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2004-05-26_REVISION - M1991083
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2004-05-26_REVISION - M1991083
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Entry Properties
Last modified
6/15/2021 6:08:09 PM
Creation date
11/21/2007 8:33:06 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991083
IBM Index Class Name
Revision
Doc Date
5/26/2004
Doc Name
Conversion Appl
From
Seifert Construction
To
DMG
Type & Sequence
CN1
Media Type
D
Archive
No
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l~.[e 1.6.20) c9 <br />u, ~ f <br />m <br />N r' ~ <br />''"R Postage s 0.83.>; - UNIT ID: 097G ..:'::~°-- <br />rJ CeNfied Fee <br />p i .......... <br />p Retum Rectept Fee i`iF r ~~l P~y`I~I~ <br />p (Endorsement Required) 1.175 Aere ---,~- <br />p Resalcted Oerrvery Fee ` Cl?rk: KUbZSN ~--`~~~ <br />,~ (Endorsement Requlrad) ~. °' ~'~ <br />~ row Poetess s Faes $ 4.88 " ~~ n$/04" <br />(TI enr TO ' <br />p CUSTERCOUNTY <br />p <br />tt Siieer,Apitiuj"""" BOARD OF COUNTY COMMISSIONERS <br />or PO Bax NO. P.Q. BOX 150 <br />ciry,sisre;zira"" ~~TCLIFFE,CO 81252 <br />^ Complete items 1, 2, end 3. Also complete <br />Item 4'tf Restricted Delivery is desired. <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'd space permits. <br />1. Artkle Addressed to: <br />CUSTER COUNTY <br />BOARD OF COUNTY COMbTISSIONERS <br />P.O. BOX 150 <br />WESTCLIFFE, CO 81252 <br />A Si ature ~ 5 , <br />~ ~~ ~~ ((~~ <br />~L~t _;?_;'~ <br />p Agent ~)) <br />^ Addressee -! <br />B. eceived by (Printed Name) C. Date of Delivery, ~~ <br />I <br />D. Is delivery edd~r ' Mferent item 11 ^ Yes I <br />S <br />If YES, entey9~ ery a w: <br />~T ^ No <br />~ <br />b <br />~~ 1 V <br />r 1. <br />i 1 ~ m, I <br />3. Service Type, ~,.,~a <br />O Certified Mai Mail I <br />^ Registered ^ Return Receipt for Merthandfse <br />^ Insured Mail ^ C.O.D. - <br />4. ResWcted Delivery? (Exba Feel ^ yes I <br />z. ANcleNumber 7003 1~1~ ~0~2 1363 5235 <br />(Transfer7iom service labep ~ ~ <br />PS Form 3811, August 2007 Domestic Return Receipt tozsssm-vt-tea <br />~. . <br />
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