d that the completed report accurately reflects the UDC proceedings). Chairman (Typed Name/Signature): Member (Typed Name): Member (Typed Name): INSIRUCTIONS: All items outside of eavy rule are for staff use only. Begin entries with the number 1 and work up. Entries not completed wilt be voided by staff.

STIATION .4.. r ‘‘' MAJOR REPAIR AND ALTERATION 0 -0 3 .a . TAPfroma, sowarplant, Propellor, or APP1h4F 5 FOR MA UM ONLY ONCE ofrancanoti . INSIRUCTIONS. Print al type ell ristlici. Stil FAR CS, PAR 43 ApPidna 8. sod AC 4351 les Abatement adios dash foe lostrealos sad dliposIdoo of this feat . . •