|
<br />(l\'lHPIR / S I1AI\11il__._____..C'_TYL2C.. .~PtL'!RH/~uL:S _____.
<br />,roB SITE! Al11lfl.F.I88.lf7~3 . j8r~..5T,(:!ee:rr-._.___
<br />JJElrH\L IlRJSrlRIP'l'lUll1 'JOT(S)u.~2._._._._._ BI,()('[( ..2i).
<br />
<br />CIlr'~{ ()F ZHlJ:?HVRHILIJS PERMI'l' ,APPldCATION
<br />FHJlIllJnll~ IJFll?J\R'rz,imN'l' 5335 8th 8'rRPlBl'l' ZIllPH'iRUU,I,S, P'IJ 3'H;40
<br />P hOlla I a i 3 - 780 - O,D 2 0 11' Q,e I B 1..3- '7 80 0021
<br />!lA'rlll P.1ll<Jllllvmn J-.)f-q-z..
<br />PI,l'\HEl RtllVIBlW 1'11I1ll....
<br />
<br />PIlONF.1 (!()1"J'l\(~'I'
<br />
<br />'*
<br />
<br />,tJl/BIllV IAJr)!1 e.QZ/.
<br />
<br />N\Rr !P1I, III 11..JL.dt.~2/ 'f2C?Lt2...(!_QQQ(). =/?f?_P '_...
<br />NORR PROl?AllllJ I UNI!lN I'ONS'l'RlIC,'TWII [-.J J\ntH'I'ICH.T U A.L'I'ElIU\.THm
<br />
<br />(nB'rl\ HI F'P,.cl~1 PRnl?P.1I1.'J'Y 't'lI K Wl'!' f( 'Ill)
<br />
<br />[1 RRlPAtR
<br />
<br />I J JtlRT1\f,T,
<br />
<br />!J S Iml
<br />
<br />[J WJIJRJ
<br />
<br />J5k llmWJI,I811
<br />
<br />PfHW()FlFJI1 IJSR11 llSql, FIHHI,Y DWElIJI,I11rJ
<br />
<br />[JtHll,'I'r. FAHIloY
<br />
<br />[I It np' !HI J '1'13
<br />[] SN If,IMIHr~ POUT..
<br />
<br />I ] r10RlJ,RJ l!Or1Rl
<br />
<br />[01 ()Or'1HElRC! HI t,
<br />
<br />[J HIDUS'I'RTlIt,
<br />
<br />I J OTIIRlP.
<br />
<br />LJ 11 Elf3'I'A!J!U\I,rt' t, HElAI.'l'lI lJRlP.1\R'l'HEllfl' l\l?PrloVl\r,
<br />
<br />ll!jJ~H~R n'!' InH O.F' NUll K .CQME~-rE;,....};;:1C.A.1.0t.d..T.(o..:~_~...___....._ ... ..
<br />
<br />8!1n.Tlnm f:!lZEl ._.l-:ST"g~..__.____..-*: SQUARE! FOu't'AnR:
<br />
<br />IIEI f WIT
<br />
<br />RI!lA HJRHl'I'T1'\J, I
<br />(!1J~1MBlIWtJ\t'1
<br />
<br />A'I'Tl\C!1l (;J) PJD'I' Pl.AIl8 & (2) BElTS OF BULl ,IlINC~ PI,AHA
<br />.1\'/"1'1\('11 (3) Rm'1'S OF' BlJtLIJHIG P1A\HS & (1) SEl'!' ENF.fWY
<br />PROJ:1Il1HTY StT/WJllY. REJOtJIREllJ FOR TILL NEW UOllE:!'I'RlJC'I' ION .
<br />
<br />.- ._-_._.._--~......_--~
<br />
<br />VII.T.,l1ATJON OF' 'I'OTAIJ [~OH8'rRtj(~'I'TOll
<br />
<br />(.'. (1.) SFJ'I' EJt1!lJRHJt--'~6iri1If;--",
<br />
<br />'0"'18 /;/;~ )
<br />~
<br />
<br />
<br />F~RM~T~REQ~m~T~O
<br />
<br />l:J BlIrr,IHN(~
<br />Ll ml,I111"r~l UJ\I,
<br />U J;1 J ,tJf1B n1f~
<br />IOJ J.!f!l(JII1\N Tt!A f J
<br />
<br />$
<br />
<br />-'-.. - .-"._.__ M1P SRJRVI('El
<br />
<br />[] Fl.rlPItJl\ PrmElR.
<br />
<br />Ll N. R , Rl.r! ,
<br />
<br />$.
<br />
<br />- .__._----~.~-~,- ...---.-------
<br />
<br />Vl\T.UATION UP' r,lEJCHAH{! U\T, UISTAI,I,/\'rrrJN'
<br />
<br />Ll r~l\8
<br />
<br />L.l RIJOP' nm
<br />
<br />L18PBl(!tAJiJ'Y
<br />
<br />I] OTHElR
<br />
<br />'l'i!PHl uP' C'lH'1El'I'RtlU'r InN I LJ 1:1{,()('K
<br />
<br />[J FRI\J<lEI
<br />
<br />[J STElE1T,
<br />
<br />[J OTIIIlJn
<br />
<br />FIHISHFJIl F.'r,(JOR I1lT,RlV1\'I'IOl'TS
<br />
<br />-.--..-.-___ _0._....,--"----
<br />
<br />r S I?Ro, mCT IN PUl( J() ?'OIH11 1\f? rnrq] vms
<br />
<br />[.1 NO
<br />
<br />
<br />att UtJP.l~
<br />
<br />Rlmll\'I'tIHffi
<br />
<br />...-~...e..~.
<br />
<br />crH1P1\HY .C&<?~ .&A/.~T&,(.I'CT?O,(\l (dJ, / /.IV.<--'u~_
<br />S'f'I\'I'EJ CFJR'I' OR J1ElrJHl'I' It _.
<br />C l'l'Y PR()(!E:SS J!,f(~ #
<br />
<br />""'*'******"'*'*'*'*""""*'*'***'**'**'**'*"'1*"*'1""'"
<br />
<br />lIlrJJllC'J'Rwr 11.11
<br />
<br />AI {~Ill\'l'tIRm _..
<br />
<br />Cor'lPl\lH .'._._ ..
<br />ST1\TF, ('rnR1' OR RElnAT H
<br />C!l'ry PROC'E)8BIN(~ II
<br />
<br />.....,.,*,........,*.,,**....*.,**......,,*,..,...,**."**",..,,.
<br />
<br />PT,I1MBmR (!()!',IPl\llY.... u .,._..
<br />S'I'1\TEl CEJRT OR RF.J(HR'r # _uu__.. '__."
<br />SlQllll'l'tlR/l1 r!J'!'Y PROCElSRINI] #
<br />
<br />Mill(. !HAlfl r!1\ r I
<br />
<br />'*'**'*"**'*'****""*"**'*'11'1'*'*""*"'*"'*"11"*""1,**
<br />
<br />. ". ....-..~........_-., -. .-.-....~. ..--..."-...-.. .-. -...-.~..._. ~"--'--~'-_,,_- ".. . -~._.., "_._.. -
<br />
<br />. --......--...... -"~..,_._---.....- ....., ......--...----.., ...........---...--..--...----- --~
<br />
<br />(!i)HPANV.. ____ ...._..._______
<br />FlTl\'l'EJ C'H1tlT OF. R!:lJ<1 t Fl'r /I
<br />1~1 TV PRUC'ElSSHIl1 #
<br />
<br />8 I (Ull\'l'tlIUl
<br />
<br />'~...'*..".'*',.****.~*"*.**********...I**.*****'*""'I.*~*",
<br />
<br />. - ._._-,-- ~~--'-'-- -."-. ..._---. ._. .
<br />
<br />(vrll IDlt
<br />
<br />~---_.......~-._~.-.~ ~~-----_. ....._.- --,.._-- ~.....~-_. - -." _.__..._--~- -_..... '-'--.-.
<br />
<br />I !nl.1 P 1\/1 Y
<br />S'l'l\'1'FJ 1.'FlR T-OP. -Ri~TAT"#.'."~'...
<br />('l'ry. PROC!ElFlS nlq II
<br />
<br />..-.---~-...,.._.~ "- -.-.., "'_h__.._.... _.._.._._ _'_. ~...___ __.__..._______._~_.,.__
<br />
<br />Fl f( nrJ\'I'I1R ITI
<br />
<br />1""***'***"'********"***'***"*I*'*"'***'**'*'t"**'*.'***'1
<br />
|