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HomeMy WebLinkAboutPermit Correspondence 1995-1-12 'G; SENDER: E",;kl;,,~_ ~\ '11&<:; Jdspe,r!fbl. . . ~ . Complete items 1 and/or 2 fo~ition81 services. I also wish to rec;:elve the CD . Complete items 3. and 48 & b. following services (for an extra f . Print xour name.and address on the reverse of this form so that we can fee): CD return thIs card to you. > . Attach this form to the front of the mailpiece, or on the back if space 1. D Addressee's Address ! does not permit. .! ~ Write "Aeturn'Recefpt Requested" Oil the mailpiece below the article number .. . The Return Receipt will show to whom the article was delil/ered end the date delivered. Gt ) .. " ~ .. '" c o "C 3. Article Addressed to: .. - .. Q. E o ~ Lf/fpt.( JJ6~ 120( ~ 5pr"l1crHl)c~ Of? ~ ....) q7Lf7~ ii! 5, Si"!atlfl/Ar'esseel / ~~'~~K ~ 6. Signature (Agent) I-Ioedad :5 2. 0 Restricted Delivery Consult postmaster for fee. 14a. Artie; ~ber 4b. Service Type ~egistered ~ertjfied o Express Mail o Insured o COD o Return Receipt for Merchandise 7. Date of Deliv;.g L2 ~ ) - \ e-.-- tv g . > 8. Addressee's Address (Only if requested ~ and fee is paid) i &: ~ ~ " ';; " .. a: c - " ~ .. a: " c 'iij " (; ~ - " 0- - >- PS Form 3811, December 1991 .!l trU.S. GPO: 1~'714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business " PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 ~.' I!IIIIII . Print your name. address and ZIP Code here . DEVELOPMENT SERVICES 225 FIFTH STREET SPRINGFIELD, OR 97477