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2015-08-19_PERMIT FILE - M1979097
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2015-08-19_PERMIT FILE - M1979097
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Entry Properties
Last modified
8/24/2016 6:10:03 PM
Creation date
8/21/2015 2:42:53 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979097
IBM Index Class Name
Permit File
Doc Date
8/19/2015
Doc Name
Permit Application - Add'l Info
From
Anderson Consulting Engineers
To
DRMS
Email Name
ECS
Media Type
D
Archive
No
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Complete items 1, 2, and 3. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to <br />n o YL ns 4a v <br />c to 13 ob CGCUbe I Pe5 . y, <br />1Z.o.LAJ. Mo-KaSer <br />4Zo Znel S+_CLt- <br />U-e , CC-) Soe 3 l <br />1111111 till 11111111111111111111 l III Illi Ilii it <br />9590 9401 0010 5071 4196 65 <br />2 Article Number (Transfer from service qa qe L <br />115 0640 0000 D-672 '52.38 <br />PS Form 3811, April 2015 PSN 7530-02-000-90s3 <br />Complete items 1, 2, and 3., <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if spAce permits. <br />1. Article Addressed to <br />f I. (dre. rrtSa kwt Cr, <br />j adf UWI 4ULA - <br />p b 34 ( O O <br />Lvellths4on. C o <br />I Iilll IIIIIIIIIIIII Iiil'lI liliii l llllill <br />9590 9401 0010 5071 4196 72 <br />2 Article Number (Transfer from service label) <br />7015 0640 0000 0672 5245 <br />PS Form 3811, April 2015 PSN 7530-02-000-9053 <br />Complete items 1, 2, and 3. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />oXelder -nt a-tav sfitc <br />tin 3 rs <br />X1 <br />PES:gent <br />d Addressee <br />B Recely d by (P int Name) C Date of Delivery <br />ctir I r IS <br />D Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: No <br />3. Service Type Priority Ma,1 Express•- <br />Adutt Signature Registered Mail - <br />Adult Signature Restricted Delivery Registered Mail Restricted <br />Certified Mala Delivery <br />Certified Mail Restricted Delivery Return Receipt for <br />Collect on Delivery Merchandise <br />Collect on Delivery Restricted Delivery 1 Signature Confirmation'" <br />Insurftd Mail,.. , Signature Confirmation <br />InsurSd MAil Restricted Delivery Restricted Delivery <br />Domestic Return Receipt <br />A Siqnature 7 <br />y ? ` / <br />Agent <br />ll.. Addressee <br />H Received b (P ted Namel C. Date c Delivery <br />D Is delivery address different from item 1? U Yes <br />If YES, enter delivery address below No <br />3 Service Type . Priority Mad Expresso, <br />Adult Signature i Registered Mail— <br />Adult Signature Restricted Delivery I Registered Mail Restricted <br />Certified Made Delivery <br />Certified Mail Restricted Delivery Return Receipt for <br />Collect on Delivery Merchandise <br />Collect on Delivery Restricted Delivery I Signature Confirmations"' <br />Insured Mad Signature Confirmation <br />Insured Mad Restricted Delivery Restricted Delivery <br />over $500) i <br />Domestic Return Receipt <br />Signature <br />Agent <br />Addressee <br />Rei elved by (Printed Name) f C. Date of Delivery <br />Yti` ` <br />7• <br />tC t <br />Is delivery address different from item 1? Yes <br />If YES, enter delivery addj(Zs9 Yefow. No <br />V . <br />Q <br />G; <br />3 Service Type ,-riority Mad Express P <br />II I I til. III III II II 1111 Ill Ii 1111ll I I I til Adult Signature Registered Mail <br />Adult Signature Restricted Delivery I ;Registered Mad Restricted <br />Certified MailA- Delivery <br />9590 9401 0 010 5071 419 6 27 Certified Mail Restricted Delivery Return Receipt for <br />Collect on Delivery Merchandise <br />2 Article Number iTransfer from service lahel) Collect on Delivery Restricted Delivery Signature Confirmation-' <br />Insured Mail Signature Confirmation <br />015 0 6 4 0 0 0 0 0 6 7 2 5191 Insured Mail Restricted Delivery Restricted Delivery <br />over $500) <br />PS F orm 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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