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HomeMy WebLinkAboutZ-02832 ApplicationAPPLICAi FOR REZONING C7 61 S t C, 7 FIRE DISTRICT NO. +.' r.�g1lest � blt ildi �� c; � v . ri � lJ'� /1 G � LT thy. ? 'Y vi c-�<' w' Pe Ce APPROVED: (��;�, _ rr� 19 E ib ty f r _. -_ q] P. 19 BD, of DIR.APPROVED: /r 19 BD. of DIR.DRN4ED 7 19 TO THE LITTLE ROCK PLANNING COMMISSION: ORDINANCE NO. ? Z-6 9.* -?11 ZONING CASE NO. Z 'E&JZ- Filing Date: ,,, !'S 1974 Application is hereby made to the Little Rock Board of Directors of Little Rock, Arkansas, through the Planning Commission pursuant to Arkansas law on City Planning, Act 186 of 1957, Acts of Arkansas and Section 23 of the Little Rock Zoning Ordinance No. 5420 as amended, petitioning for a rezoning of the following described area: --ti Lat 11 :, 1? Al ack 12- 1-huntai n Parte Addi Linn to tho N tv azo= 1-i ttl o Rnrir_ . Arb:a'12-as _ (Att'ach.ed three conies of Plot Plans by Donald W. "rooks R2oistered Lara Surv,�vor as of h�Iarcb 2., 1TAM.) - Charlie C. Jackson and Cl ivz L. Jackson and Title to this property is vested in: r%nn n n^,.me #_ t A+;+4n ln..nyr_ It is desired that the boundaries shown on the District Map be amended and that this area be reclassified from the present " A _Sinaa�l Fawilpv District to it - Comrarcial - - District. Present Use of Property; "' i Fami1¢,y NesideDtil tewllings Desired Use of Property: rLiLir? !'X?Yr'lOtifTlcTi (There are) (there are no) deed restrictions pertaining to the intended use of this property. J The filing fee, required by Ordinance No. 9455 will be paid at the City Collector's Office_ on the filing and acceptance of this application by the Zoning Office. It is understood that notice of the public hearing hereon before the Little Rock Planning Commission will be published at least 15 days prior to said hearing in a daily newspaper as required by Act 186 of the 1957 Acts of Arkansas and Section 23 of said Ordinance, and that notice of preliminary hearing before the Commission (PC -18) must be circulated by the applicant to all other parties in interest, including owners of land within 200 feet of the boundary of the area under consideration as required by the rules of the Commission, and that the cost of these notices shall be borne by the applicant. DATE: Form ZA 2-17-69 (600) OWNER or AGENT F'r. ,.: rs , r !'o,.,ris � son 351: Old Cantrell load, Little Roc"", Ark. 72202 ADDRESS : �,^,��►�� _ _ PHONE: STATUS SHEET c P.C. CASE NO. Z- 3'Z, l.Application filed (completed) 2.Checked for a.Parks plan b.Master st. plan c.Urban Renewal/N.D.P. 3.Placed on Ag.&Legal Ad 4.Sketch prepared 5.Land Use prepared 6 -Staff Rec. completed 7.Notices in 8.Letters of Objectors noted G No. 9.Process P.C. Appli. w/Com. action & P.C.letter to appli. mailed show.Com. action (all cases) 10 -Copy of appli.toCity Clerk (i'f approved) ll.Copy of .Appli.& appeal procedure mailed to appl.(if denied) 12.Processed P.C. appl. to appl.with B.ofDir. action 13.Post zoning change on records DATE 1t5 �l4 REMARKS Vr uoN� i The above fees shall be paid to the City Collector, 1st. Floor, City Hall.,' =s i DIRECTOR OF COMMUNITY -DEVELOPMENT DEPT. Barr I r"w j Address of property involved.. A 1 Name of applicant: ` M+ NO. CITY OF LITTLE ROCK DEPARTMENT OF COMMUNITY DEVELOPMENT FILING FEES LJA-tleRock, Ark. `-%�y r 919 Zoning Applicatir n} --Vee $ ($25) Board of Adjustr nt Application -Fee $ ($10 plus 50� per lot/acreFrwim�pary Subdivision Fee $ ($10 plus 50� per lot/acre) Finaf"Subdivision Fee $ ($5 plus $1 per lot) Re l ,rFe ($20 per intersection) lj�e F 'Name Signs Fee $ LD1;-� . _�. . TOTAL $%°", The above fees shall be paid to the City Collector, 1st. Floor, City Hall.,' =s i DIRECTOR OF COMMUNITY -DEVELOPMENT DEPT. Barr I r"w j Address of property involved.. A 1 Name of applicant: ` M+ Don D. Downs 1919 North Fillmore Street Little Rock, Arkansas 72207 April 12, 1974 Little Rock Planning Commission 304 City Hall Markham & Broadway Little Rock, Arkansas 72201 Attention: Mike Dooley Re: Lots 11 & 12, Block 12, Mountain Park Addition Gentlemen: This letter will verifv in behalf of myself and wife, Letitia Downs, that Charlie C. Jackson has made an application to you on rezoning from "A" single family to "F" commercial, and that we asked him to file this application for us. Sincerely yours, A- -Don D. Downs 4 L ti ti a Downs Don D. Downs 1919 North Fillmore Street Little Rock, Arkansas 72207 April 12, 1974 Little Rock Planning Commission 304 City Hall Markham & Broadway Little Rock, Arkansas 72201 Attention: Mike Dooley Re: Lots 11 & 12, Block 12, Mountain Park Addition Gentlemen: This letter will verify in behalf of myself and wife, Letitia Downs, that Charlie C. Jackson has made an application to you on rezoning from "A" single family to "F" commercial, and that we asked him to file this application for us. Sincerely yours, �Y WMITINIMli Letitia Downs Charlie C. Jackson 3515 Old Cantrell Road Little Rock, Arkansas 72202 May 9, 1974 Little Rock Planning Commission 304 City Hall Markham & Broadway Little Rock, Arkansas 72201 Attention: Mr. Mike Dooley Subject: Rezoning 1819 N. Fillmore and 5623 "R" Street Little Rock, Arkansas Gentlemen: Enclosed is Notice of Public Hearing with list of the property owners within 200 feet, along with Receipts for Certified mail, delivered to all the parties; a copy of letter of Notice sent on April 25, 1974; copy of the letter and list of owners prepared by Beach Abstract Company. This should complete all of the requirements. I would appreciate you acknowledging receipt of these papers and let me know if there is anything else to be done. Sincerely yours, n Charlie C. Jackson CCJ/mm Case Number: Z-2832 Applicant: Charlie E. Jackson Location: 1819 North Filmore Street and 5623 "R" Street Description: Lots 11 and 12, Block 12, Mountain Park Addition Present Classification: "A" One -family District Proposed Classification: "F" Commercial District Proposed Use: Future development PLANNING COMMISSION RECOMMENDATION: THE PLANNING 00MMISSION VOTED TO RECOMMEND THE APPROVAL OF THIS APPLICATION. ( 8 ayes - 0 noes - 3 absent) Staff Recommendation: The Staff recommends approval of this application as it is in conformance with the general development plan for Forest Heights Center. Past zoning action in this area has this corner locked in to some use other than residential. There is only one block between Polk Street and University, Kavanaugh Boulevard to Cantrell Road that is not partially or entirely commercial zoned and used. There were no objectors. MW DEPARTMENT Planning Division Central Inspections Divisions Traffic Division OF COMMUNITY THIRD FLOOR CITY HALL LITTLE ROCK, ARKANSAS 72201 Dear DEVELOPMENT Public Works Real Estate Re: Case No.Z Q 8 3 Address 18 49 �-5-6" �3Z,' �• This is to advise you that 'n con ction with your application, -for a� change� 1W zoning from in District to District, the fo lowing a io_ was taken by the Planning Commission at its meeting on t f / t.11 i_ (a) (b) (c) (d) (e) (f) Denied your request as submitted. Recommended approval as applied for. Recommended approval - provided: Recommended rezoning to Deferred to (at your request) An ordinance effecting this rezoning will (wi44-ft&t) be s witted t ea d of Directors for its consideration at its meeting Yours very truly, LITTA ROCK PLANNING COMMISSION %I "" &AotQ on . Venhaus Secretary 2-74-200 O THIS IS NOT A PETITION Filed 4&S ,'S _14- NOTICE 4- NOTICE OF PUBLIC HEARING BEFORE THE LITTLE ROCK. PLANNING COMMISSION TO ALL PARTIES IN INTEREST, includirg owners of lard lyin within 200 feet of the boundary of property at ;Kl . Fr I molp-E -S-1. .154. 5L�� ` T awned b}*s C. __C Jam, �l ��1tJS NOTICE IS HEREBY GIVEN THAT an. application for a rzoning of the above described property requesting a change of zoyie classification. from '° � °" 5iL1F,1e j -A1 -A1 j 1-f District to 11 F " cc�1 [� ill _ District by amendment of the Little Rock Code of Ordinances (Chapter 43) has been filed with the Little Rock Planning Commission, City Hall. A public hearing on said petition by this Commission will be held in the Board of Directors' Chamber, City Hall on Jj j 1e (p , 19714, at 2:00 P.M. ALL PARTIES IN INTEREST MAY BE HEARD AT SAID TIME AND PLACE OR MAY NOTIFY THE COMMISSION BY LETTER OF THEIR VIEWS ON THIS MATTER. ATTENTION: PROPERTY OWNERS The rules of the Little Rock Planning Commission require that the applicant for rezoning serve notice to all parties in i.terest. Your signature below simply indicates to the Commission that you have read this ivtice announcing the time, place, and purpose of the public hearing on this case. THIS IS NOT A PETITION TO APPROVE OR DENY THE APPLICATION - MERELY A NOTIFICATION OF A PUBLIC HEARING. Property Owners Address F & B Real Estate Co., Inc. 7324 Rockwood Road, Little Rock, Arkansas 72202 William Poston Bower 217 West 15th St.,Little Rock, Ark. 722-2 Mr. & Mrs. Guy W. Beard 2423 N. Pierce St., Little Rock, Ark. 72207 Trustees, Calvary Baptist Church 1901 N. Pierce St. Little Rock, Ark. 72207 Mrs. Francis Guy Fulk 1816 N. Fillmore St. Little Rock,Ark. 72207 Eugene M. Pfeifer, Jr. and Eugene M. and--€ E. Ge Leyy Pfeifer,III P. 0. Box 5088, North Little Rock,Ark. 72119 Mr. Ralph T. Erwin, Jr. 1818 N. Taylor St., Little Rock, Ark. 72207 Mrs. Alice Tucker White 1628'Sherwin Apt. 102, Chicago, Ill. 60626 Mr. & Mrs. Henry R. Kastman 1808 -N -.-Taylor St.,Little Rock, Ark. 72207 Mr. & Mrs. Don 0. Kirkpatrick 600 Legato Lane, Little Rock, Ark. 72205 First National Bank Third & Louisiana Sts.,Little Rock,Ark. 72201 RECEIPTS -FOR CERTIFIED MAIL ATTACHED FOR ALL OF THE ABOVE AS RECEIVED. Letter of Notice of Pulbic Hearing attached sent to Property Owners on April 25, 1974 Crips► of Letter and 1 ti ct of f3°.morc attached proparad by Beach Abstract CQMPany 2-74-600 APPLICANT COMPLETE REVERSE SIDE Property Owners Name: Address by Certified Mail I hereby certify that I have notified/?a11 the property owners within 200 feet o.f the property aforementioned that the property is being considered for,rezoning and that a Public Hearing will be held at the time and place described above. I understand that if all interested parties are not notified at least five (5) days before the public hearing on this'application, the Planning Commission will not consider the application. Charlie C. Jackson and Don D. Downs; By p icant Date: May 7, 1974 i 0 April 25, 1974 NOTICE OF PUBLIC HEARING BEFORE THE LITTLE ROCK PLANNING COMMISSION TO ALL PARTIES IN INTEREST, including owners of land lying within 200 feet of the boundary of property at 1819 N. Fillmore Street and 5623 "R" Street owned by Charlie C. Jackson and Don D. Downs., NOTICE IS HEREBY GIVEN THAT an application for a rezoning of the above described property requesting a change of zone classification from "A" Single Family District to "F" Commercidl District by amendment of the Little Rock Code of Ordinances (Chapter 43) has been filed with the Little Rock Planning Commission, City Hall. A public hearing on said petition by this Commission will be held in the Board of Directors' Chamber, City Hall on June 6, 1974 at 2:00 P.M. ALL PARTIES IN INTEREST MAY BE HEARD AT SAID TIME AND PLACE OR MAY NOTIFY THE COMMISSION BY LETTER OF THEIR VIEWS ON THIS MATTER. I • ,J ,f i 4' 1� S BEACH ABSTRACT & GUARANTY COMPANY 2 1 3 WEST SECOND STREET LITTLE ROCK. ARKANSAS 72201 TELEPHONE 376-3301 E. A. BOWEN. JR. PRESIDENT CHARLES R. DOUGAN VICE PRES. THOS. P. MCDONNELL VICE PRES. & ESCROW OFFICER TRUMAN NOLEN VICE PRES. MELVIN ORENDER ESCROW OFFICER SECY.-TREAS. Mr. Charlie C. Jackson and Mr. Don D. Downs c/o John Rogers Collins & Company 3515 Old Cantrell Road Little Rock, Arkansas Gentlemen: BURTON DOUGAN CHAIRMAN OF THE BOARD LEOLA LAMBERT ASSISTANT SECRETARY JACK N. FLEMING ASSISTANT SECRETARY HAROLD T. WILLIAMS ASSISTANT SECRETARY JANICE CLAYTON ASST. ESCROW OFFICER April 2, 1974 We have examined the records of Pulaski County, Arkansas, up to March 29, 1974, at 8:00 A.M., as to the following described property, to -wit: Lots 11 and 12 Block 12, Mountain Park Addition, and find that the descriptions shown on the attached sheet lie within 200 feet of the above described property and that the owner's names set out opposite the descriptions are the last apparent owners of record of said property. We do not certify as to validity of title. The addresses shown are taken from current directories and tax records. We do not guarantee the accuracy of said addresses. Sincerely yours, E. A. Bowen, Jr. President /sb Enclosure OWNER MOUNTAIN PARK ADDITION F & B Real Estate Co., Inc. 7324 Rockwood Road William Poston Bower 217 West 15th Guy W. Beard & wife Virginia 2423 North Pierce F & B Realty Co. 7324 Rockwood Road Trustees Calvary Baptist Church 1901 North Pierce Francis Guy Fulk(& wife Frances McCroskey',,,',- 1816 North Fillmore D, 1'C, Eugene M. Pfeifer, Jr. and Eugene M. Pfeifer, III, and E. G. Levy Post Office Box 5088 North Little Rock Ralph T. Erwin, Jr. 1818 North Taylor Alice Tucker White 1628 Sherwin Apt. 102 Chicago Illinois e're' � Henry R. Kastman & wife Marcella M. 1808 North Taylor Don 0. Kirkpatrick & wife S.Carolyn 600 Legato Drive DESCRIPTION Lot 13 Block 5 Lot 14 Block 5 Lot 15 Block 5 Lots 16, 17 and 18 Block 5 Lots 16, 17 and 18 Block 6 . Lots 1, 2, 4, 5, 6 Block 11 ` Lot 3 Block 11 Lots 1=aid 9 Block 12 Lot 2 Block 12 Lot 3 Block 12 Lot 4 Block 12 Lots 5 and 6 Block 12 First National Bank in Little Rock Lots 7, 8 and 10 Block 12 Ai LA�! A NI Z 2 Z 819 NTILNIORE 4 1�62� IR" 5T LU w rl E T r F - Lt! uJ LANTRELI Cn p. llJ L Ll (L� C_ ) Ld n Z 282 189 N.FILMORE 4 56°23 5CSCALEI" 2D' -�- No 4 W. Wo QE" (MON 5 <' ST ATB I i CIVOL ENGINPEERING & SURVEYING P. O. BOX 097 PHONE 750-3009 NORTH LITTLE R-,' ^RKb1Y' SAS 72915 { LEGA, DE "CRIFTIO f. Lots 11 & 12, Block 12, MOUNTAIN PARD ADDITION t0 the City of Little Rock, Arkansas fl This is t® ca-arrti£y that the above described farad has b3an surveyed. The corners are marked as shcvwn rnd @To ki accordance vylVi existing monuments in the vicinity. ThMs ccrtifi QaVcn is for and limited t® the parties shown hereon. 1974 SND �UF-,F , � ; �� I�a�� ®� �� Pv�a;� n March �� 9 — S7ATL� OF i Proporty Address: 1819 North Filmore =D,,Doi-,jns reet r •' FGr Um 71onefot of: Charles C. 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( w 0) O 01 N cn r+ O} CV i �L =r m v M Ia f W O y 00 MW ~ O 3 MW rt Co R No. 685734 r� eo 7 (D ;2e. a Oz; �o sic' ONci 77 �o nm � kA N "i fD [D V C" 1- N N O V M o m Q 3' CD N � Q CD C7 m m tn � v C c � r .r.C7 V_ C y 00 =4 Cp mA � x U4 CP Y SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) J (Additional charges required for three services) Show to whore, date and address Deliver ONLY where delivered 1:1 to addressee � RECEliyi Received the numbered articie described below REGISTERED ltR. SIGNATURE -OR NAME pF ADORESSEE (Must ¢loam+: be FlUd in) Gk�3i� Ill.. 685731 IDTF—S-10M OF ADDRESSEE'S AGENT, IF ANY v INSURED NO, APR 26 1974 Z a Y J IO e W O Om a9 m ID � m 0 3 y V LU O U. owEl O t) m W HH - w "d t9 p m tu ILcc � I nu y�LLJ vv " . 92 3 'z Z - a 0 eco J LU JELL LU CV �00 t � jO LU W ay N n r O ll.li C O m �V eS L m N O Q L o Y N pp 01 7 r cc 3„ oU.@ a A W) to W ® e] z M Ci o— o W � M � n. au r, �w w E M LCI cc •(3)U U U ko 0, SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) J (Additional charges required for three services) Show to whore, date and address Deliver ONLY where delivered 1:1 to addressee � RECEliyi Received the numbered articie described below REGISTERED ltR. SIGNATURE -OR NAME pF ADORESSEE (Must ¢loam+: be FlUd in) Gk�3i� Ill.. 685731 IDTF—S-10M OF ADDRESSEE'S AGENT, IF ANY v INSURED NO, APR 26 1974 IrUMB-9 -2V OL61 WN Ties mss"! Sd SOVDER: Be sure fo follow in*mdons on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Addit =W charges required for these services) 1�i1 Show to whom. date and address Deliver ONLY LJ where delivered ® to addressee MhUEIPT Received the numbered article described below tEGISTERED NO. SIGNATURE OR KWE OF ADDRESS (Must ahca" be fs'£Ied ss) 'ERTIFIED NO. 685732 , SIGNXTUREOFAD ESSEE'SAGENT,IFANY if re;ireeat APR $ 7 1914,0 SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICES) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these servicse) Show to whom, date and address Deliver ONLY where deWered to addressee Received the numbered article clAwibed below REGISTERED NO. SIGNATURE OR NAME OF ADDRESSEE (Must ahooM 685729 x SOME:OFAOQRESSEPS t INSURED No. ►{ --'16 -q � in) Z a IO W W HH - tu ILcc aa p vv " LLOO rr>d o.L m N C� JELL N p CV �00 LU W ay U) W O Z 0 -s o ®C C O —.2.0 N O Q L o Y N 01 7 r A ZEm C p d o— o U +3 U jj j n ®>m w E ID •(3)U U U a W0 ID. r— O > co 2 E W Z q s o w yy a— a n_w U U J F J m er— t... aIQ C�S� S. LCI cM H J 4. 0 0 Vi O IrUMB-9 -2V OL61 WN Ties mss"! Sd SOVDER: Be sure fo follow in*mdons on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Addit =W charges required for these services) 1�i1 Show to whom. date and address Deliver ONLY LJ where delivered ® to addressee MhUEIPT Received the numbered article described below tEGISTERED NO. SIGNATURE OR KWE OF ADDRESS (Must ahca" be fs'£Ied ss) 'ERTIFIED NO. 685732 , SIGNXTUREOFAD ESSEE'SAGENT,IFANY if re;ireeat APR $ 7 1914,0 SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICES) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these servicse) Show to whom, date and address Deliver ONLY where deWered to addressee Received the numbered article clAwibed below REGISTERED NO. SIGNATURE OR NAME OF ADDRESSEE (Must ahooM 685729 x SOME:OFAOQRESSEPS t INSURED No. ►{ --'16 -q � in) SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICES) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these services) --iShow to whom, date and address Deliver ONLY where dall+r9red ❑ to eddressee RECEIPT Received the numbered article described below SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Additional charges required for a smLci es) ❑Show to whom, date and address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described R€GISTERM NR. 10 NATURE DR NAME OF ADD.RESSE CEMED NO. 685727 SHMTURE OF ADDR€SSEVS; AGI INSURED N& •;, A� f . i1 OYP WHERE DELMED (Only if ragas filLad SOWER. Be vire to follow i uhwtions on other side PLEASE FURNISH SERIWCE(S) INDICATED BY CHECKED BLOCK(S) (AdditioaW charges nquired for these services) ❑Show to whom, date and address Deliver ONLY where delivered ® to addressee RECEIPT Reserved the numbered article described below _685726 INSURER NO-_ r.` � A �r 3 Fo V LU o m »»i O Om Q -- 7 N LLI 0 � LU t3 O a - vj _ c 7 N N O !d9, WW w n v O ®S o a to 0 �� m 0'0 O to { ' LU LVLU 0 v ca o� rn ft ® v e - N V U C x O la ` LUa ; LU O Zg' c US � Frc�® ® r ®9Me ? Q y w p U W E Z� O ®®E N? o t0 61 Q. ULo � 0 r— 4-t 4-) i• Lo •r d f%J p Q Z q'a V J h M 00 i LU y3: ties Sd ® a pz O 6IL w , CM sY i w ra LO LL) LULU co Ci co x SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICES) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these services) --iShow to whom, date and address Deliver ONLY where dall+r9red ❑ to eddressee RECEIPT Received the numbered article described below SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Additional charges required for a smLci es) ❑Show to whom, date and address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described R€GISTERM NR. 10 NATURE DR NAME OF ADD.RESSE CEMED NO. 685727 SHMTURE OF ADDR€SSEVS; AGI INSURED N& •;, A� f . i1 OYP WHERE DELMED (Only if ragas filLad SOWER. Be vire to follow i uhwtions on other side PLEASE FURNISH SERIWCE(S) INDICATED BY CHECKED BLOCK(S) (AdditioaW charges nquired for these services) ❑Show to whom, date and address Deliver ONLY where delivered ® to addressee RECEIPT Reserved the numbered article described below _685726 INSURER NO-_ r.` � A �r z Fo LU m »»i SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICES) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these services) --iShow to whom, date and address Deliver ONLY where dall+r9red ❑ to eddressee RECEIPT Received the numbered article described below SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Additional charges required for a smLci es) ❑Show to whom, date and address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described R€GISTERM NR. 10 NATURE DR NAME OF ADD.RESSE CEMED NO. 685727 SHMTURE OF ADDR€SSEVS; AGI INSURED N& •;, A� f . i1 OYP WHERE DELMED (Only if ragas filLad SOWER. Be vire to follow i uhwtions on other side PLEASE FURNISH SERIWCE(S) INDICATED BY CHECKED BLOCK(S) (AdditioaW charges nquired for these services) ❑Show to whom, date and address Deliver ONLY where delivered ® to addressee RECEIPT Reserved the numbered article described below _685726 INSURER NO-_ r.` � A �r 1 t Q -- N LLI s o ® 'v O a - vj _ c 7 N N Z :v n O ®S o a Y 0 0'0 O to N 0 v N O ro ft ® v e - N U C x E®® V (0r 7 i-- r0 -L o i i Frc�® ® r ®9Me U+) Q z LU .2 4'D ® �=m2 •�U U >v) LUZ E Z� O ®®E N? o t0 61 Q. ULo <m o ag ro r— 4-t 4-) i• Lo •r d f%J p e® Z MU. J i OL61 -AOM ties Sd SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICES) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these services) --iShow to whom, date and address Deliver ONLY where dall+r9red ❑ to eddressee RECEIPT Received the numbered article described below SENDER: Be sure to follow instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Additional charges required for a smLci es) ❑Show to whom, date and address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described R€GISTERM NR. 10 NATURE DR NAME OF ADD.RESSE CEMED NO. 685727 SHMTURE OF ADDR€SSEVS; AGI INSURED N& •;, A� f . i1 OYP WHERE DELMED (Only if ragas filLad SOWER. Be vire to follow i uhwtions on other side PLEASE FURNISH SERIWCE(S) INDICATED BY CHECKED BLOCK(S) (AdditioaW charges nquired for these services) ❑Show to whom, date and address Deliver ONLY where delivered ® to addressee RECEIPT Reserved the numbered article described below _685726 INSURER NO-_