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2023-03-03_REVISION - M2003016
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2023-03-03_REVISION - M2003016
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Entry Properties
Last modified
3/6/2023 8:37:28 PM
Creation date
3/6/2023 7:48:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003016
IBM Index Class Name
Revision
Doc Date
3/3/2023
Doc Name
Request for Technical Revision
From
City and County of Broomfield
To
DRMS
Type & Sequence
TR6
Email Name
ECS
MAC
AWA
Media Type
D
Archive
No
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� u <br /> 11 _s PRIO R I , PME F%TyAGE <br /> FREDIERICK, C <br /> a95 UNITED ST13TES AMR 01 23 <br /> MAIL a��n: = 8U <br /> AST.0 SEIMCF¢ <br /> ,. PO'ST13L SERVICE® RDC 07 80216 $28 <br /> . <br /> E X P R E S R2305FI130476- <br /> UNITEDSTATES PRIORITY <br /> 1 POSTAL SERVICE® MAIL <br /> EXPRESS <br /> CUSTOMER USE ONLY FROM: tEASEPa1NT) ) EI 542 766 975 US <br /> PHONE( <br /> 3t� PAYMENT BY ACCOU <br /> Coln'-ac�o 17��� USPS°Corporate AccL No.pplicable <br /> Federal Agency Acct.No.or Postal <br /> ,FLAT RATE ENVELOPE <br /> ��i�s �J� CO �,c�54v( ONLY) <br /> 'ONE RATE ■ ANY WEIGHT i Day 02-Day ❑Military <br /> PO Code Scheduled Delivery Date Postage <br /> DELIVERY OPTIONS(Customer Use • (MMIDDIYY) <br /> To schedule free Package PICICU ❑SIGNATURE REQUIRED Mote:The maker must check the•SlgnaNre ��'3 `� �(9 p, fiegUired box>,me mailer.,) a 1 2.3 $ <br /> 1,, 7� Requires the addressee's Signature;OR 2)Purchases additional insurance;OR 3)Pprchases COD service;OR 4) <br /> - .Scan the Q11 code. Purchases Retum Receipt service.If the box is notchecked,the Postal Service will le w the Item in the addressee's <br /> —1 receptacle orother secure ldltallon without attempting to obtain the addressee's 5)gnalure on delivery. Data Accepted(MM/)D%YY) Scheduled Delivery Time Insurance Fee <br /> ❑ a DellV-y Options -O PM ' <br /> ❑No Saturday Delivery(delivered next business day) ' 3_ �Z $ <br /> - ❑Sunday/Holiday Delivery Required(additional fee,where available') O _ <br /> �• •Reler to USPS,com®or local Post Office"for availability. Time Accepted Return Receipt Fee <br /> M PHONE( /^ r' To:(PLEASE PRINT) 1 M <br /> ' 'I � �•k' �la <br /> i''I I�r�/� t�� �"'?h•_ Special Handlmg/Ragna Sund*'Nolidey Premium Fee Total Postage 8 Fe <br /> • P�(�Tr 4 pV //" <br /> 2/ <br /> IJSPS.COM/PICKUP ' Weight Rene Acceptance Employee Initials <br /> �a ozs. <br /> ,..a; <br /> + � � ® — & S AOD NAT Delivery Aflempt(MMIDDl1'Y)Time Employee Signature <br /> ! ,'"ORDER FREE SUPPLIES ONLINE XV C/7 — °A <br /> 13 PM <br /> i•,' ■ For pickup or USPS Tracking"',visit USPS.com or call 800.222.1811, Attempt(MMIDDIYY)Time Employee Signature <br /> •'io''! il;. ■ $100.00 Insurance included. ❑AM <br /> opm <br /> PEEL FROM THIS CORNER tAeELn•e MAY2gzt PSN78s0oz000-egse <br /> ; C PS7 0001000006 E013F May 2020w �1 I A 0 A I\I70Ci1* w 70 A f%VC r% I I KI 01 1 <br />
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