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EXr~BIT C <br /> <br /> Proi¢cu by <br />Environmental Review for Housin~ Accessibilit>' Modification <br /> <br /> D~te: <br /> <br />A. Th~ ~s to r:que~ an EnvironmontM review £cr a proposed proj;~ ~: tho lot]owing ~dir~s: <br /> <br />B. Tnlq ~dre~s is a ( ) Single f,_m. ily homo ( ) .~m zpmu~ent Age of bldg. <br /> <br />C. The im~rove:nents ~o be mzde ',,o ubj$ hcm-Jap'-?zent ~=: ( ) ;,ntehof ( ) <br /> NOTE Y0 0CCUTA~©N)J- TH~R.-?ISY: :2" both mtm-ier and ¢xtrrSor ~rcvememts ~ <br /> proposed, ch~_-,.k both box= .-~d .de.-.qN wNch 5mprgvcm. ent~ ,2e oaericr. For octerior <br /> im=rovem~ts to bo rr2d= :o a building .;.b2ch is zt least 50 yem-~ old, ple2s~ provide a site <br /> shg,Mng .,he location ~d :x'=zt of tho L-z;rove=,mt~ to tho ~5.tdln~ a work ~t~-u? erd= ?nd]or <br /> pl~n~ ~d .,-p~i.Bc~ons cf t>.: L,n.erov .mr.:mu. <br /> <br /> 'Intcd,'or m -r2as ~o hnside cf a home, or '-.a a:,,u:~ent. Exterior m ,cans ',ho ouuide cfa homo or a <br /> mult/family building. !mprovemenm m be .~2de out.side an apa'Unent, but :.nqd: ,. mujfiI'~miry <br /> family building (such. a~ '_"n lzilways, lcbbie~ er ~txirways) are zl~o considcr~ "ex'~--/cr" for <br /> purpose. <br /> <br />D. The imprcv=n~nts ,aiil can!bt of'~o ix?,,ailz~cn cr constrdction of: <br /> <br /> ( ) C,-rabbars ( ) Emergmc--y <br /> ( ) Woodcab~mr ( ) Smoke dot=:mrs <br /> ( ) Mental h~adrh.l ( ) Non-skid surfac~ <br /> ( ) pre£abricatedramp ( ) De~bolt~ <br /> ( ) Wooden ramp ( ) Doorbell <br /> <br /> ( ) Doorknobs ( ) Window latche~ <br /> ( ) Hinge ( ) Door peephol~ <br /> ( ) B,,hroom or ki~ faucet ( ) Electronic s~urity <br /> ( ) Hazcl-Mldshowerh~-'d \ ( ) Platform <br /> ( ) Door b~ ( ) Trape. z= <br /> <br /> identify): <br /> <br /> FR.OM: C~t~r for lnd~p~,,dmc-: of Disabled (CE3) <br /> Contact per:on and t:!~heno: <br /> <br /> <br />