130 BRIGHTWATER DR UNIT 7 - ^ - FEDERAL EMERGENCY MANAGEMENT AGEI�CY O.M.B. No. 3067-0077
� NATIONAL FLOOD INSURANCE PROGRAM
�C����_���� Expires December 31, 2005
� ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7. JOB No.020308.9
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BRIGHTWATER COVE, LLC. UNIT No.7
BUILDING STREET ADDRESS(Including P,pt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
130 Brightv✓ater Drive, UNIT 7
C�Ty STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 1-9 BRIGHTWATER COVE No.2 P.B.129,PGS.61-62
BUILDING USE(e.g.,Residentiai,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL ___
LATITUDElLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
� �}°_��-�,�° or �#.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: _
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
� - 102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Communiry Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_
B12.Is the building located in a Coastal Bamer Resources System(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings' ❑Building Under Construction' �Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
,;2.Buiiding Diagram Number 7 (Select the building diagram most similar to the building for which this certifcate is being completed-see pages 6 and 7. If no diagram
accurately represents the buiiding,provide a sketch or photograph.)
C3.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AWA1-A30,AWAH,ARlAO
Complete items C3.-a-i below according to the builtling diagram specifed in Item C2.State the datum used.If the datum is tlifferent from the datum used for the BFE in
Section B,convert the tlatum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropnate,to document the datum conversion.
Datum NAVD 1988 Conversion/Comments N/A
Elevation reference mark used LABINS EL=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � ��`�.�—
o a)Top of bottom floor(including basement or enclosure) 5.58 FT ft.(m) � ��`~ ' f �
.�� _,, . . '..� ,
o b)Top of next higher floor 15.12 FT ft.(m) � , �
a, a,' �.,.. • '� � tZ4 rw���', .r�, , . .
o c)Bottom of lowest horizontal structural memoer(V zones only) NIA FT ft.(m) o o` `,� ,�, c� � �
o d)attached garage(top of block) 5.58 FT ft.(m) W� %� �`� �+ — �
o e)Lowest elevation of machinery andlor equipment ••- � �"
servicing the building(Descnbe in a Comments area) N/A FT ft.(m) � � • ';s - i �;;
� �
o fl Lowest adjacent(finished)grade(LAG) 5.0 FT ft.(m) �� `;�-, ,a� �,�'`1
o g)Highest adjacent(finished)grade(HAG) 5.1 F=f ft.(m) � _,�'�,,�:"•��.o4�f ���
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 10 � � � ���
o i)Total area of all permanent openings(flood vents)in C3.h 1285 sq.in. `°°',°°�``
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation infor
I certify fhat fhe information in Sections A, 8,and C on thrs cerfi�cafe represents my best efforfs to inferpret the data availabfe.
I understand thaf any false sfatement may be punishable by fine or imprisonment under 18 U.S. Code, Secfion 1001. �
CERTIFIER'S NAME LICENSE NUMBER � �
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME VCS
�RESIDENT KLEIN&STAUB SURVEYING,�NC, TE R
ADDRESS CITY STAT ZI
8016 Old County Roa 54 New Port Richey FL 34653 _
SIGNATURE DATE TELEPHONE
, 04/28/05 (727)834-8140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ail previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance Company„use: .
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ,
130 Bri htwater Drive, UNIT No.7
GTY STATE ZIP CODE Company NAIC Number ♦
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporfing information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being compieted-see pages 6 and 7. If no diagram accurately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery andlor equipment servicing the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owne�'s authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),antl E for Zone A(without a FEMA-issued or community-
issuetl BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to fhe best of my knowledge.
PROPERIY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME •
ADDRESS CIIY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
_� SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The locai official who is authonzed by�law or ordinance to administer the community s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Ccmplete the applicable item(s)and sign below.
G1.Ci The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or local law tc cerfify elevatio��information. (Indicaie the source and date of the elevation data in the Comments area below.)
G2.�A commur�ity ofncial cornple;ed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE}or Zone A0.
G3.❑The following information(Item�G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
_. --—
G7.This permit has been issued for: �New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building is: __ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding at the buiiding site is: _._ft.(m) Datum:_
tOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
51GNATURE DATE .
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
� . � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
' NATIONAL FLOOD INSURANCE PROGRAM
^C����_���5 Expires December 31, 2005
�j ELEVATION CERTIFICATE
. , Important: Read the instructions on pages 1-7. JOB No.020308.9
SECTION A-PROPERTY OWNER INFORMATION For�nsuranceCompanyUse:
BUILDING OWNER'S NAME Policy Number
BRIGHTWATER COVE, LLC. UNIT No.7
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
130 Brightwater Drive, UNIT 7
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 1-9 BRIGHTWATER COVE No.2 P.B.129,PGS.61�2
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.#�#" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NfIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.&4SE FLOOD ELEVATION(S)
NUMBER 85.SUFFIX B6.FIRM INDEX DATE EFFECTIVEh2EVlSED DATE BS.FLOOD ZONE(S) (Zone A0,use depth of flooding)
� - G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Fiood Elevation(BFE)data or base 800d depth entered in 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
B11.Indcate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_
B12.Is the building locaied in a Coastal Barrier Resoum,es System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction' �Rnished Construdion
} `A new Elevation CeRificate will be required when construction of the building is complete.
��;2.Building Diagram Number 7 (Selecf the building diagram most similar to the building for which this certrficate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevations–Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AR/A1-A30,AWAH,ARlAO
Complete Items C3:a-i below according to the building diagram specfied in Item C2.State the datum used.if the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Commenls area of
Section D or Section G,as appropriate,to document the datum conversion. �
Datum NAVD 1988 Conversion/Canments N/A
3�� � _ �
Elevation reference mark used LABINS EL=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � , "�+,* , ;-.: "� �.�� ;�
o a)Top of boflom floor(induding basement or endosure) 5.58 F f ft.(m) � ' °�f;
o b)Top of next higherfloor 15.12 FT ft.(m) ��.��y ;;; � �r
o c)3ottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) ��' ,'�'�s ,�� -� � -°' ° ' e
� � � ���
o d)attached garage(top of block) 5.58 . FT fl.(m) W� ;��.. �` ' i ' ' — , v��
o e)Lowest elevation of machinery andlor equipment ;-�; !' � 4� '� �
servian the buildin Descnbe in a Comments area N/A . FT ft.m � ' �� ' � 1
9 9� ) � ) ':�� `� ' � �''
,.� .�.� 1'
o fl Lowest adjacent(flnished)grade(LAG) 5.0 . FT ft.(m) �� ", : i � �
o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � d� ,��� ` ���.�4{�81N�� ;;�
o h)No.o f permanen t openings(fl o o d ven ts)wi t hin 1 ft.a b ove a djacen t gr a de 1 0 �1 �,r �: 3�"=f��'; �
o i)Total area of all permanent openings(flood vents)in C3.h 1285 sq.in. ;�� 5'. , �.+ �'
�
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ' '
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation infor
1 certrfy that the informafion in Secfions A,B,and C on this cerfificate represenfs my besf efforfs fo inferpret the data available.
I undersfand fhaf any false sfafement may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 1001. „
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME VCS
kRESIDENT KLEIN&STAUB SURVEYING,�NC. TER
• ADDRESS CITY STAT ZI
8016 Old County Roa 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
, 0428/05 (727)834-8140
FF�A� Fnrm R9_49 i�„��a,,,�nn� Saa rovarca ci�ia fnr�nntirniati�n. ReolaceS all DrevioUS editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance ComPany use: ,
BUILDING STREET ADDRESS(Induding Apt,Un�,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � .
130 Bri htwater Drive, UNIT No.7
CITY STATE ZIP CODE Company NAIC Number t
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy both sides of this Elevation Cerfificate for(1)community official,(2)insurance agent/company,and(3)building owner. �
COMMENTS
NIA
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete ftems E1 through E4. If the Elevation Certificate is intendetl for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Select the buiiding diagram most similar to the building for which this certi6cate is being completed—see pages 6 and 7. If no diagram aa;urately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or endasure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Buiiding Diagrams 6-8 with openings(see page�,the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)0 above or ❑below(chec�c one)the highest adjacent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is available,is the top of the borian floor elevated in accordance with the communitys floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who canpletes Secfions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The stafements in Secfions A,8,C,and E are correcc;t to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME (
\ •ADDRESS CITY STATE ZIP CODE
SIGNATLiRE II�TF TFI FP�-J(I�IF
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The locai official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificaie. Ccmplete the applicable item(s)and sign below.
G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by stafe
or local law tocertify elevatio�information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A commu��ity �naal corr�l�ted S�tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The fdiowing information(Items G4-G9)is provided fa community floodplain management purposes.
G4.PERMIT NUMBER �5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued for.❑New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(induding basement)of the building is: __ft.(m) Datum:_
Gg_BFE or(in Zone AO)'dept�of flaotling at the building site is: _._ft.(m) Datum:_
.LOCAL OFFICIAL'S NAME _ TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE �
COMMENTS •
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
%'� �M�[
��.�`.p�.�g':i�a � .,- n
� CITY OF CLEARWATER
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��'� : -��� ,'� ������� DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
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�'� 'F`.e . POST�FFICE BOX 474g� CLEARWATER� FLOa�DA 33758-4748
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� , MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.EARWATER,Fco�uDn 33756
TELEPHONE�72� S6Z-4S67 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS& COMPLETION
In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation ceRificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt., Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:�GPS(Type):
(##°-##'-##.##" or ##.##�!#It°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
64.MAP AND PANEL g5.SUFFIX B6. FIRM INDEX DATE B��FIRM PANEL gg,FLOOD ZONE(S) B9�BASE FLOOD ELEVATION(S)
NUMBER EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
12103C0102
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date
SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ❑ Finished Construction
`A new Elevation Certificate will be required v✓hen construction of the building is complete.
C2. Building Diagram Number (Select tl�e building diagram most similar to the building for which this ceRificate is being completed-see pages 6 and 7. If no
diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
Complete Items C3.-a-i below according to tlie building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the
BFE in Section B,convert the datum to that used for the BFE.Show fieid measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
e) Lowest elevation of machinery or equip�nent servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1 ft.above adjencent grade
i) Totaf area of all permanent openinys(Flood vents)in C3.h sq.in.(sq.cm)
Comments:
Date of Review: Community Official:
�levation certi�cafes shall be maintained by the communi�y and copies with the attached memo made availab/e by request
FR4NK HIBRARD,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMGMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMRBR � CARI.EN A.PG7'ERSEN,COUNCILMEMBER
��EQUAL EMPLOYMENT AND AFFIItMA1'IVE ACTION EMPLOYEK��