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<br /> <br />I <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br />I <br />I ' <br />I' <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />ND Campero Ipme 7 end 2 when eddhbnel pr,Awt aro dsefred, end eomplete e <br />: <br />~ <br />~ <br />. <br />. ,. .- <br />. <br />3 end e. <br />Put your eddrap In eM "RETURN TO" Bpaas on the roverea side. Fsgiiro to do Mli wlll'pieyerit thl <br />~ <br />nerd from being retumyep to Yeu, TM return roeelot fee will erevl~~~~ yyp~n tM name of eM when dslWe <br />M d <br />T <br />TS <br />37r <br />LTC <br />n <br />ulE- <br />os <br />d <br />I <br />ii <br />d <br />anemr <br />o en <br />• ow np asrv <br />a <br />v <br />e <br />o <br />e <br />p <br />t <br />et 1 <br />lvb For e <br />O <br />for fee' -~ i e~ e~ cr z ae for eddhlonel prvkrole) raqusetld. <br />~ <br />Ilvsry <br />1. ^ SMw to whom delHS <br />nd sddrosew'e sddroee. <br />~: 2. ^ R <br />pDt <br />d D <br />~: ~. <br />~ de <br />~ <br />~ <br />e, <br />~~l <br />:; <br />( <br />3. Artlels Addreued to: ~ c_;,. °..:,,~ <br />?7r~~~~tSaicG'awssR/,orrovDisr.' 4. Artlcls Number ~ ~ •."•'~~ :I. . <br />P..669.095~;~":~oS`.-'~.~ <br /> <br />!"• S . `:.~,.• .~*0... ., <br />p O• Gx 886 : ~: ~. :..:~ <br />u } ~T o} servlw: ri r,~, .: ~. ~..,. <br />~~De .: ~ f LJ Imund' ~rlp~Y': ~:. <br />L-J eephtend <br />} <br />y <br />' <br />~ <br />~y, <br />A`'• ~o;h~ <br />CRIPiLLCRe1rK <br />COLORADO~>:''*~•F~'~a . r <br />~ .r., <br />y <br />y~.~ <br />? <br />'~ <br />'"~K:QRetph~Neoil"%"-' <br />~~ ~ <br />~j <br />~ <br />4 <br />I <br />4 • j <br />j <br />c• <br /> <br />. ., <br />Ap <br />.~ <br />. <br />r <br />, <br />' ~f: ~~=~~.~~ <br />BOS ~~ <br />' Alweye obtelh Wnetus e1 eddreeew .f.5•, ., <br />. <br />~~: •;r. <br />~' or epem end DATE DELIVEIIFDi~!~i7[;. y <br />e: SI neturo -Address -~ •" ~ ~ <br />0 ._:~'~:~~= ~~' B. Addresew's Addrsse (ONLY(/ " <br />y`:~K ~l~,; <br />'', <br />reyirmed asdJn peN) ..- <br /> ~ <br />ry <br />• <br />D <br />~ <br />~ <br />~ <br />e. gneturo -Agent ' <br />1Y1~. .y: <br />%..: ~ ..'~ <br />i <br />`,, <br />,R~y~t~:."$$~FM'~~. <br />'.~,~%' _. <br />.~=S.i <br />, <br />~ <br />,. <br />'~ ~ <br />' I <br />! <br />(pF::.:i <br />'irrl:' <br />'{ <br />°k= <br />rt1 ~;,t.; <br />X y <br />} <br />v <br />. <br />~ q~•!!,.r'. : <br />1..'~~'~ yy (~ ref yt,yt• <br />'iC ~-' <br />1~ <br />~ <br />~ <br />l <br />Dero of Delivery .z, <br />7 ' <br />, <br />~T <br />. <br />. <br />±,~~..:~:..rY <br />, <br />'Y~~ <br />a <br />:~ <br />+~;,. <br />:.e~; <br />y^ <br />"f <br />• <br />L' <br />_ <br />. <br />Y-/ <br />T t <br />F. l <br />~ <br />~ <br />t <br />' <br />: <br />~ <br />- <br />> <br />ail. <br />l <br />f <br />ti~ <br />~ R~ <br />' <br />' <br />:. <br />ry . <br />y <br />r <br />i <br />/ <br />i'ri-?+ <br />M corm 3871. Ma. 1988 .. '+ u8.(~P.0:~:7eee-¢+2-eea.•;:'-~s• tSOMEBTiC RFTURN~RECEIPT <br />.. - <br />_ .. .. . . _ .. .. _...-....:a~;.,-~..,--.nu.'v910a:~h'i..~:~z'ur;.' .-..._-._a~: r:Jt+.q.:Wi Sd«4:c..... <br />• I <br />l <br />~~~. - t_J . .-.._ .. <br />FREMONT COUNTY <br />DEPARTMENT OF PLANNING & ZONING <br />BUILDING DEPARTMENT ~ ENVIRONMENTAL HEALTH <br />615 MACON AVENUE, ROOM B-5 <br />CANON CITY, COLORADO 87212 <br />P 669 095 705 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSUMNLE LOYFNAGE PNOVIDED <br />NOT FON INTEflNAT10NAL MAIL <br />(See Reversel <br />~'„[-:! •; <br />f. Sent 10 <br />/ OK ON3o <br />; <br />+ <br />r"t7'7 f <br />.~:' Sheet and Na. <br /> <br />°i="~'~- P.O.. Slate antl 21P Cotle <br /> /~ <br /> <br /> <br />:. Postage <br />1 <br />Ip' <br />{ <br />- Cemlietl Fee <br />. <br />.~ <br />. <br />[ +~ <br />p <br />h S ^al Deirver Fee <br />De Y <br />C <br />~.'.I <br />` <br />~ <br />~'f t <br />" Reslrlcl¢d Delnery Fae <br />- <br /> <br />~' <br />• RBIYIn Receipt showing <br />j <br />',+ to whom and Date Deuveretl <br />• " . ''.'•' 0 Return Receipt showing9 10 whom, <br />- ~"•'-~ SST <br />' <br />nrY' <br />' Dale. and Atltlress of DeLVery <br />.; ~. <br />p <br />t <br />~'~:~)':~~'-''3 Y <br />j <br />TOTAL Postage and Fees <br />i f,. ~ ~ <br />Re ~:• O POSImarM or Dale <br />L <br />ti <br />`~;av3& <br />f a <br /> N <br /> 6 <br />s <br />5 <br />P 669 095 705 <br />Teller Soil Conservation District <br />P. 0. Box 885 <br />Cripple Creek, Colorado 80813 <br />:r <br />• <br />• <br />