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L.G. Everist, Inc. <br />PERMIT # M- 1999 -120 <br />PROOF OF DELIVERY - Adjoining owners <br />April 25, 2012 <br />1 Artkie M - <br />m <br />m <br />r - <br />O <br />Mr. Richard Hein <br />5290 E. Yale Circle <br />No.103 <br />Denver, CO 80222 <br />Item 1 OdDMvely Is desired. <br />at 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 maiipieoe, <br />or on the front if space permlts. <br />1 <br />A. <br />1 <br />Fort Lupton Sand and Gravel <br />I-I <br />b <br />a <br />O <br />114 <br />>103 <br />0 <br />1440 D4 <br />'b <br />aern <br />N <br />.(F.71'11 Ft '!N , i;Fi'71( qv ON 1?L L'VF(7)" <br />4. Restricted Delivery? (Extra Fie) <br />7010 1670 0001 7818 1965 <br />0 Agent <br />0 Addressee <br />. Received by (PrInted..Name) O. Date of Delivery <br />town Ism D Yes <br />below: q No <br />Certified Mei 0 Eons MW <br />0 Registered 2rAetum Receipt for Mardi <br />0 Insured Mai 0 C.O.D. <br />0 Yes <br />01 <br />8 <br />a - <br />rR <br />N <br />0 <br />0 <br />-n <br />rR <br />rR <br />0 <br />