Loading...
HomeMy WebLinkAboutS-1073-A ApplicationPS Form 3800, June 1991 F — as ❑ m G 7 z o PS Form 3800, June 1991 _ ': .. v �� -3 �� ❑ � _ a o a a�- m p ❑ N _ v cs� � V� ri ■A. Ui r U! ru 0 r h: L LI LAJ nJ a X7 Jr PC F— gROO. .1L1nP. 1991 iy ET o f N _ o ❑ � � h PS Form 3800, June 1991 v v w n T rn 1 N v t —J h s � N fo d C U 'nOz om D = O O rF U 11J n c=i 111 u o CD Gl � ® o N N D L� Lt1 o v m o CD °' a Paz CAM L-A ° [4 �A w ro c do H n C w m q m CL „* ru 0 m m t v o c7ia C �C -• n PS Form 3800, June 1991 o n 3 � J am, m C i3 i3 cL���y 71 ,f J 01ea iu Nawl5od 1, � •� �! • • � a6gsOd �'IV1Ol 1a1PPV w,y}�]+� ue 'al ea 'w ry of ©40'.P,8 u�nlay i '„' Wo aid MOMA .ol •ili�f�.�QN5f9bDori u:nlay aaj A,angaa Papulsay aaj A,angaa poadg 1 ,n / ^ aaj palp1jaa r. a6el's�od LQZZ� aUu;1 d7IZ-0aalelSm' u d r' �}•� "' J Q ( "1 ON Pue loailS al �1 01 spas (asjanaa aaS� lien feu011ewalul 201 asn IOU O(i ialvuaw'vaams xn pep!noJd a6eianOZ) aaueins:al ON HOW paill"83 ,ol laia30H 2'Ch 02E hE`I d H 5 j x% e 0 Nam. �oz0M CDaDCD n ' _0CD c `�(D i` < _�`�• f° CD (D y n ap - 0 "1 N m � CD0' m o CD �a 0- an, PS Form r$Qe 1991 Q z, `; ` ^ 1 z m < < nla Tz' Hal 7 n T b N WL n o �3 a R T� en 3 1-< 'O O Ij 0 r+ e+ (7, w • r • m 10 l-! I.- (D (D iy O �l r+ I••-• r+ ®D s-- !v (D O' (D (D O � (D O n I - Q. O (D lD r• `C r• rr (D (D (D R. r-r O r• O I•- 1'h � • O ® 0 r• O y fi r+ O T]fir• Q. L! C a r+ p 0 Q1 O O Q 1••r f!I ii F+• '�1 CD 1 n 0) cn �! O r+ O O M �+• 1� L e+ N (CD r+ (D `Q 'd w m rt (D (~D r ?i 0 rr+ � t� � CD r�+ (D CA 37 '' w• a ~ ( O � 69 {r9 {a9 fJ4••..a b3 i!! ifi {� fA ER 5Fi b4 1•j ro (D QID CD M w 7o 6 w r @ < LU ru q g g D < b-i ®- m CD o m o E a th N li 11 C rpt a H a m W ra m H PA rt, rt N m m a m Iv rt rr a 0 tr m P, O H a m N 0 H N• ro rt N• O P to I-•r m a N m H m N 'L7 0 p a tr m r O N m rr rr m H M O H O H H m n O H a N [� bd m O e0 W m a ri r'� m x rr ach 0 rn m F'• W 0 H ty 0 O a N 0 :0+ O n O p ►C rr LA O M a aty �m O ry H N H N m G n m O p H. p W JJ m • a as rt r N• O 0 N upi a 3C M r o N iy N m H % n m 0 ap rt N N F-'• aH 'U rt H 1'- m O n p r•� a m p as �-C O H x O rt' m ax'dWt{00tiiA�� �I H m a Y.O H- 0 a r•" �rrG it KK ,0,0 x F' rt p rr, rr rt a a rr to r'•p rt HH tr I� p P- n tG'C m m '4 W w N rt rl �i 1v 'i3 ".� N la N p- p, O 0 r-' 0 O rt rl to n ."dKNP KKH O O a m W Cs p g 34 N 0 ''til r• 30 :K H- m . H t7 H- 0 a r- m N rt p m m H LA N p m r' a 'a m m H. W�r+•�d �N• at{ trpi ro &-ILQ p m a m ra kJ a Gr Y• d Ct H ri m W rr toLQ ►a `� cl a rr n n pi l m Or rr 0 0 0 I H p I—m p p p rt M rt• ,J H m to to Al Pi I -A• m �A fi 30 n p p m cn ?c'o to m LaN p r H pp rr N ►C m C N• m 0 Pi rr m tD O 0 n ' O { 3 7 ; r 0 K f N i O. n x Aj Q nl o 0 u 0 0 a w m a v_ m r, ►-3 M Z O ►� H. w Un a m m m 0 0 rt, O N a p x0MG tna a . . m 1 N N �• p, m w "C a(D m �•�;'Or �(D El t� O m N � Hb o H m rn N O roH '• rat M rr rr Tr' r'- 0 m a a a O $ K X m ` p~i O rt cr cr O N to N c 0 cr a�•w o > > a ato I. In 0 v W J ril A Q- dQ /� n CO CD C3 E w °' `� r< CDo C7 Por. v n �* �� ��, En CD %ham q3 o, jr = o' tr En En rj) �r 0 No y y m CD C1 O h CD CD r- W W w O O A.� �� A C CD to w m CD CL CD v, O `� a N N Occ O CD p CD O0 CD O 7 O X rr OQ 7 7 C) y • CD CD K O CD CD CCD CD CAD -1 O � • o CD o a o b o 0 �O+ N CD m ° r P <• o fD CD ° CD �' O < CD C) CD (D O p O CD ..0 A. o n. .� CD E ^' CD CD n � a Cn N co cr OL Sco :3 y. O 7 7 7 acc x y c M o V V V V M�� ..• �' H o H n 0 z �° o H b o ri)rt H V H � x 0 w o M io K H a N v� rt Vi O N M m v�i to rt Fj• 10 H H N i-3 f) w mp H 0 cn zrt En a rt ~ z p p i r o I3 crto N • ro b DQ N, O z cn w w• ro O m O n o 0 C7 ° d (D 7y 0 x w rt I w N rn C r rt (D ca H M w f!� N O Z H a N z w o w n 0 rn p In w t s]y rd U] (D V F�• O � rt F- r• 0 [li ty I rt rt O • W W (D (I _ 'Lp m (D H m' 00 ro rt w• 0 0 rt -• o x' H H y p a H y O x Eri O H o w y ro w �d H � N CD O C� I n X CD O O O rh fD — N fD — J - 0 0 CD o C 0 r+ O W -1 � :3 �w0 r X- o m rn -o ct c-r cmJ J •'S a, N 1 p -1 Fd n C+ .�. C Q�-S (D a CD • c+ O : a -% r• N C m J �c 1-1 �' O w -0 W CD .1D o w= r n 0 i w rt no p 7C 7c rF C= W - 0 �7 rt CPEn U) =o rt , ►- cD of + 9w -+,c-) 77 = cri o En rt r N. r* N ro ri r+ fD w CL a fD a z > A n v J b N H O CD d CA�. O r+ fD V J. — i w V1 c(o w O r�F N n a N rt O rDD 3E O N V+ CD rr M n U7 w Z cN+ c1 V 1 rt D 4-4r+ W n (D Z J "FI o tic, w 1w Loz r- w cF - i D v, rOt Q (H a m rD — u /[ ' Cl. J• a) (D C+ I r N a S r a 1 r J r+ rr d oCD v CD v < r) x- . a J v J QJ • J. N N W, Vf �• C fD G V V m m D M N cn G) z m v ❑ ❑ ❑ ❑ ❑ T O 0 O O CD CD m .O O c c -o v fD (D o m CD cn m v =n a m C m C) O 3 CD CD _ rt t0 El z N c z rn v a m z r D z O C N m D D m '0 'D 0 CD a cL a c I w v+ n = N O h C CD n 3 o = a m c m c a 3 cr v O CD v � (D v p C CD a o U) NF N S c o C O N _ --I 2 m W m D m .i) D z fn m cn d n S (D n O. Q m 01 O m in mm z O I v m N n O z NEW o s vv o a v = (D . CD aq Cn ■ ■ 0 :3 OIQ = N m O EL (D I■ � El r a) n S (D d c a m m m v d d m 0 O CD R .t CD El0 o c CD pq n (� (D °7 3 o q' _ N r A m < vo A c, v CD�D � a)Cm Z) CD (!1 c* cn (n ru D N ru U) O O n m cn m � i i n 2 m 'lam ' I z 0 W tr W C/] H t7 E m n y r O Fd rt E C7 t-' P- y Y t� r• �+, w m w m�r r• m :j �z x o m m W. o H. •d rt r•n m Fl t7 O w rt t✓r• n x m m w n w rt o �' t3i �r w H an d c w a. a. m m£ m C m I w a m m am in, aG m, H m n t7rt W I.- w a K o w ;4 C w m n n o m rt rt rt rh O m O r• rt it y " m m to m O rt r• CJ r C n n m C m t✓ M m m n w w x rt n m rt m Fd m rt m r� a O rt O m r• m G m H £ r• m n H O rh m N m rt m rt 7y r• Ci r• w rn H. a: H m m �i r•£ O =r H art m n rt p G w rt O N r--> a m CD 0 G n rt rt m m Zrt 0 En n OF- go V H w p m •d O w o r• m rt n rt w ri £ a' m m m n rt H. C m m o m C m w a w m a n H N m t h r •• 'J 'd m r Z r• �, E o a m x K G t•f ,b n m ri r• m H 0 0 n irr x a m a n rt '� a. rt � m z a p O H. o w• O y rt G z m" o G �� m z ow rOt G m rt rt m ��_ > v rt n n rrr rt•d x o N W 0o G m C r� "o •b t�J I "�.' > d w G r• m n 0 7d £ n '' O F- O Pi rt 0 O m C2] r• O . . N x m o w m w d r• rt G CL rn 9 rt H. a M m H rt� m m m O C rtrt rt 0 O O £ m ri� l J } r• H. m rmn p�r�Y, - G w m w n m 0 n rn Q' m n m m n H. ri w N n G w r..'-- rt K G H. b " H. w a rr rt p, t_h 0 1-4 O m FJ• w �• 0 G O x ra C7 � rn G] I aMrtM G � ct Ql O rt � @ o is0 & @ E �C N H- M ti ri rt v 'w �t rt�ro @ 0 rt, 0 rt rove M @ rt, • @ G d rt �,• O rt' m @0cO 0 rr I ft N H'• a 0.n i'C O fd NN �. @ 0 >y 0 rt- G 0 0 0 @rt, @Ul hd hd H tv a H H ro N 0 W G rr E @ �i O f'! W G f-r O n F'• N @ a a �R @ rt H 0 rt o t� rn C w rt a w 11 N (fiD v v aro�•0Z> R�� C &0) z W & 0 aGrr@@ro Ul :j a • NQct tiH En 0 En UI W ❑ @� H @ Enrt H E �0 rw-hH m��roro� sy JftN H- �1 N W 'd�0 catw rt tr 0 rt @ R+ is 0 0 @ C 1•h a �- rt P G, Ct rt- �On�'N. 0CNrt �N( (D N0) 0)fly 0 : j " Fj- G OamMP, rl7$ Zrtz to P- H- @ �r O H H F1- @ H �o @ � rt t:' pt tri O@Oi7 ct fA G 0.4 Via@ � n � ((D r 00 rl- G ul N � • H n X M � a-- Pi 1-t PC 'CGN-Nr- O hj N• 'G 0 rt G 'WG'O �i -do 5N 0�r �G w @ Fh 1-�• Fj- a 1n Ln b fia p �c :. O 0 ❑ ❑ rttj Mrn @ a bd k n x w co w cn En 1-4 In rt (o m H a @ @ a F-� r 0 0 0) rr t� w rt cn a (D 0 rn m w ro w n E w a z 0 rt 0 x w H• z 0 w a x w m w m m rt rD 0 rn r-h H. (o ro w K x z H O bHn HL- � � �hd 00c! xNw O 0 0 dz cIn z 00 HAfi7 `idI� �d w O t%JOt1i Hx K ryzb r7z d r7zmz zb w w r z 'd p w O PW n N M Co M M a qd I-d N W h j H 0 W rt rt rt f�T (Op a r+ ct Q °' Tt z EnH rt r aq rt pi rt � - l-n Z - En O n H -V' w w p rn 0 rn G W t� � oo oNo n a ((DD r- rt rn z N N co 0 ON (D . rt w rt ((DD rY' N CD ri' 0 0 %D r o w O• p H m rt to r [n � En (D En 4- n .� (D �. 0 ' rt p z 0 F, �0 W0 m O n (D LA) w E rt �" rt (D N. Ern+ (D N• H. CD rrt'• m 0 O 0 ~' (On H. En .O O rt G co rt rt G rat y rt� rt rt w �, Oy z w w w w rn y o+ °' G o� rn o� - y 0 0 O £ d 0 F3 E N En N N N En En y :r :r H. � 'd r 'C• 'b' 'Lj N rt N N N N N N z 0 n rt t;j �.. t� N r) C7 C=] N \ t7 ~ t'a I'D C7 t-I 00 La •• O F F t4 J A N Oo � rt O ON W. � rt OH d t O O rt O O r� p N H. o0 0 rt v' H rt O rt rt O N'I rt Np D) rt O (D r-� w- H.H. o (dam• d rt N G '_' rt ti rt ct x 'J F. ~ �' 0 H m G (� w K r� x P3 H' rD O 0 N. N• 7y (D a� 0 o H a• o •d o m a �, r rn rt Pd o o o r t-J o W n 'n x 7d A. 0 r 0 L� n 0 (D n rt t-' rt b M. n �� w maw �� r x� En �wG 7 rt �a � m x x x a w � ~'G wN ~• H 04 y w (D 9 rt n H000 H wrt 9 0 CD K r�'C 9 0�4 Op �, N•' w f D o ci Ena' rr `° w w (D �I G" v• N rb O N rn N j N rt L4 N O O C N C7 N rt N A. p m O O r r 0 - La -h m 0 ., CR a CAD �. O n C/] CD oW �J 0 acr y0 0 CD O o �+ UQQ CD F CD + C 0 CD -t C_D Q' CD CD o CD CD O�Q b �o OCD CD * CS C CD Q. CD ar CD x o CD CD a- cr CD CD 0 CD U�o CD 0 10 Q- W CD 0 CD+ a R CD a. 00 14 D $.. to- 0 h CD C CD COD o PL b CD o' CD la. OQ 0 d M o .� 4 CD CD Cn CD 0 � o qd d N _CD _ m O CDCOD V w ob N M O N CD Enm H M N a o C/1 co O' O a a w I Ma b V m r O 00 �d r � P Y r y CD Cl) N c 0 Q: <•co � N. O 7 O 7 7 M O.cc I\ a ft Or a n Cr a a d r N a N 0 r1 (D In to O ri P, r M .r O r (D rr rr ri M O r1 O ri r1 (D 0 O r1 P. (A d ES} 0 tz ri f (D H t1 in 0 M x, [D tr O H a- O O P, N o :P0 O 0 0 tJ �•C rt ul O M w art* �(D O 11 H th H (A (D 0 O (D O x O fr (D H p rr lD H a �d a H It (D 0 ft a N a ft t1 r�• M r a O p DO ro H r rt iD a H- ❑ Fa- H. O w ,. r1 tr rr r- rr rr I; x' x 'd kA t-+ rr tl rr rr fr a w p• to t-. r rt H r �.. n(o►C���w mrolpA wus ry P. 00 N O O rr o r1 0 p n 0 (D t, ro 0 7d K 7r 0 7C 7C r( O O G a� to p IC m n +,d w 311 ri C] V. 0 a li bi th r1 sn fD (D N tZ N p O H, rd r'W � (D 0 r p F-r i- Pi C] ic r-• pa 0 (t 0 a 'd H Y• p Oka rr a (D Cl W p m pi ro rra V F+ 0 p H r1 (D [A rr p o ft rr A to WI N rrtrt0 0 0 I" p H- (D 0 p 0 ft M (t r r1 (o ro ro H- D(DLQ rril0 p N rr t1 Il p ►C ►C (D m 7c to ro (D map r rt p p (D ►CLQ (D C N• O wo w�� 3 o O z LD 0 N V N Q N � 1 0 o w a w (roD N N o' ° o p r1 H .. T. N w x0�� c` vi �• (D �--Ul uul N• W J En N P. (D w �C 0 (D r O (D cr cr a ro O (D �r ~' (D rh N O'UH — n rat 5 (DD ct ct W- ro o(uaa a O (n ct 'rod N O r1 ct ct O W ?S l! n� n 0 a r_ rt m m ►C 0 O 0 p ft a d r m w a (D a d p 0 a d � 0 o� f m (D H � ft , O M x (D w W O H rr O O a a 0 :to O n 0 p �-C a O hA a a� O h1 H a H a m G n m 0 sr. a p. a a n ct H r- o 0 a LA a � M Ir'• O ►c tr 0 m � H n m 0 a a rt. to ►4 a m a � ro a ro ft rt r- m O n p r.. a (rtD p as k O G N x 0 i� ro Pd H O 1 IA a r- O 13 r (J n 0 t:j La r- a m h H 0 m H H f] 0 x n M ft ty m w tr 0 C H m %D h � m r M m rt m� cpi rr A• (�D a r r- fi u. ft m ►J n m 0 n K a p r- p w QV.tdwop"t1w " m a G H. O Y Y 0 w I­H ft G rs ft G x x '0 4p w J� rr is rt rr rt a a N. 7 a f3 @ ►� N {�D � � (pn uni rOs d �7d►d�7�� uaa uan a a0 o r•O 0 rr o ►�nannmrw 0�oxxt�(7rn00 tj to n a hd Fl, 3a r• w . 0 a G ra a n p, (D m r ( kQ a @ r' aou (D frN:a FP C r%M n v r a r � 0Htd rr ro0kQ is ma (DHHaV r t7 0 r1 fi m a it to ka ft c4 W a• 0 0 En ft M cr ►� H m 'ti ^d N rpr ti ti 0 �C ro cn ►0 td H m ri a p iy F.. rr 'C (D p � p �o m C r• m wo () 3 w 0 �o gfr ° m 0 y � n N Q 0 u ° to h a w a m r►-3 oil z OK r•w to � irop N N ft o ri, o n xotr►G cnEn w (D r a En p .A 0 Y a (D wk na m • p �Y m 0 (D a a (D o (D rn a 0 V H nt-hfu n5 cr cr r• r- �v 0 'b O m W Pa w a ^d ~ ft ro r rt ct cr 0 a x Vl N c O vD o o>> D ato R N- 2 m O C v D c Cl ;u z O O h cn D m En c) ( j c M to M w 0 O CD -n _ M n O v M 0 -n 0 M v_ Z z n M v� M -n O r 0 ❑ C) ❑ A c W m U+ v m q -V -0 c CL g M m y D m Z anni.� O 0 = •• m m �P cQ n o Cl) O cg] B O CDQ. CD ° O o C O C) CD c 0 0 = ,zm< 0 m m 5 � O n m Co Cy -* O z o `c , m Mc"� O 0 � .0 a 0 7 � a Sr u O7 CDC z O O F z �C)c n m m Q 0 CD Cl) m T• o CD Co m a O D x to �' (i a d CD O c a Erp O .+ tam Cu CCD _r n fA � D =* m m ma 0 TMa n; fA c O fD <D CD N -O ci, va m CD a a) N C_ W rL O a CD CD O. N N CC TIN M w Do 0) N y Q to v{ � O Ca m N d 0 m m a _, O N _ or o o � c to m to 3 a m •c m �o 0 o_ N N C I O m C M N O 0 t� m O 'm-0 _ O y M N CD O C CD 7 y CD rD r. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑❑ ❑ N v W N O cND OO ONi 01 r N >0OX =oZ -0 CC0 3 cn 13ccnIDcDoN oC=y cn co O a a (nm O % a -, N �2 a ry O Cr O (n cn Q O =r a [— c CD y v O O CD m 0 m a 0 M a" = CO mm "' � o a° m 3 m C', 0 0 (na a m C �• co N CC CD �'O O C C O N cn L� m ci . C. O— CD O a a <_' cQ CD Cn M a a� — °' 3 c Cn CD -a m inCA 0 O a; O O .. O CD O O= m OCD Q C CD '6 O N O O c c ,G CD 0a C CrO O X CCD OD a m a n = CCD CDCD (n O a a cn 3 O °' a °' II) a sv 0 p ~' O N CD � (D O p 0 0 = m ap—j v m a a m 0 CD M o a O C. Q a ._. :v c c QZn CDM CD O C 0 Lv () O CD = CD O O Ln O Q N to O Cn < fan N CD C = 7 tp O fD N y M a O v CA m O G =r fD � CU . CG O O C CD Err CD m N CCO Q K �: '► m CD CD a tll =r o O a CD -I ❑ ❑ ❑ m o ❑ ❑ ❑ E% ❑ G a ❑ [I El ❑ El❑ ❑ � � W 3 c y � � O =� CD O OCL cc a C :E cD CD N LA o N a� 0 < O d y 7 CL O c o M sv 7' = rn O M. y m W m CD CD 3 N N c Er c m rn N 7 a O C 7 N 0 M N v N N M O O CD co -I ;MDm o T Z O S W v O o m -� m o 0 c O " cn 7 a c L cap C 3 Cn N t y CD SL m_ O D y a O O N+ -� � c CL � a � avci �Q• °� O r. ccT CD 0 w _• C, Cn N M n Enn Q N �< rmn co a 0 w� � CD a `2_ N to C a• 3 CD N'R CZI b (D 0 CDCL C C07 W to cn coo -. m fi x 0 T CD o TCD n;v i m CD (OD N ca 0):3o Co = m aR'j m pLCNv O > -w X a > CD m a o Nn a o"mN W .O+ CDT cD 'O D U3 o �. z Cc EO�µ m a �a D a C1 N Cu m a a CL En 2 m = N N .Q+ to U) CD Gt 7 q W CD 3 o a' = n wUl �o N . =r M m O 06 a R cc @ M m N ya t7 N cp 9 m ° c n c a ~ W m a a w m M o m p O -0❑o❑❑❑❑❑❑I�� ❑❑❑❑o o g ^__ c m 0o p N =e 55 D ❑ m ❑ ❑ ❑ SLN❑ ❑ ❑ ❑ ❑ M ❑ ❑ ❑ ❑ m p -a Z A O M .� j p PO r4 O C." W N CA p W N O M Cl) < r Z^ Z v d Z �1 CTI r C ci CD O -a O O -0 c 3!� 7 v CU C 3 0 3 C a 0 — fp .0..+co c c a v m ro 5 � c m m p .< COn CD ' 0 �, m CDz � a a o ) CD CD Cl Z O 0 Q j p3j -+ O Q -0 CD o0 ID C� N$ to ° m . O M < °� cD C M O X �' ° cn y O to o 3 0 n D .OZ. m sv y o 10 a o 0,0 -n n o a .a r C) CC" (0 = C 0 CD '+ N CD m 0 CD O a �, To O CD a -n O 5' -� N 7 7 m CD c m °' CD -0 'd (n 3 �' _ a m (!) N O y "' O O n 0 a a; cn CD (n-0 ' cn v °' Er 0 a CD 0 N CD f O fi m O o m m O v < -1 O O M co a; ffi o Z 0 z 0 cn m== Z CD CD Zm m 3 3 g 0 0 m CD M o -1 CD CL 0 CD m 3CD O a N C D m Cn O' = O 7 Q 0 N m m = a CD a o CDO <' Qt cc w v a a C o cmi O M N cCp y � . T 'n 2 O M O c m � C Q O O ? CD 3 a ill iij Z Z