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City of Little Rock
Planning and Developiiment
Filing Fees
Date % ? __, 2013
Annexation
Board of Adjustment
Cond Use Permit/T UP
Final Plat
Planned Unit Dev
Preliminary Plat
Special Use Permit
Rezoning
Site Plans
Street Name Change
Street Name Signs
Number at ea
Public Hearing Signs
Numberat ea
Total
File No
Location 0I/ 0 �-
Applicant 4 1� SC= r
By
1
SEN R: COMPLETE THIS SECTIC
0 Cor nplete items 1, 2, and 3. Also complete
Item a 4 if Restricted Delivery is desired.
a Print I your name and address on the reverse
so th at we can return the card to you.
M Attac. h this card to the back of ,the mailpiece,
or on the front if space permits,
1. Article, Addressed to:
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A. 51g
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B. Recelve by ( Printed Nana) C e of Del'
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
(A Certified Mall
❑ Registered
❑ Insured Mail
❑ Express Mall
❑ Return Receipt for MsrChandlse
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
* Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
so that we can return the card to you. B
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Niue- V Ca t ey-
2. Article Number 70110470 0000 0742 7022 2• Article Number
(Transfer from servlc ,a label) _ — --- - (Transfer from service label)
PS Form 3811, Fet •uary 2004 Domestic Return Receipt 102595-02-M-1540 PS Form 3811, February 2004
e Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
e Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: 1
��c.r.bl e �rt•.s
A.
B. Received by (
El Agent
❑ Addre
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Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Certified Mall ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandl:
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7011 0470 0000 0742 7008
Domestic Return Reeelpt
■ Complete items 1, 2, and 3. Also complete
Agent
item 4 if Restricted Delivery is desired.
Addresser
■ Print your name and address on the reverse
of Deliv r
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
D. Is delivery address different from item I I-]Yei
If YES, enter delivery address below. ❑ No
3. Service Type
DQ Certified Mall ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandls
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
1. Article Addressed to:
102595-02-M-1°
A. ;Signature
X ❑ Agent
❑ Addressee
B. Received by (. nted Name) C. Date of Delivery
7JZ.'y1-"
D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
® Certified Mall ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
0 Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
?. Article Number . 2Article Number
7011 0470 0000 0742 7145 7011 0470 0000 7
(Transfer from. service label) (Transfer from service label) _ _ _ - — -
-
)S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-11� PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete Items 1,, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
jC'ko vlAt lf-o'9
,
A. Signature
❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
It YES, enter delivery address below: ❑ No
3. Service Type
14Certified Mall ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service lab 01) 7 011 0470 0000 0742 7 015
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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