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HomeMy WebLinkAboutCOM2002-00182 Tenant Review Application - COM Application - 11/21/2002 • Case number: Name Mason County TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan.site plan,septic pumpers report,septic records and $111.00 fee to the Mason County Department of General Services, P.O. Box 186,Shelton,WA 98584. During the evaluation of Tenant Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning,and Public Works offices will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed a separate building permit will be required. Upon approval the permit will be issued to the applicant and permit fees due will be collected. After the permit is issued a site inspection can be scheduled by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the premises. Date: I O-S (^ O'' Assessor's Parcel Number: j L Legal Description: - j K I C U _ / Building Site Address: Method of sewage disposal: Septic O Sewer-name of district: Water source: O Well O Community Well O Public System, name of system: PEOPLE and FIRMS INVOLVED IN THE PROJECT Name of property owner: Mailing address: Q >L V3`LrfN ve, c�v Day phone: "�� - �;Z S Contact Person: TUpy S Message phone: - - 1-t Name of applicant: t, Mailing address: Day phone: - -contact perso Message ph e: Name of Tenant: iki Mailing address: Day phon ontact person: �� a Message phone: PROJECT INFORMATION Proposed business name: Proposed use: Number of employees: 2 Previous business name: Q• Previous use: INFORMATION ABOUT STRUCTURE kp►- ' Check one: ODetached single level/single tenant O single level/multi tenant 1 101 O Multi level/single tenant Multi level/multi tenant Age of structure: Is structure currentlyoccupied? If not occupied, how long has it hap t1 t'�5 Circle one: es No Yrs mos. E3ELFA List square footage for each floor level Basement: .al yy First: jlyy Mezzanine: I Second: Third: Is the structwq,, heated? Type heating fuel: Circle one: Circle one: Yes No Electric Liquid Pro pane 6atural Gas Oil Type of heat: Circle one: Furnac Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting:. Yes N Heating: Yes �Fo Exterior Finishes, Yes o Interior Finishes Yes No Parkin : Yes Number of restrooms provided: I Number of fixtures in each S 11,1lL`S _ Is structure handicap accessible? circle one es No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes o Return this application with: 1) Floor Plan (5 sets), 2) Site Plan (5 sets), 3) Pumpers Report and septic records and 4)$111 Fee 1) Floor Plan(5 sets): Include existing walls,proposed walls, and walls that will be removed. • Draw the floor plan to scale,'/4"= 1 foot min. Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2) Site Plan(5 sets): Note scale used • Property lines,easements, &right of ways • Location of all existing structures&dimensions • Distance,in feet,from property line&structures Landscape buffer yards • On-site sewage tanks and drainfields,&reserve • Well location • Surface&stormwater run-off routes • Parking areas(number&arrangement • Location of fire hydrants&vehicle access roads • Slope of property 3) Septic records pumpers report and 4) Fee: $111.00 Intake fee wIll be collected when submitted. Additional fees will be collected when the permit Is issued, Including required state fee,and may also Include Environmental Health and Planning Department fees. Case number: • Name Mason County TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan.site plan,septic pumpers report,septic records and $111.00 fee to the Mason County Department of General Services, P.O. Box 186,Shelton,WA 98584. During the evaluation of Tenant Review Application staff members from the Building,Fire Marshal, Environmental Health, Planning,and Public Works offices will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed a separate building permit will be required. Upon approval the permit will be issued to the applicant and permit fees due will be collected. After the permit is issued a site inspection can be scheduled by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the premises. Date: ®'' Assessor's Parcel Number: Legal Description: ;- U Building Site Address: n �� s Method of sewage disposal: Septic ate; O Sewer-name of district: Water source: O Well O Community Well O Public System, name of system: PEOPLE and FIRMS INVOLVED IN THE PROJECT Name of property owner: J v D- CA Mailing address: x 12-3 t -Lrf-N vr_ vik Day phone: 7 - ;2-� Contact Person: T spy 5 �- Message phone: Name of applicant: Mailing address: r _ Day phone: - `Contact perso Message ph e: Name of Tenant: _` l t Mailing address: �'� f3o Day phon •• s ontact person: c Message phone: --_�r ,-- PROJECT INFORMATION Proposed business name: 7 �/ KA V1, Proposed use: Number of employees: 2 Previous business name: bet Previous use: y � r INFORMATION ABOUT STRUCTURE ' Check one: ODetached single level/single tenant O single level/multi tenant O Multi level/single tenant Multi level/multi tenant �� 21 Age of structure: Is structure curre tl occupied? If not occupied, how long has it hen Circle one: es No Yrs mos. BELoaw List square footage for each floor level Basement:_I) yy First: )tyy Mezzanine: I Second: Third: Is the struct heated? Type heating fuel: Circle one: Circle one: Yes No I Electric Liquid Propane atural Gas Oil Type of heat: Circle one: Furnac Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting:. Yes RNo Heating:Yes N Exterior Finishes: Yes o Interior Finishes Yes Parking: Yes o Number of restrooms provided: LNumber of fixtures in each Sit_j IL, _ 3 - _T, Is structure handicap accessible? circle one es No Is the structure equipped with a fire sprinkler system? Yes Na Fire alarm system? Yes o Return this application with: 1) Floor Plan (5 sets), 2)Site Plan (5 sets), 3) Pumpers Report and septic records and 4)$111 Fee 1) Floor Plan(5 sets): Include existing walls,proposed walls,and walls that will be removed. • Draw the floor plan to scale,'/."= 1 foot min. • Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2) Site Plan(5 sets): Note scale used • Property lines,easements,&right of ways • Location of all existing structures&dimensions • Distance,in feet,from property line&structures • Landscape buffer yards • On-site sewage tanks and drainfields,&reserve • Well location • Surface&stormwater run-off routes Parking areas(number&arrangement • Location of fire hydrants&vehicle access roads • Slope of property 3) Septic records pumpers report and k. A 4) Fee: $111.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit Is Issued, Including required state fee,and may also Include Environmental Health and Planning Department fees. Case number: Name Mason County TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan.site plan,septic pumpers report,septic records and $111.00 fee to the Mason County Department of General Services, P.O. Box 186, Shelton,WA 98584. During the evaluation of Tenant Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning,and Public Works offices will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed a separate building permit will be required. Upon approval the permit will be issued to the applicant and permit fees due will be collected. After the permit is issued a site inspection can be scheduled by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the premises. Date: Assessor's Parcel Number: /L-3 L_rj _ _ Legal Description: ;- I u c' - / C d Building Site Address: r✓ , , �S Method of sewage disposal: Septic O Sewer-name of district: Water source: O Well O Community Well O Public System, name of system: PEOPLE and FIRMS INVOLVED IN THE PROJECT Name of property owner: Ll v b- (A ' c(--, T-7- Mailing address: " l L3 3-a_F-A tv LJk Cl"' Day phone: �� - b2,S' Contact Person: Message phone: Name of applicant: Mailing address: Day phone:^ - 'contact perso Message ph e: Name of Tenant: _` Mailing address: _P. � S�� Day phon ontact person: c�tgAl-z_ o Message phone: -- PROJECT INFORMATION Proposed business name: Proposed use: Number of employees: Previous business name: Previous use: 1 (- INFORMATION ABOUT STRUCTURE Check one: ODetached single level/single tenant O single level/multi tenant - O Multi level/single tenant Multi level/multi tenant ©� Age of structure: Is structure currently occupied? If not occupied, how long has it hp 1'?S Circle one: es No I Yrs mos. List square footage for each floor level Basement: First: ),tyy Mezzanine: Second: Third: Is the struct heated? Type heating fuel: Circle one: Circle one: Yes No Electric Liquid Propane 1atural Gas Oil Type of heat. Circle one: Furnac Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting:. Yes N Heating: Yes �Fo Exterior Finishes: Yes o Interior Finishes Yes No Parkin : Yes Number of restrooms provided: Number of fixtures in each Is structure handicap accessible? Circle one es No Is the structure equipped with a fire sprinkler system? Yes Na Fire alarm system? Yes o Return this application with: 1) Floor Plan (5 sets), 2) Site Plan (5 sets), 3) Pumpers Report and septic records and 4) $111 Fee 1) Floor Plan(5 sets): Include existing walls,proposed walls,and walls that will be removed. • Draw the floor plan to scale,'/,"= 1 foot min. • Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2) Site Plan(5 sets): Note scale used • Property lines, easements, &right of ways Location of all existing structures&dimensions • Distance,in feet,from property line&structures • Landscape buffer yards • On-site sewage tanks and drainfields, &reserve • Well location • Surface&stormwater run-off routes Parking areas (number&arrangement • Location of fire hydrants&vehicle access roads • Slope of property 3) Septic records pumpers report and 4) Fee: $111.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit Is Issued, Including required state fee,and may also include Environmental Health and Planning Department fees. yy Office Use Only Accepted by: Date Submittal Amount$ Receipt number Pre-Application Review Departmental Review Env. Health Env. Health Planning Planning Public Works 17 Public Works Fire Marshal Q Fire Marshal Building 6 Building NREG - NREC Pre Application required? (circle one) Yes No Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes No Occupancy Classification: Occupancy Change? (circle one) Yes No Occupancy classification change from to Type of construction Occupant load calculated: persons. Existing occupant load design persons. Fee Schedule y , -----_--- Case number: Name Mason County TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan.site plan,septic pumpers report,septic records and $111.00 fee to the Mason County Department of General Services, P.O. Box 186,Shelton,WA 98584. During the evaluation of Tenant Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning,and Public Works offices will identify compliance requirements. This application Is intended for tenant change only. If construction or remodeling is proposed a separate building permit will be required. Upon approval the permit will be issued to the applicant and permit fees due will be collected. After the permit is issued a site inspection can be scheduled by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted In a conspicuous place on the premises. Date: I O -� O'' Assessor's Parcel Number: / 2-3 Legal Description: Building Site Address: C SIS, Method of sewage disposal: Septic O Sewer-name of district: Water source: O Well O Community Well O Public System, name of system: PEOPLE and FIRMS INVOLVED IN THE PROJECT Name of property owner: :v�� (� r' ` .r-1- Mailing address: Lx i Z-'> V3 a_.rA Lf �'l V Day phone: 7 - L-S Contact Person: —Uny S t- CT- Message phone: ' -5 cl Name of applicant: _ Mailing address: Day phone: - - '-pontact per so Message ph e: Name of Tenant: Mailing address: �'� ; el Day phon ontact person: fx �� o Message phone: --_ - PROJECT INFORMATION Proposed business name: hA•,v\, r 9,S Proposed use: Number of employees: 2 Previous business name: Previous use: INFORMATION ABOUT STRUCTURE 4-' Check one: ODetached single level/single tenant O single level/multi tenant c O Multi level/single tenant Multi level/multi tenant �Q� Age of structure: Is structure curve tl occupied? If not occupied, how long has it ti 1'�5 Circle one: es No Yrs mos. g�d��� List square footage for each floor level Basement: .21 yy First: Mezzanine: I Second: Third: Is the struct eated? I Type heating fuel: Circle one: Circle one: Yes No Electric Liquid Propane atural Gas Oil Type of heat: Circle one: Furnac Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting: Yes N Heating: Yes Po Exterior Finishes: Yes o Interior Finishes Yes No Parkin : Yes Number of restrooms provided: Number of fixtures in each 5 i tii Is structure handicap accessible? Circle one es No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes o Return this application with: 1) Floor Plan (5 sets), 2) Site Plan (5 sets), 3) Pumpers Report and septic records and 4) $111 Fee 1) Floor Plan(5 sets): Include existing walls,proposed walls,and walls that will be removed. • Draw the floor plan to scale,'/."=1 foot min. • Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2) Site Plan(5 sets): Note scale used • Property lines,easements,&right of ways • Location of all existing structures&dimensions I • Distance,in feet,from property line&structures • Landscape buffer yards • On-site sewage tanks and drainfields,&reserve • Well location • Surface&stormwater run-off routes Parking areas(number&arrangement • Location of fire hydrants&vehicle access roads • Slope of property 3) Septic records pumpers report and 4) Fee: $111.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit Is Issued, Including required state fee,and may also Include Environmental Health and Planning Department fees. elnpe4oS eed 'suosiad —u6lsap peol juedn000 Bul;slx3 •suosiad :pa}elnoleo peol juedn000 uollowlsuoo jo adA.L ol, waJ aBue4o uolleoglsselo Anedn000 ON sa), (euo sloqo) 6eBue4o Aouedn000 :uol}eog!sselo Aouedn000 ON sa), (auo alollo) Lpajlnba�j Bulj99ul6u3 ON sa k (euo eioa(o) Lpaalnbai;lwJad 6uipllne ON sak (euo e(o(0) Lpajlnbaj uol;eollddy aid OMIN o3UN uiplInB buippq le4sJey4 aJld le4sjew aild sMjOM ollgnd sNjoM o!IAnd uluueld uluueld 41Ie8H 'Au3 431e8H 'Au3 melnea le;uewluedea nnalnaa uolleollddy-ead aagwnu 4dlaooU $junowy lelilwgnS a;ea :Aq pal.daooy Aiuo ash ool.4o w ..,. Case number: Name Mason County TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan.site plan,septic pumpers report,septic records and $111.00 fee to the Mason County Department of General Services, P.O. Box 186,Shelton,WA 98584. During the evaluation of Tenant Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning,and Public Works offices will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed a separate building permit will be required. Upon approval the permit will be issued to the applicant and permit fees due will be collected. After the permit is issued a site inspection can be scheduled by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the premises. Date: I p-3 Assessor's Parcel Number: j L 3 _ _ Legal Description: -; O _ / C:�- e Building Site Address: 13 j4 ,3 Method of sewage disposal: Septic O Sewer-name of district: Water source: O Well O Community Well O Public System, name of system: PEOPLE and FIRMS INVOLVED IN THE PROJECT Name of property owner: Ub ' L . S( --I- Mailing address: x 2--5 U:1.r-rkve- Lj Day phone: Contact Person: Una S - Message phone: Name of applicant: _ •-e Mailing address: Day phone: - contact perso Message ph e: Name of Tenant: t c Mailing address: Day phon ontact person: o. Message phone: --_ - PROJECT INFORMATION Proposed business name: r.,�s Proposed use: Number of employees: Previous business name: Previous use: + ; INFORMATION ABOUT STRUCTURE 4- Check one: ODetached single level/single tenant O single level/multi tenant O Multi level/single tenant Multi level/multi tenant , Age of structure: Is structure curre tI occupied? If not occupied, how long has it br ? �Y�`� Circle one: es No Yrs mos. BEL�Aea List square footage for each floor level Basement: a yy First: anine: I Second: Third: Is the structure heated? Type heating fuel: Circle one: Circle one: Yes No Electric Liquid Propane <6ratural Gas Oil Type of heat: Circle one: Furnac Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes orno, ifapplicable: Floor lay-out: Yes No Lighting: Yes N Heating: Yes �Ro Exterior Finishes: Yes o Interior Finishes Yes No Parkin : Yes Number of restrooms provided: 2 1 Number of fixtures in each 5 tii I4,, _ 3 __0tk _T,i ,_ z Is structure handicap accessible? circle one es No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes o Return this application with: 1) Floor Plan (5 sets), 2) Site Plan (5 sets), 3) Pumpers Report and septic records and 4) $111 Fee 1) Floor Plan(5 sets): Include existing walls,proposed walls, and walls that will be removed. • Draw the floor plan to scale,'/,"= 1 foot min. • Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2) Site Plan(5 sets): Note scale used • Property lines,easements,&right of ways • Location of all existing structures&dimensions • Distance,in feet,from property line&structures • Landscape buffer yards • On-site sewage tanks and drainfields,&reserve • Well location • Surface&stormwater run-off routes • Parking areas(number&arrangement • Location of fire hydrants&vehicle access roads • Slope of property 3) Septic records pumpers report and 4) Fee: $111.00 Intake fee will be collected when submitted Additional fees will be collected when the permit Is Issued, Including required state fee,and may also Include Environmental Health and Planning Department fees. Office Use Only Accepted by: Date Submittal Amount$ Receipt number Pre-Application Review Departmental Review Env. Health Env. Health Planning Planning Public Works Public Works Fire Marshal Fire Marshal Building Building NREC NREC Pre Application required? (circle one) Yes No Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes No Occupancy Classification: Occupancy Change? (circle one) Yes No Occupancy classification change from to Type of construction Occupant load calculated: persons. Existing occupant load design persons. Fee Schedule s: i Property Description The South 220 feet of that part of the North on-half of the South one-half of the Southwest quarter of the Southeast quarter of Section 29 Township 23 North Range 1 West W.M. in q S q p � > Mason County, Washington, lying Westerly of State route No. 3; EXCEPTING THERFROM that part, if any, lying in the North 110 feet of said south one- half of the Southwest quarter of the Southeast quarter; and EXCEPTING, ALSO, tract conveyed to Chauncy G. Vaughn and wife by deed dated February 25, 1957 and recorded in Volume 178 of Deeds, page 49, situate in record of Mason County, Washington. W NDD►r ION AL i SMALL a Off- Res i DD4-n4- f � 23tiq?4�x03 ' 1 Z lu f . z � j C�1.E PIRA E 1.l F E W cn 4x ENTr*NU IAAHDICAP 23491 �m*3 QPr21��N(a 70N)f T STORE �TNTRA��E �AZK I N �b To ---_- NDD 1710l1 AL 1 PrR�►NCa 5 � f SMALL 1 4 f per,. 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Zm O y ZFM - °03 O� • z ? ® >a r O z aoa as A 7� AN C< n um A - 60 � OaOQa 00 s n> _" �F A, > _. _. ... ,., ,.1 ful *1 It, Tl fT m fT (T rn r" m f*l Pr{ f3` f�' r31 Fi l cr Yg I OL u ej {m i o � � %Jl C!a r Q n CA- LQ ZZcc a W st � � T r -• N z r i? t' I 2 0 . . cam• S _ I� I *--t —t-1' ..�._t / \ IUA -- - - - i L r r r Qs T II I V , , O { a � T : � : , t 1 :O ff t TF I �1_ ul 4-1 TT Cl -4 7 _ . 77 Lij , lv? • r -t 6 i { t ' 1 r - 1 I ' I i -' 4— a 1-- _ PM I _ I f � 1- L i 1 � i_ l _ t- _ I L 17 Ll ti RECEIVED FEB 0 6 2003 MCCD - PLANNING Mason County February 4, 2003 Department of Community Development Planning Division PO Box 279 Shelton, WA, 98584 Dear Mr. Mraz, Attached is the detailed parking plan you have requested to complete our tenant review application for parcel No. 123294300100. There are a total of 71 parking spots on the premises. Judy Scott has sent in the square footage you asked for. I hope this will answer all needed information. Please contact us if more information is needed at (360)275-5677 Sincerely, / ! � `Vl c ` �: Theresa Boyer Secretary House of Prayer Ministries P�oN-STATFO� -MASON COUNTY c DEPARTMENT OF COMMUNITY DEVELOPMENT s°u y= Planning Division N T n P O Box 279,Shelton,WA 98584 Z�OJ Y boy (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION January 13, 2003 HOUSE OF PRAYER MINISTRIES P.O. BOX 2725 BELFAIR WA 98528 Parcel No.: 123294300100 Project Description: TENANT REVIEW Dear Applicant: You have submitted a permit application (case no. COM2002-00182) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. Please contact me at(360) 427-9670, ext. 577 if you have questions. Sincerely, J Rick Mraz Land Use Planner Mason County Planning Department Comments: A preliminary examination of your tenant review application indicates that a detailed parking plan will be necessary to continue evaluation of your proposal. Please include the total number of 9' wide X 20' long spaces and note all handicapped-designated spaces. In addition, please indicate either the number of seats in the church and "Celebrate Life Center" or the square footage of these buildings. If you have question or require clarification on these issues, please contact me. 1/13/2003 1 of 1 COM2002-00182 0 O N Cn U CD z 0 0 m m m o Z c x != o c m rn Drn N C- c � is m G 0 r � 0) (� i o 3 m 22 m C) -� O D m m cn m o .-(�1 CD0 Z D � n o c o z rno > ff ~' c mm � z D r. o d c �_ Z .. .. .. .. 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BOX 2725 BELFAIR WA 98528 Parcel No.: 123294300100 Project Description: TENANT REVIEW Dear Applicant: You have submitted a permit application (case no. COM2002-00182) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. Please contact me at(360) 427-9670,ext. 577 if you have questions. Sincerely, � l u V Rick Mraz Land Use Planner Mason County Planning Department Comments: A preliminary examination of your tenant review application indicates that a detailed parking plan will be necessary to continue evaluation of your proposal. Please include the total number of 9' wide X 20' long spaces and note all handicapped-designated spaces. In addition, please indicate either the number of seats in the church and "Celebrate Life Center" or the square footage of these buildings. If you have question or require clarification on these issues, please contact me. 1/13/2003 1 of 1 COM2002-00182