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i ~ ;. <br />i ' <br />t ~ t <br />1 ~ ! <br />C <br />G I <br />1 ~~ ~ <br />a~ i <br />• i <br />i <br />' i <br />e BENDER: Complete hams 1 and Z wMn eddhbnel wrvlGe are dasirod, end complete Msme <br />3 eM 4. <br />Put your address In the "RETURN TO" Space on the rs'veree eld6. PsOUre to do thle will prevent this <br />card Irom belnp retained m ou. Thetetum reset fee will provide you the nem off tM oarwn delivered <br />o and th d t of dslly For aid na see s e ow np esrv sea ere eve ebls. l.onau'- pow <br />or see en a sc c ox es for eddMlonsl esrvleslel ropueeted. <br />]. ^ Show to whom dallvsrsd, date, and sddreesse'e eddrees. Z. ^ Reatdetad Delivery <br />~i rdm ahara•) (Emo dra+sd <br />3. Article Address m: 4. Artlde umber <br />7Er~a4cavN~y6Lerrx~l~rme P GIri9 097 ~aG <br />Q <br />P~~ %Q~ /D/O ~pa o} Sarvlce: <br />Raplatered ~ Inwrotl <br />v ®CenlRed ^ COD <br />D /' <br />/~ <br />,I n/y~ <br />~G~iPO~6 ~R ~~i~ <br />~D ~ E~rasa Mad ^ Retum Raeslpt <br />r e hendl <br />.~ <br />W <br />/-f/e/ <br />Ii <br />~ AtweW ebtNn elpneturo o} etldroseee <br />O~ <br />'~ ar epem and GATE DELIVERED. <br />6. Sipnahue~-Address S. Addressee's Address (ONLY ~/ <br />X roqusraed med fee pdd) <br />8. Sipneture - Apent <br />X L <br />7. Dsts of Delivery <br />p6 Fam_3817, tE~: rasa + uaaP.o. v-ee-zta-ees <br /> <br />P 66`1 ^95 70~ <br />RECEIPT FOR CERTIFIED MAIL <br />NO WSURANCE COVERAGE PROVipEO <br />NOi fOR INIERNApONAL MAIL <br />(See Reverse) <br />ni 10 <br />~ <br />~ P O. Slate antl ZIP Cotle <br />~ <br />~ ,~ ` (~!/ <br />~ <br />< Postage <br />p <br />C <br />Ced,lie0 Fea <br /> <br />OD ~ 3peoal Dehv¢ry Fee <br />~ <br />' <br />7 <br />[ <br />,q Resmctetl Debvery Fee <br />i Return Receipt snowing <br />j <br />N to whom and Dale De~rv¢r¢d <br /> m Return Receipt snowing to whom. <br />~ <br />u Oats. and Address of Delrv¢ry <br /> j TOTAL Postage antl Fees <br />DOMESTIC RETURN RECEIPT <br />_ ~ .f 8 Posimarx o. Date <br />E <br />--- -- o <br />N <br />o. <br />FREMONT COUNTY <br />DEPARTMENT OF PLANNING & ZONING <br />BUILDING DEPARTMENT & ENVIRONMENTAL HEALTH <br />615 MACON AVENUE, ROOM B-5 <br />CANON CITY, COLORADO 81212 <br />5 <br />5 <br />P 669 X95 706 <br /> <br />r <br />•. <br />TELLER COUNTY CLERK AND RECORD);R <br />P. 0. Box 1010 <br />Cripple Creek, Colorado 80813 <br />