HomeMy WebLinkAboutPermit Correspondence 1994-4-8
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~ SENDER:
"0 . Complete items 1 andlor 2 for additional services,
Q) . Complete items 3, and 4a & b,
~ . Print your name and address on the reverse of this form so that we can
Q) return this card to you,
~ . Attach this form to the front of the mail piece, or on the back if space
... does not permit.
1 . Write "Return Receipt Requested" on the mailpiece below the article number,
... . The Return Receipt will show to whom the article was delivered and the date
delivered,
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I also wish to receivr
following services (for an
fee):
1, U Addressee's Address
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4b. Service Type
o Registered
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o Express Mail
o Insured
o COD
o Return Receipt for
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~ 6, Signature (Agent) J- ~L~i +-
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,; PS F1VJo', '~tDecember 1991 -IlU,S, GPO: 1993-352-714
Centennial Center
PO Box 1328
Eureka, CA 95501
2, 0 Restricted Delivery
Consult postmaster for fee,
4a, Article Number
P866 797 959
7. Date of Delivery
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8, Addressee's Ad&ess (Only if requested ..Ili
and fee is paid) ~
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DOMESTIC RETURN RECEIPT
,0 STATES POSTAL SERVICE
Official Busiriess
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
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Print your name, address and ZIP Code here
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DEVELOPMENT SERVICES
225 FIfTH STREET
IIi SPRINGFIELD, OR 97477
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