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L.G. Everist, Inc. Star Water Resource <br /> PERMIT#M-1977-533 <br /> PROOF OF DELIVERY-Adjoining owners <br /> April 29,2014 <br /> COMPLETE • • ON <br /> ■ Complete Items 1,2,and 3.Also complete A r <br /> Item 4 N Restricted Delivery is desired. ` / M Agent <br /> X <br /> ■ Print your name and address on the reverse V�v O Addressee <br /> so that we can return the card to you. B. by Name C.Date of Delivery <br /> ■ Attach this card to the back of the mailplece, <br /> or on the front If space permits. <br /> 1. Article Addressed to: D.is delivery address d ivera t from Item 1? 13 Yes <br /> B YES,enter delivery address below: ❑No <br /> North Weld County Water 11 <br /> District <br /> P.O. Box 56 <br /> Lucerne, Co 80646 3. service lype <br /> J O OwNed Mail [3 Express Mill <br /> 0 Registered, , O Return Receipt for Merchandise <br /> 13 Insured Mall E3 C.O.D. <br /> 4. Restricted Delivery?(Fairs Feel ❑Yes <br /> 7U11 1570 0002 1521 0498. <br /> PS Form 3811,February 2004 Domestic Return Receipt 1o2s9r�-M-15ao <br /> : r <br /> 8 <br />