a dd,r,ona/ ,nst,t�r /o —�_ 2 1.47 ` 33 °SU,Qyrr or A'-- r- lOVIV ON A Ck "1&Z, PI aS,��ZL , 5 �E�rGOP�� .'y me WARNING: COPYRIGHT c 1996, ROBERT F IAROPOU, L.S.;i ALL RIGHTS RESERVED CO., /NC ., PlEcr,� • X Seale : / " -.3ol o Sn,c/ 0117op " �' /ec/ /n Me '�` � Office, Ov�.s /onof'Lond, US e7 a no_ 18T, sectsect, sc } ' •ce,- ty4eo/ -/o : Richard F. �'o}�enkolber• IV ('T 10060, t,s °Mop �Sed 0Po.? Q {e /d ; L:-✓ey Co,�,p /e�ea/ ChiCAgo� Tl +le 7n,urwe Co. (J6 10- 113 -0785 ,1 /il/4/96 Dale T/lojga� bankers Compaq. � N.A. • �/a. �///S/9� U4., I fold ,C1ook Roo °Map C&I"'ole%ea/ on - ' b b �'..' .2� � � ''' .. pTob ,t/um b er�F • - -- -= � N Y. 5.1A,UD SU.f i !f