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PERMFILE69359
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PERMFILE69359
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Entry Properties
Last modified
8/24/2016 11:14:51 PM
Creation date
11/20/2007 10:50:32 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983178
IBM Index Class Name
Permit File
Doc Date
10/25/1983
From
BENT CNTY LAND USE ADMINISTRATOR
To
MLR
Media Type
D
Archive
No
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• SENDER: Complde nema T, 2, 3, and ~. <br />Add ur ad yyl A Y N TO" <br />w sp <br />(CO! L <br />STER FOR FEES) <br />7. TM bsawlrry se ~ ~d ~e (~c~,gg1 <br />~1°~° <br />Slbwtd wtwm de ............... ~ <br />^ Sllowro aharrl, dale. alM addran of denrery.. <br />DIVI51IIiQ-~ <br />O <br />! <br />~ <br />_ <br />2. ^ NEFc~.r~;ATI <br />ces <br />u <br />` <br />'~'" <br />` <br />° <br />r <br />Sa <br />~~ <br />~ <br />ot <br />o .~~.~~ <br />TOTAL >L_ <br />S. APT_ IC}E~ D~ 6{SED T9~ ~p /l ~, <br />(~ <br />~ ( <br />3 ~7 ~~,~ <br />~ ~l <br />~o,- <br />4. TYPE OF SERVICE: <br />^RECISIERED ^tNSURm ARTICLE NUMBER <br />J-7 a 7Q <br />CFItTIFIm ^COD <br />~ <br />owRESS NAIL f- G <br />(AM1.7yt oataln tlgnriuro d addrpaee w spent) <br />I lure rceoNed iM anlGe descnned anew. <br />SIC RE ^ AulAodted spent <br />S <br />. M1F D 0.NFAY STMAWt <br />/ <br />~~~! ~ m:rw O) <br />S <br /> <br />8. ADDRESSEE'S ADDR ( ~r Q ~ <br />O W y 3 <br />1. UfJABLE r0 DELNER B SE: ~!. 'S <br />DUTIAI$ <br /> <br /> ~t <br />c <br />c <br />~e <br />a <br />A <br /> <br />• GPR teatAl?'Da <br />v + SENDER: Complete Rems 1, 2. 3, and 1. <br />) Add your address in the "HETURY TO" <br />space an reverse. <br />(COP:SllLT PoSTMASTER FOR FEES) <br />b bdcMnp saM.e fe rpveste0 (Urock pm). <br />1, <br />Tl <br />, <br />h <br />la.u SfeW .o venom and dam dalMrcd ............... _~ ( <br />^ St:nv to xTem, date, aaE.Edress cf dallvery .. e <br />1. ^ RESTRICTED CElNERY ........................... _-_t <br />(iTe refSk2C ~SLwT W M <ntge0 frt e00[CN <br />o as nrurn rtu.ir rm J <br />TOTAL S <br />3. ARTI LE DRES ED 0: <br />~t r <br />- <br />Y a <br />_• <br />~t a c3al~ y yk% <br />- <br />cs <br />iv <br />!. TYPE OF SERVICE: h'~TICLE NUt1BER <br />^REGISTERED ^INSURm ~~ 7 (j <br />~DFRnFIm ^ccD <br />^El(PftESS NAZI ,ZS~7 <br />(Novaya dhtlln alpratJro d cddreuca cr epdn:) <br />J naw reuhad the aNcle tlec;ll[pd anave. <br />SiE(iATURE ^Ad~rerx ^AUtned:e7 apem <br />' ~ / <br />S. DATE OF OELNF~RY <br /> <br />~~~~' ~ (iDSlAJ:.lt <br />(Eyre ne rb <br />( ,~ <br />! <br />~ <br />B. ADDRESSEE'S ADDRESS (Guys rwAe%~O (_ ~ '''•1 <br />~; <br />`" ` :~ , <br />7. UNABLE TO DELNER BECAUSE: E{IPL4~EE'S <br />~~ <br /> ~INITb1l9 <br /> `,.~ <br />c <br />.c <br />e GPO tuaxaTasea <br />
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