HomeMy WebLinkAboutZ-4189-B Application 2REGISTRATION F.O
OR PERSON'S WISHING TO ADDRESS
SS THE PLANNING ��`M R91
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REGISTRATION FORM 1
FOR PERSONS -
RSOIVS WISHING TO ADDRESS THE PLAN:NiNG COM; IIS
This card can be picked upat any time in the Pl'anin n and Development Qffice X23:
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West Markham, Little Rock, Arkansas, '
d op i$r any time -in the Planning s
This card can be pick g ad De�elopm_ ent Ofiee; -7 3
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We r am,, Little Rock;.Arkaasas.
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wish o" speak a�
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Name
Name
.Address
G
Telephone No.lephone
Date e2c a
- TS RATION FORM '
FOR PERSONS WISHING TO ADDRESSTHE PLANNIIV,u COMIVIISSIO]V ".
- - REGISTRATION FORM a .
FOR PERSONS WISHING TO ADDRESS
THE PLANNING Co ME
_.
This card can be picked up at any time in the Plannin " and `lv m .; . c ' "
West Markham, Little Rock, Arkansas.
This card can he picked t� " at any time in the Plahnettg ani Ueelo, meat D a
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P .." , Z3
West Maekhax�, Little Rack,
Arkaaasas.
I wish to speak about Item # - on thea enda,'
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I wish to speak about Item # ���
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I am opposed for
f the agenda.
I am opposed
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Name 7
'dame .:
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Telephone N'o.`'��� J�
Date - - C�� -
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REGISTRATION FOItM
FOR PERSONS WISHING TO ADDR-ESS THE PLANNING COMMISSION
This yard .baa a :picked up.at anv� nme in tht Piarin
Fest ag and Dei°elop tea€ [office., 7237
LittlIdiarkira, e Rock, Arkansas.
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• 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 mailpiece,
or on the front if space -permits,
1. Article Addressed to:
A. Signature
XL 0
B. Received by (Printed Name)
D. Is delivery address
If YES, enter del 11
A. Si naW _
X ❑ Agent
❑ Addressee
B1 Fjeceived by (Prfnrgef fjf Cr. •Date of Delivery
D. Is delivery address diif6rsflFfra a" u Yes
If YES, enter dative &ddress belo ❑ No
i l revs
a Complete items 1, �, and 3. Also complete
❑ Agent
s
item 4 if Restricted Delivery is desired.
❑ Addressee
■ Print your name and address on the reverse
C. Date of Delivery
so that we can return the card to you.
ke') Jo
R Attach this card to the back of the mailpiece,
v l
or"/`+ie-k),
or on the front if space permits.
Item1 es
l�
etr�
",,,•,.
1. Article Addressed to:
A. Si naW _
X ❑ Agent
❑ Addressee
B1 Fjeceived by (Prfnrgef fjf Cr. •Date of Delivery
D. Is delivery address diif6rsflFfra a" u Yes
If YES, enter dative &ddress belo ❑ No
i l revs
Service Type
Mail O Express Mail
P
)C.
B. Rjoceived by (PrintedKama)-0
E3 Certified Mail E3 Express Mair
ODflJ ( 5
3. Service Type
13 Certified Mail
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3. Service Type
v l
or"/`+ie-k),
❑ Certified Mall
❑ Registered
e ❑ Mail
❑ Express Mail
E3 Return Recei tlor Merchandise
13 C.O.D.
l�
etr�
Mail
❑ Certified Mail ❑ Express
❑ Registered 13 Return Receiptt for Merchandise
❑ 13
Insured
❑Return Receipt�o'r Merchandise
❑ C.O.D.
(A)e
Insured Mail C.O.D.
`
72=1 16 4. Restricted Delivery? (Extra Fe) 13 Yes
[ ZZ 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service /abed
7004 2892 0220
8069 2199
2• ffimnsArticlrfromNumb7004
{Transfer from service label)
2890 0000 8269 2205
PS Form 381T February 2004
Domestic Return Receipt
102595 -'W -M-1540
i P5 Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1541
• Complete items 1, 2, and 3. Also complete A. S' n
item 4 if Restricted Delivery is desired, X
Ir Print your name and address. on the reverse
so that we can return the card to you. B. R Iy
■ Attach this card to the back of the mailpiece,
l or on the front if space permits,
Is deflvery add
1. Article Addressed to: IfYES, anter
D � 6.Jr 4 <Shirl ey
&TJ 7F Oh
Li`I+If, Oy-k,ATP
2. Article -Number
(Transfer from service label)
PS Form 3811, February 2004
❑ Agent
❑ Addresses
C. Date of Delivery
add bFi[oW'�
❑ Yes
0 No
■ 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 Addressf$to:
A. Signature
by (
Q Agent
Of
D. Is delivery address different from item 1? E l YdII
If YES, enter delivery address below: +.. ❑ No
• Complete Items 1, 2, and 3. Also complete
fteni 4 if Restricted Delivery is desired.
• Print your name and address ort the reverse
so that we can Mum the card to you.
fs Attach this card to the back of the mailpiece,
or on the front If space permits,
1. Article to:
A 51
X E3 Agent
❑ Addressee
B', IRecefved�y (�rrrrteyf Naar C. Date of Delivery
D. W&livery address different from item f___?_ -❑_yes
,enter delivery address below: ❑ N�
Awl issrl t- j -4 � 1� Q a7
VJ L&H,e U I 3 Service type �j e 3. Service Type
� ��
x
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired,
s Print your name and address on the reverse
so that we can return the card to you.
s Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Lr` +1e+vn y-Fus'
'-o-- Kerry br
Li -i Ht Pa� AC 7Z2_0i
A. Signature
X \�
by (Printed Name) • 10.
rdeI "draw different from item 1.? ❑ Yes
IfYES, enter delivery address below: ❑ No
■ Complete items 1, 2, and 31 Also complete
item 4 if Restricted Deliveryis desired.
■ Print your name and address on the reverse
Service Type
Mail O Express Mail
1 � O E
)C.
B. Rjoceived by (PrintedKama)-0
E3 Certified Mail E3 Express Mair
�(y'
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.
13 Certified Mail
❑Express Mail
n❑Certified
.
J1❑ Registered ❑ Return Receipt for Merchandise
j�l,/ '
❑ No
❑ Registered ❑ Return Receipt for Merchandise
13 Insured Mail ❑ C.O.D.
� (�
�1'�—� p � .1� 1�
l l�
❑Registered
13 Insured Mall
❑Return Receipt�o'r Merchandise
❑ C.O.D.
/❑ Insured Mail ❑ C.O.D.
I
4. Restricted Delivery? (Extra Fee) [3 Yea
4. Restricted Delivery? (Extra Fee) ❑
Restricted Delivery? (Extra Feel ❑Yes
�-�J
Yes
890 0000 8069 2335
2. Article Number 7 0 0 4
(Tiarisfer from service label)
2890 0 0 0 0" 8 0 6 9 2274
2. ffimneNumber
(Asnsfer from service label)
7204
2890 0000
8069 2236
Domestic Return Receipt 102595 -o2 -M-1540 ;
PS Form 3811, February2004 Domestic Return Recelpt 2.M-1540
:IS Form 3811, February 2004
Domestic Return Receipt
102595-02-M-1540
x
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired,
s Print your name and address on the reverse
so that we can return the card to you.
s Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Lr` +1e+vn y-Fus'
'-o-- Kerry br
Li -i Ht Pa� AC 7Z2_0i
A. Signature
X \�
by (Printed Name) • 10.
rdeI "draw different from item 1.? ❑ Yes
IfYES, enter delivery address below: ❑ No
■ Complete items 1, 2, and 31 Also complete
item 4 if Restricted Deliveryis desired.
■ Print your name and address on the reverse
A. Signature
Q
X J /
Q. Agent
❑ Addressee
)C.
B. Rjoceived by (PrintedKama)-0
to of Delivery
_ O
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 deliveryadd item
❑ Yes
1. Article Addressed to:
i
If YES, entereliW� " rass below:
F
N
❑ No
3. Service Type ZI E U�'t 3. Service Type
El Certified Mail 13 Express Mail cY �`
❑Registered ❑ Retum Receipt for Merchandise i e i � M
❑ Certified d `-ElRet Mair
❑ Insured Mail ❑ C.O.D. J /1,❑Registered ❑ Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑Yes Z 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransferfrom service label) 7004 2890 0000 8069 2304 z• Article Number 7024 2890 0000 8069 2212
�� (rransfer from service label)
PS Form 3811, February 2004Domestic Return Receipt 102595-02-M-1540
_-- -_. -- .
102595-02-M-154
PS Form 3811, February 2004 Domestic Return Receipt