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.' <br />PROOF OF MAILING NOTICE TO LANDOWNER(S) WITHIN 200 FEET <br />RULE 1.6.5(2) <br /> <br />.n <br /> f <br /> <br />-O Postage s t 3 ~l <br />VISIA C <br />S ~Np <br />O <br /> <br />~ <br />Ceniliatl Fee 1 (1D /+1 <br />B~2 <br />l <br /> <br /> <br />IT <br /> <br />Retum Racelpt Fae <br />(Endorsement Regrixad) ^ <br />(• 5Lr <br />L/ <br />' r, <br />~ M ~~POStma <br />ry9 Hero ~p <br />2~ . <br />~ ~r. <br />O Restricted Delivery Fea ~ U/ <br />O tEntlorsement Requnetl) <br /> <br />O Total Postaea a Fees <br />3• ~ <br />~+ <br />ru ~ <br />ru Neme (Please Print L/aer/yf (TO be completed by mailer) <br />m <br />IT' Stroet, Apt. No.; or PO 9or No. <br />Q' <br />p <br />N ............................. <br />C/ly, Stele, Z1PS 4 ................... ................................................. <br /> <br /> SENDER: <br /> .Complete items 1 and/or 2 for additional servkee. I BI50 wish l0 reC01Ve fits <br /> .Complete ilenu 3, Ia, arld Ib. follOwing SBMCBS (fOf 8n <br /> ePdnt your name and address on Ne reveres of mis Mnn w Net we can rattan We BXlre ree): <br /> card to you. <br />•~~; Ihie btm to tM hom of the rnallplece, or on Ilte beck II specs doN not <br />t, ^ Addreuee's Address 8 <br />Z <br />y •Wnte'Rerum Rero/pr RequecrM'm tro meilpece babes the amide numbs. 2. d Restricted Delivery y <br />$ .The Retum Rweipl will Now to whom tM arlide was deGveretl end the date ~ <br />~ <br />0 delivered. Consult posbnaster for fee. <br /> 3. Article Addressed to: 4e. ANcle Number <br /> us R~~ o~ ~e s.n~-Ir,or ~b _ ao 5'tia <br /> 4b. Service Type ~ e ~?f- <br />0 <br />~ p CC \ -1 <br />6t~,<e~~ p+ ~O p'Vo.cvc,,c~R,rr-ielV' ^ Registered ~ CeNfled ~ <br /> 317D ~~ ~r.~',n ^ FxPressMall ^ Insured c <br />n <br /> ^ Retum Retaipt fa Merdtan@se ^ COD <br /> Cc.nyon C:j-.,'co g~ald ~ <br />D <br />t gYe <br /> . <br />e <br /> >^ <br /> 5. Received B : (Print Neme) <br />^o <br />~ 6. Addressee' dress ( my 11 requests <br />and lee is <br />d) ~ <br /> ~ <br />C 1 ~ <br />Y ICS' ~ p <br />~ 6. Signature: (Addr ssee or e ) <br />T X <br />W <br />PS Form 811, December 1994 <br />Domestic Return Receipt <br />