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HomeMy WebLinkAboutZ-4999 ApplicationA CN O C oC+ w N n S fD 'I Z J6 P m (D N O (o. CD ^^m CD r -F I 0 O h r.+ r.+ CD m O x DENNISON ST. CA N W En M 1 PARK ON op OD -0 N � I J -q lV ad N R5 HILLER Igo, I lil 1 1 -Irlo .I Igo, I lil 1 -Irlo W A w w H N ERY r r o 0 •• 0)• n O to 0 r� � N N o 0 0 r+ to r=+ t0 n r• r 3100 m 0 =:: W 3 0= co 00 - ^Kn m � •c (0 o n x� ACD mo d CD g -4 `c N N O r* G 0 � ®u v f1 v tT a.i D) O f, tura to r h �• wry r + O • CO Cr v 0 rt ra rilltv rs (D w• r~ B Ort ►J- 0 `,' N• n r - ► S m (D rr Qe (D rt r• to �--� ID N '�' Or & n `ort ' o0 ({ M rt €� a ((D ((D (D (D kO X O C i rfi N r• ��+ 0 G 0 r� (D rs � P- (D 0P. 0 5 ED M r• ca a CO N = SD (D (D P. n Di C3' u (D CO O 0 �� who rn rt a r• 'w K [ � O ( C (D G I}{ C l cu La (D rt CL O m (D .] p O Cr (D O' f FJ- rt G ro rt (D N ro b 0) r• r* d G p rl O (D 0 �+. .. :5 N O • (A C r 0 O d N a �r•n OO rt OO � rS P-• .0 mO ED�N • •rq � n rrt • W� 'Q N a ED O W 0 n rd W rt. cD N �. N to O O U w O W- Cl rt (D H.0 O rt ft rh ar rt* Oa' n rt (D ►c :s r� w O (�, O • Or r) r- czO 910 (n O rs (D rr Y rt. C3 (D E O rr P- N 0 :3 � la SD rt o 0 •• 0)• n O to 0 r� � N N o 0 0 r+ to r=+ t0 n r• r 3100 m 0 =:: W 3 0= co 00 - ^Kn m � •c (0 o n x� ACD mo d CD g -4 `c N N O SENDER: Complete items 1 and 2 when additional services are desired, and complete Items and 4. Put your address In the "RETURN TO" Space on the reverse side, Failure to do this will prevent this card from being returned to You. The reurn racelpi fee 14 ovfde you the name f he er n deilvered to end the dgte of delivgv, For additional fees the following services are available. Consult postmaster for fees and check box(es) for additional service(s) requested. 1. Q Show to whom delivered, date, and scidressee's address. t (Extra charge) f 2. U Restricted Delivery T (Extra charge) i I. Article Addressed to: 4. Article Number 111-7 ❑ Express Mail Always obtain signature of addressee Type of Service: �}r Registered El insured ❑Regi ° �� Y�u� Lam' ❑ Certified ❑ COD I. ❑ Express Mail A -7. Always obtain signature of addressee r '� or agent and DATE DELIVERED. 5. Signature - Addre X 6. Signature - Agent X 7. Date of Delivery W IS Form 3811, Mai 8. Addressee's Address (ONLY if requested and fee paid) .SENDER: Complete Items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Fallure to do this will prevent this card from being returned to you, 1he return recalpt f e VJ11 provicigu the,name of the e del ye ed ❑ nd he da e f el ver For additional fees the following services are available. Consult postmaster for fees and check box(es for additional service(s) requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery f (Extra charge) T f (Ex.tra cfrarge)i 3. Article Addressed to: 4. Article Number f I r Type of Service; ❑ Registered ❑ Insured Type of Service: ❑ Registered ❑ Insured ❑ Certified ❑ COD 111-7 ❑ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. or agent and DATE DELIVERED. 5. Sign 1- 'd G. Addressee's Address (ONl. Y if X - requested and fee paid) 6. Sidnat' = Aaerit X , 7. Date a gel very 1987 + U.S.G.RO. 1987-176-268 DOMESTIC RETURN RECEIPT PS Form 3811 lkfar. 1987 * U.S.G.P.O. 1987.178.266 DOMESTIC RETURN REt:ElrI .SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. The return ocelot fee will Provide kou the n ma of the oerLoo delivered rc and the date of dellverv. For additional fees the following services are available. Consult postmaster for fees and chock box (at) for additional servIce(SI requested. t. ❑ Show to whom delivered, date, and addressee's nddrass. 2. ❑ Restrlcted Delivery r(Ex fro Charge)i t (Extra Charge) i 3. Article Addressed to: 1 4. Article Number n 5. Signature - X 6. SigngLture - Agent X `� }, 7. Date of Delivery Type of Service: ❑ Registered ❑ Insured ` ❑ Certified ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and DATE. -DE LIVERED. 8. Addressee's Address (ONLY if requested and fee paid) IS Form 3811/Mai- 1987 * U.S.G.RO. 1967-176-266 DOMESTIC RETURN RECEIPT SENDER; Complete items 1 and 2 when additional services are desired, and complete Items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. The fe u n ece fee rov de you the n me of the person delivered_rc_8nd the data of delivery. For eciditianaf fees the following services are available, Consult postmaster for fees and check box(es) for additional service(s) requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery T (Extra charge)? T (Extra charge)? 3. Article Addressed to: 1 4. Article Number Type of Service: ❑ Registered ❑ Insured �, ✓� ,� ❑ Certified El COD El Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 5. - dr esae� / 8. Addressee's Address (ONLY if equested and fee J� paid) 6. Signature - Agent X 7. Date of D ery Q% gAOCJ PS Form 3811, Mar. 1987 * U.S.G.P.O. 1987-178-266 DOMESTIC RETURN RECEIPT 1 eVENDER. Complete items 1 and 2 when additional services are desired, and complete Items 3 nd 4. Put your address in the "RETV RN TO" Space an the reverse side. Faliure to do this will prevent this card from being returned Ira you, The a u ece fee v do u e n me of the person delivered 1111 o and_tha a gi ,lel va .For additional fees the fallowing services are avallsble. Consult pos#master for fees and check boxes for additional servics(s) requested. 1. 0 Show to whom delivered, date, and addressee's address. 2. ❑t Rtitrud Delivery t(E.xtra charge)T I charge) 3. Article Addressed to; 7r, rticle Number % e of Service: Registered ❑ Insured Certified ❑ COD ❑Express il Always obtainin s signature of addressee 0 6. Signature — Addressee X 6. Signature — Agent X 7, Qate of De€yvety r i PS Form 3811, Mar. 1987 or agent and DATE DELIVERS 8. Addressee's Address (ONLY if requested and fee paid) * U.S.G.P.O. 1987-176-268 DOMESTIC RETURN RECEIPT 1 SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address In the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. The return ece fee wEll r vide ou the name of he er n rfeliyered to and the date of delivery.. For addltlonal fees the fallawing sarvlt:es are available. Consult Postmaster for fees and check boxes) for additional service(s) requested. 1. Cl Show to whom delivered, data, and addressee's address. 2. ❑ Restricted Delivery 1(Extra change) l1(Extra charged i 3. Article Addressed to: 4. Artycle Number Type of Service: ❑ Registered ❑ Insured ❑ Certified ❑ COD � / ✓�dI /71 j 1:1 Express Mail orf ll Always obtain signature of addressee 5. 5 n re X 6. 5 at re — X 7. Date of Deliery IS Form 3811, Max. 1987 + U.S.G.RO. 1987-178-268 or agent and DATE DELIVERED. 8, Addressee's Address (ONLY if requested and fee paid) DOMESTIC RETURN RECEIPT *SENDER: Complete items 1 and 2 when additional services are desired, and complete Items 3 and 4. Put your address In the "RETURN TO" Space on the reverse side. Failure to do this will prevent this carni from being returned to you. The return racelot-f e 1 aid u h n e f the na on etivered to end the date of del ver - For additions! fees the foilowlne services are available. Consult postmaster for fees and check boxias) for additional servlce(s) requested. 1- ❑ Show to whom delivered, data, and addressee's address. 2. ❑ Restricted Delivery f (F..vrra charge)? 1(Extra charge)l 3. Article Addressed to: 4. Article Nu_rnber / . ? ' Type of Service: ❑ Registered ❑ Insured J ( ❑ Certified ❑ COD c j )� ❑ Express Mail � C Always obtain signature of addressee V or agent and DATE DELIVERED. 5. atuGe,s Add!r 7 8, Addressee's Address (ONLY if L,C ' 7yI 9 requested and fee paid) o. oiynawIo — r+kjullk X 7. Date of Delivery :3 PS Form 3811, Mar. 1987 + U.S.G.P.O. 1987.178-268 DOMESTIC RETURN RECEIPT 9SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. put Your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to You, he e u n ece fee will oulde LOU hen me of he e n �llverad to and rhe date af. datiYe�v. For additional fees the following services ere available. Consult pofrmaster for fees and ehack 00x(05) for additional services) requested, 1. ❑ Show to whom delivered, data, and addressee's address. 2. ❑1(RRestrric Extya ¢d Delivery t(Extra charge) 3. Article Addressed to: 4. Articte Number y Type of Service: El Registered El insured ❑ Certified ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 5; 5 nature — dFess 8. Addressee's Address id) Y If X`` J � !V requested and fee paid] 6. Signature — Agent X 29r3 eiiv�M-198�7 PS F1, ,r U.S.G.P.O. 1967-178.268 DOMESTIC RETURN RECEIPT StNUtii: Complete Items 1 and 2 vvhen additional services are desired, and complete items 3 and 4 - Put your address In the "RETURN TD" Space on the reverse side. Failure to do this wl11 prevent this card from being returned to you. The return ace fee wail provido you the name of the garlon delivered to end the date of delivery. For add itlonal fees the fo11owl ng services are available, Consult Postmaster for Fees and check box las) for additional service(s) requested. 1, C Show to whom delivered, elate, and addrossee's address. 2. C Restricted Dellvary 1 (E'xrra '! lExtra charge)' 3- Article Piddressed to: 4. Article Number �y Type Service: El Registered El Insured ❑ Certified ❑ COD ❑ Express Mail r-� Always obtain signature of addressee or agent and DATE D_ELI V EKED. Add 8, Addressee's Address (ONL Y if f requested and fee paid) e I � lif::r7 i4�1 X 7. Date of Delivery �( _g 'S Form 3811, Mar. 1987 + U.S.G.P.O. 1987-178.268 DOMESTIC RETURN RECEIPT SENDER: Complete Items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from beim} returned to you, The return recal 2''1o1 II rov de ou a name of the ers n �iOlivere6 to and the date of dallverv, For additional fees the f❑Ilowing services are available. Consult postmaster for fees and chock boxlos) for additional service(s) requested. 1. D Show to whom delivered, date, and addressee's address. 2. 0 Restricted Delivery t (Extra charge) t f (Extra charge)'[ 3, Article Addressed to: 4. Ajticle Number' ' Type of Service: T V El Registered El insured N V ❑ Certified ❑ COD El Express Mail 51, J+Y Always obtain signature of addressee or agent and DATE DELIVERED. 5. Sin ressee S. Addressee's Address (ONLY if X requested and fee paid) 6.nature — Agent X 7, Date of Delivery _ ^ - 'S Form 3881111, Mar. 1987 �/* U.S.G.P.O. 1987-178.268 DOMESTIC RETURN RECEIPT .SENDER' Complete items 1 and 2 when additional seryices are desired, and complete items 3 and 4 - Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you, he e u n ecel f a III rovid ou the name f he ar n el v d ❑and ha da a of dallver For additlonal fees the following services are avallable. Consult postmaster far tees and chock bax(as) for additional sorvlceis) requested. 1, 0 Show to whom delivered, data, and addressee's address. 2. G Restricted delivery S (Extra charge)'k 1 �ECtra chargeJt 3. Article Ad eased to: 4. Article Numb r Type of Service: {17r: ❑ Registered ❑ Insured ❑ Certified ❑ COD ❑ Express Mail Always obtain signature of addressee Q_M)n or agent and DATE DELIVERED. 5. Signature 41Addressee 8, Addressee's Address (ONLY if X requested and fee paid) 6. Signature — Agent X 7. Date of Delivery PS Form 3811, Mai. 1987 * U.S.G.P.O. 1987.178-268 DOMESTIC RETURN RECEIPT WSENDER: Complete Items 1 and 2 when additional services are desired, and complete items 3 nd 4. Put your address in the • RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. T[is rasurn race 1p fee will provide you the name of the parson del{vered to and the date nf-deiivery, For additional teas the following servicoaare available- Consult postmaster for foes and check box (as) for additional sarvice(s) requested. 1. C] Show to whom delivered, data, and addressee's address. (Ex tracharge)i 2. �:) Restricted Delivery f Extracharge]1 3. Article Addressed to - /Number p. Article ' • Type of Service: El Registered El insured ca? 3) ❑ Certified ❑ COD t�, �� ❑ Express Mail ✓/�` 1 Always obtain signature of addressee or agent and DATE DELIVERED, 51 Si re — Addressee 8- Addressee's Address [ONLY if requested and fee paidl r G, gnature — Agent X 7, Date of Delivery PS rm 3811. Mar. 1987 * U.S.G.P.O. 1987-178-268 DOMESTIC RETURN RECEIPT *SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse 0108. Fal Ili re to do this will pram this card from being returned to you. The return receipt fee u the riarn.6011-hp- Rqrfon d�v d to and the data of delivery. For additional fees the following services are available. Consult pCstmester for fees and check boxes) for acidf-clonal services) requested. 1. 0 Show to whom delivered, date, and addressen's address. 2. ❑ Restricted Delivery f (Extra Chit rge)1 1(Extra rharge)t 3. Article Addressed to; 4. Article Number Type of Service: ❑ Registered ❑ Insured ❑ Certified ❑ COD �� ❑ Express Mail f I �tLi I Always obtain signature of addresses • or agent and DATE DELIVERED. 3. Signa ure jAressee 8. Addressee's Address (ONLY if X requested and fee paid) 3. Signature - Agent X 7. Date of Delivery 'S Form 3811, Mar. 1987 + U.S,G.P.O. 1987-176-268 DOMESTIC RETURN RECEIPT OSENDS R: Complete items 1 and 2 When additional services are desired, and complete Items 3 and 4. Put your address In the "RETURN TO" Space on the reverse side. Fallure to do this wlil prevent this card from being returned to you. The ra urn riecelpi fee will provideou then e parjorl F ve dand the d to of de€ 11 For additional fees the fallowing services arsavallebie. Consultpostmaster fpr fees and check bPx(es for additional sarvlca(s) requested. 1. ❑ Show to wham daIIverad, date, and addressee's address. 2. C Restricted Delivery T (Extra charge)) t {Extra charge)? 3. Ar icle Addressed to: 4. Article Number V 5. 8.Agnature - 7. DatmWelIV ry IS Form 3811, Mar. 1987 * U.S.G.RO. 1987.178.268 Type of Service: ❑ Registered ❑ insured ❑ Certified ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. ddressee's Address (ONL Y if z . ted and fee paid) DOMESTIC RETURN RECEIPT Wan 4.� yVr „N..« , ..... r onu c wnmi daamonai services are aesirea, ana complete items 3 Put your address In the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. h e urn ace fee il! v de au h n me f h r n v d n he f deliver . For additional fees the fofIL;15; services ere avaliable, Consult postmaster for fees and check box(es) for additional service(s) requested. 1. ❑ Show to whom delivered, data, and addressee's address. 2. ❑ Restricted (Delivery f (Extra charge)T f (Extra cfrarge)1 3. Artjde Addressed to' 4. Article Number i Type of Service: El Registered ❑ Insured [ % ❑ Certified ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and:DATE DELIVERED. 5. Si - re see X ' 8. Addressee's Address (ONLY if requested and fee paid; A-45Ignatu - A nt X 7. Date of Deliver �} PS Form 3811, Mar. 1987 + U.S.G.P.O. 1987.178-268 L7UME51 IC hit I UKN riti;tir I .SENDER: Complete Items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. ha return recalpt fee will provide vog the n me of he e n delivered t9 and ttte deteeliverv. For additional fees the following services ere available. Consult postmaster for fees and check box (89) for additional servfce(0 requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery f (Extra charge) T T (Ex tra r. barge) f 3. Article Addressed to: 4. Article Number �� r G� 40 J r�� Type of Service: Lr, 5. Signature - Addressee x� B. Signafure -Agent ' X 7. Date of l3ellverlp 2 PS Form 381 V ?afar. 1 ❑ Registered ❑ Insured ❑ Certified ❑ COD ❑ Express Mail - Always obtain signature of addressee or agent and DATE DELIVERED. 8. Addressee's Address (ONLY if requested and fee paid) ,r U.S.G.P.O. 1987-178-268 DOMESTIC RETURN RECEIPT .bri11ucti; L;omplete Items 7 and 1 when additional services are desired, and complete items 3 and 4. Put your address In the "RETV RN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. 1ha urn receipt f a will provide you the r&Lme of 1ha r n de$lvered to and the date of_dalLerx. For additional fees the following services are available. Consult postmaster for fees and check box[as] for additional sarvlcoSs) requested. 1. Lt Show to whom dellvered, date, and addressee's address. 2. G Restricted Delivery f (Extra charger) t t (Extra charge) t 3. A isle Ad erred to;1 4_ Artirte Number r 5.Signature — X 6. Signature — X 7. Date of Delivery �.j 6 PS Form 3811, Mai. 1987 * U.S.G.RO. 1987-178-268 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS F-- SENDER NSTRUCTIONS Print your name, address, and ZIP Code in the space below. • Complete items 1, 2, 3, and 4 on + the reverse. r Attach to front of article if space permits, otherwise affix to back of article. ■ Endorse article "Return Receipt Requested" adjacent to number. RETURN Print Sei TO Type of Service: ❑ Registered ❑ Insured ❑ Certified ❑ COD ❑ Expms Mail Always obtain signature of addressee or agent and DATE DELIVERED. 8. Addressee's Address (ONI,Y if requeved add fee paid) DOMESTIC RETURN RECEIPT U.SWAIL PENALTY FOR PRIVATE USE. $300 's name, address, and ZAP Code in the space below. Vr..�tl Ti anu d wnan ahoitlonal services are deslrQd, and complete Items 3 and 4, Put your address In the "RETURN TO" Space on the reverse side. Failure to do this velli prevent this card from being returned to you. Jhq rpSurn eca f e ov d u h n o f he e n v n h d of del a Far additional fees t e fol Mh,2, ser,#ces era aval able. Consult postmaster for fees and chock boxier for additional sarvicalsi requested. 7. Q Show to wham delivered, data, and addressee's address. 2. 0 Restricted Delivery T (Extra C12arge) t t (BX tra charge) 4 3.Ar cle Addressed.t4: 4. Article Number fa ,� - r f Type of Service: ❑ Registered ❑ Insured ❑ Certified ❑ COD El Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 5. Signature — Addressee 8. Addressee's Address (ONL Y fl X requested and fee paid) 6. Signature — Agent /,// A 7( Date of Deliva y MAR 2 3 1%8 PS Form 3811, Mar. 1987 * U.S.G.P.O. 1987-178-268 DOMESTIC RETURN RECEIPT mo-- �:o 0 0 H paaaH u n C+] KJ H b (D rt - ri �< (D - o H � ra tHli M 0�H (A�C (DD�0� Lx tv�� a m ��rfD ol rrr� o O H z rt De w (D d rrJ H> H K b Co c oV O N H7d0 O n: �,� a rt N E rte( mHM j rr En lr H H �0 � (D o ra r 0 Fc rrrr rG r o z � (D (D [ajHy�Q HrctaN w ci (aA '� L-4 o+o� n(D ��n z �. :3FC r 9d a ra rt 4 H v O M N rt (D \ En rt ro- LHv� 0 a- am LQ PC DA vu Q :V. N cr rl 0 1 En p w W H z ' C rrl ((DD ID � n "T.0 rr0\ rrrrrrl ul to 0 rr LON i (D hd -�v . rr 0 0' Ih LTJ H > J' ri (D m:Po to a rraw zH � rGnry o•a (D V � O > Ri r ((D O rt 0rt. � y. 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