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HomeMy WebLinkAboutZ-3470 ApplicationPS Form 3500, Apr. 1976 0 ,. 77 i n rC t i�wt -4 C3, CONSULT POSTMASTER FOR FEES -u Ur ]L8 C a uo wvN1180d OPTIONAL SERVICES 9e� A 111131*310181538 a mcn n a HiIM.183A113Q305S380(1V wn Twc, m � z RETURN RECEIPT SERVICE o m a 0 z 31V00NVWOHM01*00S rb 5 a � c1 m D m Frl a ` Sox cn rnzs no m A m��mi cac s (D g m 0383111130 31tlO a ONVWOHM01MOHS m �1 0 a AFGAIT4003101WSAH a omar a AH3AI1301V103dS m 'M y a 33d 031311H30 neo xxo �'oo ro m m m ❑11�t35 K .4 oTx m>� \1 0) mxp O1J.N3S , m m > LaiU .�. m • M �x vmi= r m M < ci HS (7 (GD ` M m { �o �o ao S mm� mzo z m N CGpD z n Mo m< x J H N =G n� 7 �' xo P z J.1� p APP ]L8 C a uo wvN1180d 31' 0 NHVW1SOd 33j V 3JV1SOd 1Y/101' 9e� A 111131*310181538 a 03i0 1538 '0 a HiIM.183A113Q305S380(1V wn Twc, QOV Oimofls � z PY9CD 0NV31VO'WOHMOlMORS z o o z a AHWIK 31QI81630 H1IMO3Wnl11 z 31V00NVWOHM01*00S `—^ •v 5 a � 1� C3 1183111130 a 30 SS3HOOV ONtl -' cn 11 RETURN RECEIPT SERVICE 31V0'WOHMOIMOHS A A cac s (D g m 0383111130 31tlO a ONVWOHM01MOHS m �1 0 a AFGAIT4003101WSAH a M � a AH3AI1301V103dS o b 'M y a 33d 031311H30 a $ 30V1SOd i�0ZZL .zV ,.d "I 3000 dIZ ONV {{3��1VVJ-S''O'd • a Q M a T A '4 S a .T C) 6N 01V'v`1M1S s.20-1'eM 'M PFALIa ❑11�t35 (aSJanaa aaS) llVW IVNOIiVNU31Nl 1903 ION —0301AOUd 3MBAO3 33NVU11SNI ON -IIVW ®31311U33 UO3 ldl3:03d I PS Form 3800, Apr. 1976 o p y yyy} ylILu M ,eZ� �•y t r 1 r F. ovis0d 1V101 31' 0 NHVW1SOd -u 9e� ' }SV1SOd 1tl101 a 03i0 1538 '0 a 1 1+ 30 w1V wn Twc, QOV Oimofls � z PY9CD w z 1183111130 -1c 31Ofi11$38 H11M03113Ak13O 31V0 ONV WOHM 01 MORS s z � -a - m a C3 A83AI130 a � -' y 11 RETURN RECEIPT SERVICE 31V0'WOHMOIMOHS m C °� a y (D g m M � C .� 0 ♦✓ m �1 0 a 0(D a M � om a o b n moo rn a r• 1v �, oa a 33d 031dI1H30 ( It 30ViSOd 3000 dIZ ONV 31V1S `O'd • za Mazn '.Saa03BTy�99 m>� \1 0) 3= O1J.N3S , m m > LaiU • M O -�iu�io mom r m �90 ro « ci HS (7 (GD ` M m o00 �o �o ao o G I PS Form 3800, Apr. 1976 o p y yyy} ylILu �-a r� S ,eZ� �•y t r 1 r F. ovis0d 1V101 31' 0 NHVW1SOd -u cn ' }SV1SOd 1tl101 a 03i0 1538 '0 a 1 1+ 30 w1V a QOV Oimofls � z � w z 1183111130 a 31Ofi11$38 H11M03113Ak13O 31V0 ONV WOHM 01 MORS s z � -a - m a C3 A83AI130 a 30 S63HOOV ONV -' y 11 RETURN RECEIPT SERVICE 31V0'WOHMOIMOHS m C °� a y m(n n m a 0383A1130 31V0 m y 0 a ONVWOHMOIMOHS a AH3An3003J.0bmhl om a A Ama a L91F11S3H r-ra moo m� a AH3A11301V103dS 0 m y a 33d 031dI1H30 r P, $ 30ViSOd 3000 dIZ ONV 31V1S `O'd • za Mazn '.Saa03BTy�99 m>� i r7—Ki i O B H1S O1J.N3S , I PS Form 3800, Apr. 1976 o p CONSULT POSTMASTER FOR �-a r� S FEES ovis0d 1V101 o -u cn m a H11MJ,tl311113QiQSS3tlQUV '0 a 1 1+ 30 w1V 'n ONV31V(I'WOlUA01MOH5_ a c z z A83AII30 OPTIONAL SERVICES 31016193H H11M 0383A130 x m y r -4 31VOONV WOHM01MOHS a a M 0 � m m 3O S93HOOV ONVti 11 RETURN RECEIPT SERVICE 31VO'WOHM01MOHS m °� m n m(n n m a 0383AII30 31VO a 0> 0 a 0 T a AH3An3003J.0bmhl a a azo r-ra moo m� D 2 D 0 m 30V1SOd ` Z yz FP r P, >D �TUITTun u0T,4onagstkg. .s xm� mm� m>� o� C) m r o m m > LaiU • M D -�iu�io mom <mo �� �90 ro « HS (7 H-' ` M m o00 �o �o ao o G O • m I-•' N CGpD z n z m< J H ci �' xo O ►� lllj f fP M ft of K O bd A A A A A A A (OSJOABIJ aaS) IIVW IVNOIIVNH31NI NO3 ION —03OIAOUd 39VU3AO3 33NVUf1SNl ON 0313I1d33 H04 1d1333d o s 10 S tid pe (aSJ2Aaa aaS) llVW 1VNOIIVNU31NI NO3 ION —0301AOUd HMA03 33NVUnSNl ON llvw (131311 130) dUd 1d13338 0-,02? 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S, ttd h+f M z rn O �c cnS 2 N -i m ®I S o dN Z< ID = 491 (�D Z m r 9 DCl— rn rm {1] F c (aSJan08 aag) llVW IVNOIIVNU31NI NO3 ION —03GIAOUd 39VU3AO3 33NVUASNl ON llVW 031311d30 d6-A1d1333d �,s•j( `�� akdp HONHVW1SOd ovis0d 1V101 le 003 538 a 1 1+ 30 w1V UlAAOHS z o c z c A83A1130 a hOIH1S38 H11M 03HAI130 31VO ONV WORM Ol MOHS s n M c z r c AH3AIl30 z JO SS3H00V ONV 31VO'WOHM01MOHS m M x y m 0383A113031tl0 a ONV WOHMOlMOHS 0 a AH3AI130 (13101H-LS3H a AH3AI1301tlI03dS w a 33d 0313I1130 $ 39VISOd VOZZL •I'd •2I •Z 3000 dIZ ONV 31V1S `O'd P U M a T A g S OJ O 4N &'0144WIS -75-6M0D g dTITTIld Ol1NK c (aSJan08 aag) llVW IVNOIIVNU31NI NO3 ION —03GIAOUd 39VU3AO3 33NVUASNl ON llVW 031311d30 d6-A1d1333d PS Form 3800, Apr. 1976 a i CONSULT POSTMASTER FOR FEES o 0 _ AHM1130 03101H1SM KIM 03HM1130 s 'I OPTIONAL SERVICESm rn c z o AH3A1130 cn i r > JO SS3H/OV INV o w-4 RETURN RECEIPT SERVICE s C m u 0 � m s (INVWOHM OIMOHS m0 o m��yj �m�= mzi as OPTIONAL SERVICES M �= a $ 39V1SOd M 2 1, G<<G <mo j90 oma. v r 0 m M m i n up RETURN RECEIPT SERVICE x mx O < m Ii v CA a03H3AI13031V0 INV WOHM Ol MOHS N 90 Y C _ A83AI130 C13101H1S3H m D 70 m m M 7O T y O a 33d 031311H30 fl y ® 30V1SOd Q� ��� -n �� � 39V1SOd � 9FRT moo nio D • � a c'rr� ONONVI3 H13 - IN . � ® n a m� 8 c2 mn� o� �� r 0 m m v m am M 9� dPpdqc uHv nvu umw� z o c z _ AHM1130 03101H1SM KIM 03HM1130 s 'I c 31VOINV WOHMO1MOHS rn c z o AH3A1130 M 51 N JO SS3H/OV INV o w-4 a 31V0'WOHM01MOHS s s C n cn D 03H3AI13031V0m c z ti s (INVWOHM OIMOHS o- o T 0 70 .A83AI134 03J OlH1S3H 31V0'W0HM0IMOHS AHM1301VIO3dS OPTIONAL SERVICES M 33d 031d11H30 a $ 39V1SOd tiTg aagwTs TT"ENAMS p FTTTV • Z) U1TTTTX b cn O n W m O 0 rn (OSIOAGH aaS) 11VW IVNOIIVNU31NI 803 ION —0301AOUd 39VU3A00 30NVUf1SNI ON 11VW ®31311933 HOA 1d1333H :� S QI -lid, (OSJanaa aaS) 11VW 1VNOIIVNU3INI HOA ION —0301AOUd 39VU3AO3 33VVHASNI ON iivw ®3ldlla30 HOJ ldRAU V S DLS ltd f � � � !, V��111�Qd 1tl101 � rn PS Form 3800, Apr. 1976 $ -Q •!'^y30NtlrJ9EiViSY]d 1V101 a VA? > :-31VOK0>IbIVWJSOd $ pil NV 30V1SOd W101 M 51 N z o c z c a O CONSULT POSTMASTER FOR FEES 310WI 3H H11M 03SA1130 31VOaNVN1DHMOlMOHS �a �o m D 0NV31Va'110HM01M04 c z z M JO SS3800V INV o- o M x 31V0'W0HM0IMOHS V OPTIONAL SERVICES 3BI INV WOHM 01 MOHS m a AH3AIl30 L'f o o X49 a03H3A1130 v _ o i a m C RETURN RECEIPT SERVICE �+ ci rt' a rn m m v CA a03H3AI13031V0 INV WOHM Ol MOHS 3000 dIZ ONV 3J.V1S "O'd anon Gula T-;tyAVAAis T O _ A83AI130 C13101H1S3H m D 70 m m M 7O T y O a 33d 031311H30 fl y ® 30V1SOd Q� ��� -n �� � 39V1SOd � 9FRT moo nio D anoD Gula TT?s TT ONONVI3 H13 - z� ® n a m� 8 c2 mn� o� �� r 0 m m v m am M 9� dPpdqc W ! m Z m `N' <y� F7 Cl r Q ~ rn 2K 7J 6� T ig!ac n `L_ uNip mo m T T~ C ti In L E I--` N V mm y �y'� LJ i. m rmq Fig .gyp o z ` F3 t4 i7u r� fi 1Cp m nm �� ~ u, m ma c �.�� z yo a -n c r ill 4 cn r m ® (.T1 ff N �P (OSJanaa aaS) 11VW 1VNOIIVNU3INI HOA ION —0301AOUd 39VU3AO3 33VVHASNI ON iivw ®3ldlla30 HOJ ldRAU V S DLS ltd f � � � !, V��111�Qd 1tl101 � rn kVYY1S0d $ -Q •!'^y30NtlrJ9EiViSY]d 1V101 a VA? > :-31VOK0>IbIVWJSOd $ pil NV 30V1SOd W101 1130 03171HiS311 z o c z c a H11MAH3AI130 H0 Ss3IJ00V ? 310WI 3H H11M 03SA1130 31VOaNVN1DHMOlMOHS �a �o m z r 0NV31Va'110HM01M04 c z A83A1130 nc z JO SS3800V INV A83AI10 I a MOIKSB HIM 03H3A130 x 31V0'W0HM0IMOHS c s 3BI INV WOHM 01 MOHS —m g r= AH3AIl30 31V0 AH3AI130 a JO S93H00V INV a03H3A1130 ti '31V0'WOHM01MOHS a m C 3m A83AIl301V103dS M a m m mm a03H3AI13031V0 INV WOHM Ol MOHS 3000 dIZ ONV 3J.V1S "O'd anon Gula T-;tyAVAAis T O a A83AI130 C13101H1S3H a 70 a AHM-1301V103dS 7O T m a 33d 031311H30 $��JJ 30V1SOd }}77 V 0 Z Z L 3OS dIZ',I;AltllSrlO,, asa au -L6 .v - 'ON UNV J3381s SNOoag •a u04TV 39V1SOd 011N3S (OSJanaa aaS) 11VW 1VNOIIVNU3INI HOA ION —0301AOUd 39VU3AO3 33VVHASNI ON iivw ®3ldlla30 HOJ ldRAU V S DLS ltd f � � � !, V��111�Qd 1tl101 � rn (09JOAGH aaS) 11VW 1VNOI1VNU31NI UOd ION —0301AOUd 39VU3A00 3ONVUf1SNI ON livor ®31311li3:D H0=11d1333H gZgVnTq lid . kVYY1S0d $ -Q •!'^y30NtlrJ9EiViSY]d 1V101 a VA? > '0 !i5 z o c z c 9 A83AII30 ? 310WI 3H H11M 03SA1130 31VOaNVN1DHMOlMOHS �a �o m z r --4 c A83A1130 a JO SS3800V INV ca CD rn AHM130 a 31V0'W0HM0IMOHS 5 s v CA AH3AIl30 31V0 m 30 SS3800V INV a a03H3A1130 INV WOHM Ol MOHS 0 a kU3A113003.191aiS3IV a A83AIl301V103dS M a 33d 031=1UH30 m $ 39VJ-SOd V 0 Z Z L 'z� 'rI 3000 dIZ ONV 3J.V1S "O'd anon Gula T-;tyAVAAis 'U ITTS OLLDas (09JOAGH aaS) 11VW 1VNOI1VNU31NI UOd ION —0301AOUd 39VU3A00 3ONVUf1SNI ON livor ®31311li3:D H0=11d1333H gZgVnTq lid . (8SJaAU8 vi d) 11VW IVNOILVNH31NI HOA ION —0301AOUd 39VU3A00 3VVU0SNI ON iivw ®3141100 M®3 ldl3331d 9719v0)_c° ltd kVYY1S0d $ -Q •!'^y30NtlrJ9EiViSY]d 1V101 AH3M130 03101H1S3H 9 KIM A63AI130 30 SS3800V ' INV 31V0 W OHM Ol MOHS z ca CD AHM130 a ]3 TKS3H H11M 0383A1130 31VO ONV WOHM 01 MOHS s M z AH3AIl30 a 30 SS3800V INV rn 1 '31V0'WOHM01MOHS s m a 03H3A1130 31V0 m ti a INV WOHM Ol MOHS T 0 a AFJ3AI130 0310181S38 7O T a AH3A11301V103dS m CM A a 333 0314I1830 $ 39V1SOd 3000 d IZ 0 NV 31VIS "PA anoD Gula TT?s TT ONONVI3 H13 011NHs (8SJaAU8 vi d) 11VW IVNOILVNH31NI HOA ION —0301AOUd 39VU3A00 3VVU0SNI ON iivw ®3141100 M®3 ldl3331d 9719v0)_c° ltd PS Foran 3500, Apr. 1976 0 w 3 L 0 -x n A y m v p CONSULT POSTMASTER FOR FEES o o 6y tri pr'tf, En 0t n OPTIONAL SERVICES ca _ M WO NUVWiSOd y r m =i S7 t RETURN RECEIPT SERVICE m -V -t cn m m m 6 H11M AH3A1130 30 SS3000V x H11MAFi3nI3030SSI3N00VN 9 `0 q m � =� 2 D m 0 Aa�nll3a � o 3101N153N H11M 0)U3AI730 0 M wa � mcg <n� 0 `^� Q r m 30 SS3000V ONV y 77 as �. <mo mom <o --o , m0 a m m a 0383AI130 31V0 n M q25 �="R� ONV WORM Ol MOHS M �+ -o vmii mi 0 < a c 1 M o �= O fn0 90 m m t'OZZL '�K •2I •Z , no A mz 9p0 n o m D T a A83AIl301V103d13 vmmi a 333 (131311HAO $ $ 3E)V1SOd V 0 Z Z L •ad 2i 'rI I anOD aaquiTl TT'21 OT# v SuzNgL-M -H -4J[E)�3s -- J T Z TlII7tI E • ',� jrd ' r It �o x`: A A A A A A A i p o 10 cn I� 6y tri pr'tf, AR-", • ocn -0 ca _ M WO NUVWiSOd 3'k 1:10 NUVW1SOd S d V 30V1SOd 1V101 C-) aad d ba+dWls � $�39V1SOd 1tl101 -- a s 9 a a H11M AH3A1130 30 SS3000V x H11MAFi3nI3030SSI3N00VN 9 `0 q m 0NV31V0'Pl0HM01MONS z o Aa�nll3a � o 3101N153N H11M 0)U3AI730 0 0 c A83AII30 31VOOHVWOHMOIMOHS o 7310101S3HH11M0303AI130 a y AHM130 c 01 30 SS3000V ONV R onto moo 31V0'VVGWl11MOHS i 0 C7 m n D m a 0383AI130 31V0 n m aZ F--. 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(D w O ::r Cl H a G M (D (D n w (D F✓ b rt- rr•i rlH ' O 0 On O J rt r- (D H �nua C N rr r- d - p m n rr rt - a 0 5 o Lo M m �J r- =•-. K N O m;Vr0 (D m a,wro o ro m a, (\ (D w G rt a w O I rt rr i\ r- !n d O m rr F... f 0 o K r rt �-) G r 1 �J l r0 Ln o rr � 7 m O :1 in w i! W Ul w O rt1� '�1 w O m rh \1 I r -n rt w r - N ::3' E rr N O rD I G O r =3 (D k LQ