2017-03-06_PERMIT FILE - M2016075

• Permit No: M2016075
• IBM Index Class Name: Permit File
• Doc Date: 3/6/2017
• Doc Name: Adequacy Review Response #2
• From: Cheyenne County
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

?vENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY i __1i COMPLETE THIS SECTION ON DELIVERY
SENDER: COMPLETE THIS SECTION
■ Complete items 1,2,and 3. A Signature ■ Complete items 1,2,and 3. A. Sig ure�
■ Print your name and address on the reverse ❑Agent ■ Print your name and address on the reverse Agen
so that we can return the card to you. [3 Addressee so that we can return the card to you. X ' Addn
■ Attach this card to the back of the mailpiece, B. Received y(Printed Name C. Date of Delivery
or on the front if space permits. B. Receive (P' ted Na C. Date of De
p ■ Attach this card to the back of the mailpiece,
by
1. Article Addressed to: or on the front if space permits.
— D. Is delivery address different from 1 1? ❑Yes 1. Article Addressed to: D. s deliv rya' ress diffet t from item 1? �Yel_
If YES,enter delivery address bel�fm Lnf. ❑No — If YES,enter delivery address below: ❑ No
Timothy Kern Patrick Anthony Jolly
84 Offutt Rd --Barbara Jolly & Sons
Hanscom AFB, MA 01731 f 1,6999 County Road CC
,Kdt'Carson, CO 80825
3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mall Expre:
II IIIIII IIII II I II II IIII IIIIII I II I II I III ❑Certified Mali®Adult Signature °Delivery Registered Mail Restricted, II I IIIIII III III I II II I IIIIIIIII I I II I I IIII I ❑Adult Signature ❑Registered MaiITM
❑Aduft Signature Restricted Delivery ❑Re letered Mail ❑Adult Signature Restricted Delivery ❑Re
Istered Mail Re
9590 9402 1644 6053 5434 36 Certified Mall Restricted Delivery 'I(Retum Receipt for Certified Mail® Dei very
❑Collect on Delivery Merchandise 9590 9402 1644 6053 5435 04 13Cotct Mail Restricted Delivery pL Return Receipt for
2—Article-NumbeLLrLansfer from_seNice label ❑Collect on Delivery Restricted Delivery Signature ConfinnationT"^ ❑Collect on Delivery Merchandise
.Q Insured Mail Signature Confirmation 2. Article Number ranter from service label _❑Collect on Delivery Restricted Delivery �Signature Confirme
g - — — - � nsured Mall ❑Signature Confirm
?015 0 6 4 0 0 0 0 7,, 9 6 3Z 9 7 2 6 ;Insured Mall Restricted Delivery Restricted Delivery nsured Mail Restricted DeliveryRestricted Delivery
- .(over$500) 7 015 0640 0007 9638 9658 aver$soo)
PS Form 3811,'July 201'5 PSN 7530-02-000-9053 Domestic Return Receipt ; PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Re
SENDER: N DELIVERY
. . . . . . SENDER: . . . .
■ Complete items 1,2,and 3. A. Signature ■ Complete items 1,2,and 3. A Si atu
E3 Agent address on the X ❑Agent
■ Print your name and address on the reverse X ' a` ❑Addressee ■ solthatwe am return the card to
so that we can return the card to you. ❑Addres
B. Received by.(Prinfe• Name) H C. Date of Delivery ■ Attach this card to the back of the mailpiece, @ Received t (P/injega(Va a C. Date of Deli)
■ Attach this card to the back of the mailpiece, D @Ca 34�' _ or on the front if space-permits. �� fl�,LN��L
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 12 ❑Yes 1. Article Addressed to: _ _ D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No if YES,enter delivery address below: ❑No
State of Colorado Steven Ted Hood
1313-Sherman Street 6023 S. Rice Ave.
Denver, CO 80203 Bellaire, TX 7740,1
3. Service Type ❑Priority Mail Express
3. Service Type ❑Priority Mall ress® 111111111111111111111111111 IIII IIIIII I I IIIIII I III TM
II�IIIIII IIII III I II II I IIIIIilllll II I I I II II I III _ ❑Adult Signature ❑R�, M�ITn+ Adult Signature ❑Registered Mail
❑Adutt Signature Restricted Delivery ❑Replatered Mall Restricted� Adult Signature Restricted Delivery ❑Registered Mail Resf
Certified Mall® De1Ive Certified Mail® Delivery
9590 9402 1644 6053 5433 68 Certified Mall Restricted Delivery pd Return Receiptfor 9590 9402 1644,6053 5433 99 p Collect i on all Reesry cted Delivery {ERetum Receipt for
❑Collect on Delivery Merchandise �,�t Merchandise
2. Article Number(Transfer from sB1YiGeJahB11-- -rl Collect on Delivery Restricted Delivery ffiSignature ConfirmationTM 2-as;rle-MumberJlransfer-rom.serviceJabe ❑Collect on Delivery Restricted Delivery IWSignature Confirmati
I Insured Mail �❑j Signature Confirmation Insured Mail ❑Signature Confirmatl
71015 0 6 4 0 0007 9638 9832 1 Insured Mail Restricted Delivery Restricted Delivery ,[phone] 9771 nsured Mail Restricted Delivery Restricted Delivery
over$500 -- (over$500)
PS Form 811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt : m 3811,JUIy 2015 PSN 7530-02-000-9053 Domestic Return Rec