8/11/2019 K&M Permit (Signed)

1/3

s-cLf

QMZIHT

QQCHOBTH@L@ZIT@ @QMZBTM Z

I@DHGX

B _@CHD[B_TM

IBLBKMIMLTBOHCHTX

G`T_ FD]r @lcy

O@LTZ@]QMZIHT]H{JMZ5

H

Lmw

QmrihtBppchobth`l

l

Wbrhblom

M

Ibe`rI`dhghobth`l

l

Ihl`rI`dhghobth`l

Zmvhsh`l

H

Tmip`rbry

2. Typm@g _`chd[bst7 blbkmimlt

bohchty

l

Ojss

Dhsp`sbch"

ctr

Ocbssc

Dhsp`sbcshtm

cH

Ojss

cc

Dhsp`sbc

htm

l

o`ip`st

cblt

c^

o`lstruoth`lld

Dmi`chth`l

cl

Ibtmrhbcs

mo`vmrybohchty

H

[bstm f`rt-Tmrit`rbkm

bohchty

H

l

Qujcho bstm t`rbkm hl

Gbohchty

cV

Zmoyochlsmltmr

c

_bcvbsm brd

l

Trblsgmr tbth`l

cl

wbstm hrm Iblbkmimlt

bohchty

H

:. Lbim g Gbohchty

N&IDHWMZ_HGHMD,LO.

Ghothth`usGhri Lbim

djb)

GbohchtyBddrss

:;22M.OZBHK

@BD

[

stdtm,Up

L@ZTF

B_WMKB_LMWBDB 81?1

;1:-7?==21

M

ltm

ym

oy

rm m

u

`lm ttuljmr

;1:$?gghs21

Ibhchlk

Bddc`ss

scMmc\dd.mssQ` 6`r

4?==OBIMZ@L T

_]HTMB

Ohty, _tbtm,Wp

CB_

WMKB_,LW68, 1?

27:-28-:1't-116TL

L@ZTFCB_WMKB_

U`lhfk

Ocb$hgrobthA

(m.8.

Ctt,

,/C:,

mco)

tS4-:

O`ltbot clg`ibth`l

IHOFBMCF@X

;1:$?=7=21

?.

Lbim g GbohchtytJushlmss

@wlmr

(Cm`rb4

hm O`tp`rotjl, _`cb

Qe`GDmc7tthq `r Cbst LbghcM, Gh.gt LMlm &

Ihddj crlhbc

N&IDHWMZ_HGHM@.

LO.

cbhchlk Bddrmss

4?==OBIMZ@L

T _]HTMB

ohty, 8tbtm. f

CB_ WMKB_, LW 6821?

Tmcmpf`lmLuijm(b)

;1:?==21

4, Lbim g

GbohchtyrJubhlmb?

@grrmt`r

hm

O`twlce`l,

_`cm Qgh$hmt`rofhp,

d Cbst Lbim, GhJH Lblm & I[cm

clhchbc

N&IDHWMZ_HGHMD,

LO.

Bddrm?b

:;22M. OZBHK

Z@BD

ohty, stbtm, hp

L@ZTF CB_ WMKB_

LMWBDB681?1

Tmcmpf`lm

Luijm(s)

;1:7?=$=21

Mrmrybloy tmcmpf`lm

cuijmc

;1:-7?='7=21

=. DmhklQbrbimtmM

tlsh.,d`utshocmBrmb

(_q.

F)

6116

_q.Gt clshdm

1

_q.Gt. @utshdm

_t`rokmObpb.hty

(oujho

yb.ds)

2811 ujho

brds

(h.m.

oujj

ydscdby5

`lkd.y)

41 oujb7

brdk

dby

QmrihtBppchobth`l

`ri @pmrbtm _`chd

[bstmIblbkmimlt

bohchty

Qbkm2 g ?

Gmjl/bry 12?

8/11/2019 K&M Permit (Signed)

2/3

;. @pmrbth`ls

6

BcS,2 @ = QI@Z

B_ Q@_TMD

`pml t` tfm Qujcho

Tfhsbppchobth`l

`ribldsupp`rthlk

`ouimlts,

s rmquhrmd y fm

ourrmlt mKh`l g tfm

Bppchobth`l uhdm

`r fhs

gborchtyypm,brmfmrmjy ujihttmd _LFD bppcy

`r b

pmriht

` pmrbtm

r i`dhgy s`chd

wbstmiblbkmimlt

bohcbty.

wm uldmrstbld

fbt momhpt g

tfhsbppchobth`l

`msl`to`lsthtutm

l bppr`vbc pmrbtm r i`dhgyfm bohchty.wm

uldmrstbldfbt

fhsbppchobth`l

ustjm bppr`vmd

y _LFDbld

b

pmriht

ssumd mg`rm

fm`pmrbth`l r

i`dhghobth`lg

tfm bohchty.

[m omrthgy fbt fm

Zmp`rc g Dmshkl

upp`rtsfm

Zmp`d`g @pmrbthlk cbl.

[m omrthgyfbt,

tfm jmst g ur

nl`wtmdkm,fm

lg`ibth`l ltbhlmd

j`vmbld

l fm supp`rthlk

`ouimltss o`ipcmtm

ldboourbtm ld

o`ipchms

whtf

fm>mquhrmimlts

pmohghmd

l fmourrmlt

mrsh`l g tfm

Bppchobtb`luhdm

`r fhs bohch8 ypmbld

fm _`chd

[bstm

Iblbqmimltutf`rhty

mkucbth`ls

`r

fhs

ypm`g _`chd

[bstmIblbkmimlt

bohchty

6. Ohrthghobth`ls

u

5"

t-r{,(h

'

,/t'l.

>

`

b

,)-.hEyS

QMsrbip,cphrjhh`l

bhm,

shqlbturm

ldshqlbturm

btm

_hklbturm g

Bppchoblt kmlt

(gbohchty

wlmr

r pmrbt`r)

c/

,\ l\`E.c.lc.n{-/

Qrhltmd

bim gBppchoblt

kmlt

(gbohchty

wlmr

`r pmrbt`r)

r,""`.hr`"

H

Thtcm g Bppchoblt kmlt

(gbohcgtv

wlmr r

``mt`r)

@[LMZ

Tmcmpf`lm uijmr

;1:7?=-7=21

Dbtm g_hklhlk

:4//C / / /

8

`g

hobth`l

g`r

_LFDu?`

_LFDdbtm

_hklbturm

g _LFD tbgg

Qrhltmd

bim g _LFD

tbgg

Thtcm g

_LFD tbgg

Dbtm

`g shklhlk

21.Lbim g

Qr`pmrty@wlmr

hm Odp`.bthA,

_`cm

p|`plmt`sfn,

`r Cbsc Lblm,

Ghrsc Lbrm & IhdOcm

lhchbc

FBZ_OF

LWM_TIMLT

Z@QMZTHM_-OZBHK

CO

Tmcmpf`lmLuijm(s)

;1:-==B-1:;6

Bddrmss

?,222

WBCCMX

HM[JCWD#

N2@2

Ohty, _tbtm,

hp

CB_WMKB_,

LW6821:

c'c . Lbim g O`lbuctblt

JBC@WB

QMTXB

O`ipbly

JBC@WB LKHLMMZHLK

Tmcmpf`lm

LuijmE(?)

;1:-:27-1??1

;1:46:-

2;17

MibhcBddrmss

QMTXBAJBC@WBMLKHLMMZHLK

@I

Bddrmss

72?1MCT@L

BWM

oht/,

stbtm, j

CB_ WMKB_,

LW 68'21;

_`chd

[bstm Typms

Qr`p`smd

g`r Boomptblom

O`iD|mtm

ttbofmd @CHD

[B_TMOBTMK@ZHM_

LDTXQM_T@ JM

QZ@OM__MD@TI

QmrihtBppchobth`l

`ri @pmrbtm

_`chd

[bstmIblbkmimlt

bohchty

Qbkm

: g ?

GmjrCrbry12?

8/11/2019 K&M Permit (Signed)

3/3

Hg

bly

p`tth`l

`r bcc `g tfo

Qmriht

Bppchobth`l

hm ibr*md

@LGHDMLTHBET'

ibdr

hl Tbjcm

`g

O`ltoltk.

GcTlht Bpkchobt`l

`ri pbrs

s s`chd rr* htmlmkqlql

Gdiy

Gonc|{y :1'2?

Q617

?

`g

?