HomeMy WebLinkAboutPublic NoticeNOTICE OF PUBLIC HEARING BEFORE THE CARMEL BOARD OF ZONING APPEALS HEARING
OFFICER Docket No. PZ-2024-00037 V
NoBce is hereby given that the Carmel Board of Zoning Appeals Hearing Officer meeBng on the
22 day of April, 2024 at 5:15p.m. in the City Hall Council Chambers, 1 Civic Sq., 2nd Flr., Carmel,
IN 46032, will hold a Public Hearing upon a Development Standards Variance applicaBon to:
seeking approval for 12-[. vision clearance triangle when 15-[.is allowed
With the property being known as 140 1st Avenue NW, Carmel, IN 46032
The applicaBon is idenBfied as Docket No. PZ-2024-0037 V
The real estate affected by said applicaBon is described as follows: 16-09-25-12-01-013.000
The peBBon may be examined on the City’s website, through Public Documents - Laserfiche.
All interested persons desiring to present their views on the above applicaBon, either in wriBng
or verbally, will be given an opportunity to be heard at the above-menBoned Bme and place.
Rebecca Brammer PETITIONERS
STATE OF INDIANA }
COUNTY OF HAMILTON )SS,
}
Petitioner: Rebecca
Brammer
Legal Notice: Docket No. PZ-2024-00037 V
AFFIDAVIT OF PUBLICATION
Personally appeared before me, a notary public in and for said county and state, the undersigned,
Steve Greenberg who, being duly sworn, says that the Publisher of Current in Carmel newspaper of
general circulation printed and published in the English language in the city of Carmel in state and county
afore -said, and that the printed matter attached hereto is a true copy, which was duly published in said
paper once, the date of publication being as follows:
April 9, 2024.
Subscribed and sworn to before me on April 11, 2024.
Notary Public Signature
Publisher's Fee: $28.03
' u4 NlUm Pubes nn Hamaffw
Ot �nf8n8 t�i
* SEAL * Gon Awlon Munl9r Nn 074M5 t:
hci .N� MY m W.1M
15,
24 April 9 i
Currentt Carmel
currentincarme(com
NOTICE OF PUBLIC HEARING BEFORE THE
CARMEL BOARD OF ZONING APPEALS
HEARING OFFICER
Docket No. PZ-2024-00046 V
Notice is hereby given that the Carmel Board
of Zoning Appeals Hearing Officer meeting on
the 22nd day of April 2024 at 5:15 p.m. in the
City Hall Council Chambers,1 Civic Sq., 2nd Flr.,
Carmel, IN 46032, will hold a Public Hearing upon
a Development Standards Variance application to:
Requesting a development standards vari-
ance from LIDO Section 5.09 (B). Maximum 42
inch fence/wall allowed in the front yard, but 48
inches requested.
With the propertybeing known as (insert
address): 14494 Smickle Ln, Carmel, IN 46033.
The application is identified as Docket No.
PZ-2024-00046 V
The real estate affected by said application is
described as follows: (insert Legal Description OR
Tax ID parcel number(s))
17-10-22-00-29-015.000
The petition maybe examined on the City's
website, through Public Dowments - Laserfiche.
All interested persons desiring to present their
views on the above application, either in writing or
verbally, will be given an opportunity to be heard
at the above -mentioned time and place.
Sherry Harper PETITIONERS
NOTICE OF PUBLIC HEARING BEFORE
THE CARMEL BOARD OF ZONING APPEALS
HEARING OFFICER
Docket No. PZ-2024.00050 V
Notice is hereby given that the Carmel Board
of Zoning Appeals Hearing Officer meeting on
the 22nd day of April, 2024 at 5:15 p.m. in the
City Hall Council Chambers, 1 Civic Sq., 2nd Flr.,
Carmel, IN 46032, will hold a Public Hearing upon
a Development Standards Variance application to:
Allow a side/rear property line variance of fence
height from 6' to 8' when replacing old fence
With the property being known as (insert
address): 837 Bridle Court, Carmel IN, 46032.
The application is identified as Docket No.
PZ-2024-00050 V.
The real estate affected by said application
is described as follows: (insert Legal Description
OR Tax ID parcel number(s)) Legal Description:
Acreage .33 Section 24, Township 18, Range 3
HUNTER'S CREEK VILLAGE Section 1 Lot 45
The petition may be examined on the City's
website, through Public Documents - Laserfiche.
All interested persons desiring to present their
views on the above application, either in writing or
verbally, will be given an opportunity to be heard
at the above -mentioned time and place.
Abigail Zisk
PETITIONER
STATE OF INDIANA ) IN THE HAMILTON SUPERIOR COURT NO. 7
COUNTY OF HAMILTON ) SS:
CITY OF CARMEL, INDIANA, ) CAUSE NO. 29007-2403-PL-002610
Plaintiff, )
V. /
KENTON AND CAMPBELL, BUILDERS, )
a Partnership, AUDITOR and )
TREASURER OF HAMILTON COUNTY, )
INDIANA, )
Defendants. )
SUMMONS AND NOTICE OF APPROPRIATION OF REAL ESTATE
This is to notify Defendant, Kenton and Campbell, Builders, a partnership, that you or your attorney must
show cause, if any exists, why the real estate to be appropriated by Plaintiff, City of Carmel, Indiana, in this
case should not be condemned within 30 days after service of this Summons and Notice upon you. Failure
to appear before the Hamilton Superior Court No. 7, located at 1 N. 8th St, Noblesville, IN 46060, Phone No.
(317) 770-8800, and object within such time could result in the real estate being appropriated without further
opportunity to contest the appropriation. However, even after the appropriation, you will have the opportunity
to litigate the price to be paid for the real estate.
Witness my Hand and the Seal of the Court affixed at Noblesville, Indiana, this 12th day of March, 2024.
Kathy Kreag Williams
Clerk, Hamilton Superior Court No. 7
The designated manner of service is by publication, 'for three (3) successive weeks in a weekly newspaper
of general circulation and published in the English language" in Cannel, Indiana, pursuant to IC 32-24-1-7(a)
(2)
Yasmin L. Stump
Attorney for Plaintiff, City of Carmel, Indiana
Attorney No. 14876-49
YASMIN L. STUMP LAW GROUP, PC Pennwood Office Park II, Suite 101 11495 North Pennsylvania Street
Carmel, IN 46032
Telephone: (317) 705-0707
Facsimile: (317) 810-1601
EXHIBIT "A"
Project: 20-ENG-04-N
Parcel 22 Fee Simple
Form WD-1 Encumbers Key #(Not assigned)
A part of the Southwest Quarter of Section 12, Township 17 North, Range 3 East, Hamilton County,
Indiana, and being that part of the grantor's land lying within the right-of-way lines depicted on the attached
Right -of -Way Parcel Plat marked as Exhibit "B", described as follows: Beginning at a point on the west line
of said section South 00 degrees 14 minutes 10 seconds East 183.53 feet from the northwest corner of said
quarter section, said corner being designated as point "303" on said parcel plat, and which point of beginning
is the northwest corner of the grantor's land; thence South 89 degrees 14 minutes 39 seconds East 74.76
feet along the north line of the grantor's land to the northeast corner of the grantor's land at point "341"
designated on said parcel plat; thence South 00 degrees 14 minutes 10 seconds East 500.00 feet along the
east line of the grantor's land to the southeast corner of the grantors land at point '340" designated on said
parcel plat; thence North 89 degrees 14 minutes 39 seconds West 74.76 feet along the south line of the
grantor's land to the west line of said section; thence North 00 degrees 14 minutes 10 seconds West 500.00
feet along said west line to the point of beginning and containing 0.858 acres, more or less, inclusive of the
presently existing rightofway which contains 0.138 acres, more or less. .
This description was prepared for the City of Carmel by Jason R. Hasler, Indiana Registered Land
Surveyor #21100012, on the 12th day of June, 2023.
by Jason R. Hasler
NOTICE OF PUBLIC HEARING BEFORE THE
CARMEL BOARD OF ZONING APPEALS
HEARING OFFICER
Docket No. PZ-2024-00037 V
Notice is hereby given that the Carmel Board
of Zoning Appeals Hearing Officer meeting on
the 22nd day of April, 2024 at 5:15p.m. in the
City Hall Council Chambers, 1 Civic Sq., 2nd Flr.,
Carmel, IN 46032, will hold a Public Hearing upon
a Development Standards Variance application
to: seeking approval for 12-ft. vision clearance
triangle when 15-ft. is allowed
With the property being known as 140 let
Avenue NW, Carmel, IN 46032
The application is identified as Docket No.
PZ-2024-0037 V
The real estate affected by said application is
described as follows: 16-09-25-12-01-013.000
The petition may be examined on the City's
website, through Public Documents - Laserfiche.
All interested persons desiring to present their
views on the above application, either in writing or
verbally, will be given an opportunity to be heard
at the above -mentioned time and place.
Rebecca Brammer, PETITIONERS
NOTICE OF PUBLIC HEARING BEFORE THE
CARMEL BOARD OF ZONING APPEALS
HEARING OFFICER
Docket No. PZ-2024-00052 BE
Notice is hereby given that the Carmel Board
of Zoning Appeals Hearing Officer meeting on
Monday the 22nd of April meeting agenda of the
Board of Zoning Appeals Hearing Officer, under
Public Hearings, at 5:15 PM in the Carmel City
Hall, 2nd Floor, Council Chambers Room, 1 Civic
Sq, Carmel, IN 46032, will hold a Public Hearing
upon a Special Exception application to:
Residential Special Exception request for
a Short -Term Residential Rental (UDO Section
2.07)
On the property being known as: 10660 North
Broadway Avenue, Carmel, IN 46280
The application is identified as Docket No.
PZ2024-00052 SE
The real estate affected by said application is
described as follows: Parcel Number: 17-13-02-
04-09-010.001
The petition may be examined on the City's
website, through Public Documents - Laserfiche.
All interested persons desiring to present their
views on the above application, either in writing or
verbally, will be given an opportunity to be heard
at the above -mentioned time and place.
James D. Ellis PETITIONERS
STATE OF INDIANA ) IN THE HAMILTON SUPERIOR COURT NO. 7
) SS:
COUNTY OF HAMILTON ) CAUSE NO. 29D07-2403-PL-002653
CITY OF CARMEL, INDIANA, )
Plaintiff, )
V. )
THOMAS K. AUMAN, MARILYN )
AUMAN NELSON, CAROLYN AUMAN )
and AUDITOR and TREASURER OF )
HAMILTON COUNTY, INDIANA, )
Defendants. )
SUMMONS AND NOTICE OF APPROPRIATION OF REAL ESTATE
This is to notify the Defendants, Thomas K. Auman, Marilyn Auman Nelson and Carolyn, that you or
your attorney must show cause, if any exists, why the real estate to be appropriated by Plaintiff, City of
Carmel, Indiana, in this case should not be condemned within 30 days after service of this Summons and
Notice upon you. Failure to appear before Hamilton Superior Court No. 7, located at 1 N. 8th St, Noblesville,
IN 46060, Phone No. (317) 770-8800, and object within such time could result in the real estate being
appropriated without further opportunity to contest the appropriation. However, even after the appropriation,
you will have the opportunity to litigate the price to be paid for the real estate.
Witness my Hand and the Seal of the Court affixed at Noblesville, Indiana, this 12th day of March, 2024.
Kathy Kreag William
Clerk, Hamilton Superior Court No.
The designated manner of service is by publication, "for three (3) successive weeks in a weekly
newspaper of general circulation and published in the English language' in Carmel, Indiana, pursuant to IC
32-24-1-7(a)(2).
Yasmin L. Stump
Attorney for Plaintiff, City of Carmel, Indiana
Attorney No. 14876-49
YASMIN L. STUMP LAW GROUP, PC
Pennwood Office Park 11, Suite 101
11495 North Pennsylvania Street
Carmel, IN 46032
Telephone: (317) 705-0707
Facsimile: (317) 810-1601
EXHIBIT "A"
Project: 20-ENG-04-N
Parcel 22 Fee Simple
Form WD-1 Encumbers Key #(Not assigned)
A part of the Southwest Quarter of Section 12, Township 17 North, Range 3 East, Hamilton County,
Indiana, and being that part of the grantors' land lying within the right-of-way lines depicted on the attached
Right -of -Way Parcel Plat marked as Exhibit "B", described as follows: Beginning at a point on the west line
of said section South 00 degrees 14 minutes 10 seconds East 783.53 feet from the northwest corner of said
quarter section, said corner being designated as point "303" on said parcel plat, and which point of beginnini
is the northwest corner of the grantors' land; thence South 89 degrees 14 minutes 39 seconds East 50.01
feet along the north line of the grantors' land to the northeast corner of the grantor's land at point "339"
designated on said parcel plat; thence South 00 degrees 14 minutes 10 seconds East 100.00 feet along
the east line of the grantors' land to the southeast corner of the grantors' land; thence North 89 degrees
14 minutes 39 seconds West 50.01 feet along the south line of the grantors' land to the west line of said
section; thence North 00 degrees 14 minutes 10 seconds West 100.00 feet along said west line to the point
of beginning and containing 5,000 square feet, more or less, inclusive of the presently existing right-of-way
which contains 1,200 square feet, more or less.
This description was prepared for the City of Carmel by Jason R. Hasler, Indiana Registered Land
Surveyor #21100012, on the 12th day of June, 2023.
by Jason R. Hasler
BZA Hearing Officer Public Notice Sign Procedure & Affidavit
Procedure:
The petitioner shall incur the cost of the purchasing, placing, and removing the sign. The sign must be placed
in a highly visible and legible location from the road on the property involved with the public hearing.
The public notice sign shall meet the following requirements:
1. Must be placed on the subject property no less than 10 days prior to the public hearing date.
2. Sign must follow the sign design requirements:
• Must be 24" x 36" — vertical T
• Must be double sided
• Must be composed of weather resistant material, such
as corrugated plastic or laminated poster board
• Must be mounted in a heavy-duty metal frame
3. The sign must contain the following:
• 12" x 24" PMS 1805 Red box with white text at the top
• White background with black text below.
• Text used in example to the right, with Date* and Time
of subject public hearing
• A QR code providing a link to the GIS Map of Public
Hearings
* The Date should be written in day, month, and date
format. Example: "Mon., Jan. 23"
4. The sign must be removed within 72 hours of public hearing
conclusion
A high definition exemplar of this sign is included on the next page
Hearing Officer Variance
---------- --- -- -
Cannel Citc Hall
For Into: +17-571-2417
Public Notice Sign Placement Affidavit:
I (We) do hereby certify that placement of the public notice sign to
consider Docket NoP2 ""ac)c9q-boo-3Z 1'was placed on the subject property at least 10 days prior to the
date of the public hearing, at the address listed below:
STATE OF INDIANA, COUNTY OFk'_J_VPI , SS:
The undersigned, having been duly sworn, upon oath T
that the above information is true and correct as he
is informed aoplieves. �.
�vl,-T O "v i� (Signature o Peti loner
SSbsT epMP.kvAto &fore me this�day of APCI�IL— 20 q
•� EAL N: _
.o
pUBL�O °:' % Notary Public, Signed Name:/
'�iCF Notary Public, Printed Name: fl 6CZ/4 /. J b0_Sn/V
My ommmission Expires:
�isriinll��`� I t4U��Udz
C
Page 4 of 12 File: Hearing Officer Development Standards Variance Handout 2024_REVISED Revised: 02-16-2024
PETITIONER'S AFFIDAVIT OF NOTICE OF PUBLIC HEARING
CARMEL BOARD OF ZONING APPEALS
i
I (WE) r�m(�'1� DO HEREBY CERTIFY THAT NOTICE OF
��h�aCL^r�.
(Petitioner's Name)
PUBLIC HEAR G BEFORE THE CARMEL./BOARD OF ZONING APPEALS HEARING OFFICER CONSIDERING
DOCKET NO�Z �( 4 LCC6 *AS REGISTERED AND MAILED AT LEAST 10" DAYS PRIOR TO THE
DATE OF THE PUBLIC HEARING TO THE BELOW LISTED ADJACENT PROPERTY OWNERS:
OWNER ADDRESS
lSG c-A C41
T����
2C) �,j 0 ol Dit I N L4 to C)
ff ,
STATE OF INDIANA
SS:
The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed
and believes.
0
(Signature of Petitions
County of hu1 LLITN Before me the undersigned, a Notary Public
//1� (County in which notarization takes place)
t1
for —` 01q County, State of Indiana, personally appeared
(Notary Public's county of residence)
(Property Owner, Attorney, or PP,qwer of Attorney)
this Iy day of
(day)
(month)
and acknowledge the execution of the foregoing instrument
20C�
(year
tary Public-- i nature
Notary Public --PI ase Print
M commission expires: 7��/��o
Y p �
*Only 10 days prior public notice required for a BZA Hearinq Officer meetings
Page 7 of 12 File: Hearing Officer Development Standards Variance Handout 2024_REVISED Revised: 02-16-2024
From:INTERNETGUEST
To:Plat Auditor
Subject:Online Adjoiner Request
Date:Wednesday, March 27, 2024 8:52:16 AM
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless
you recognize the sender and know the content is safe.
POSSE Job #: AR-2024-0097
Zoning Authority: Carmel BZA
Parcel # of Property: 1509251201013000
Additional Parcel #: , , , , , , , , , ,
Owner: Rebecca and Jay Brammer
Petitioner: Rebecca Brammer
Contact: Rebecca Brammer
Contact Phone: 3175231485
Contact Email: Brammer.rebecca@gmail.com
I, ROBIN M. MILLS, AUDITOR OF HAMILTON COUNTY, INDIANA, CERTIFY MY OFFICE HAS
SEARCHED OUR RECORDS AND BASED ON THAT SEARCH, IT APPEARS THAT THE PROPERTY
OWNERS MARKED AS NEIGHBORS ARE THE PROPERTY OWNERS THAT ADJOIN AND ABUT THE
REAL ESTATE MARKED AS SUBJECT PROPERTY.
THIS DOCUMENT DOES NOT CERTIFY THAT THE ATTACHED LIST OF PROPERTY OWNERS IS
ACCURATE OR INCLUDES ALL PROPERTY OWNERS ENTITLED TO NOTICE PURSUANT TO LOCAL
ORDINANCE. ANY PERSON SEEKING A MORE ACCURATE SEARCH OF THE REAL ESTATE
RECORDS OF THE COUNTY SHOULD SEEK THE OPINION OF A TITLE INSURANCE COMPANY.
ROBIN M. MILLS, HAMILTON COUNTY AUDITOR
DATED:3/27/2024
SUBJECT PROPERTY
16-09-25-12-01-013.000 SUBJECT PROPERTY
Brammer, Jay A & Rebecca T h&w
140 1st Ave NW
46032INCarmel
Pursuant to the provisions of Indiana Code 5-14-3-3-(e), no person other than those authorized by the County may reproduce,
grant access, deliver, or sell any information obtained from any department or office of the County to any other person,
partnership, or corporation. In addition any person who receives information from the County shall not be permitted to use
any mailing list, addresses, or databases for the purpose of selling, advertising, or soliciting the purchase of merchandise,
goods, services, or to sell, loan, give away, or otherwise deliver the information obtained by the request to any other person.
Page 1 of 1
Barton Griesenauer
Adjoiner Notification List
Please notify the following persons:
Page 1 of 1PROPERTIES TO BE NOTIFIED
16-09-25-12-01-012.000 NOTIFICATION PROPERTY
Butterworth, John & Jennifer M h&w
210 1st Ave NW
46032INCarmel
16-09-25-12-01-015.000 NOTIFICATION PROPERTY
Lapel, Bryan & Jennifer h&w
130 1st Ave NW
46032INCarmel
16-09-25-12-01-036.000 NOTIFICATION PROPERTY
Diener, Robert S Jr & Louret L
409 Stonehedge Dr
46032INCarmel
16-09-25-12-02-032.000 NOTIFICATION PROPERTY
Thrift, Paul M Trustee Angie H Thrift Rev Trust
901 Wabash Ave Ste 300
47807INTerre Haute
16-09-25-12-02-033.000 NOTIFICATION PROPERTY
Youkilis, Robert A & Tina M h&w
13599 Brentwood Ln
46033INCarmel
16-09-25-12-05-001.000 NOTIFICATION PROPERTY
Kirsh, Steven & Jacque
2930 E 96th St
46240INIndianapolis
PREPARED BY THE HAMILTON COUNTY AUDITOR'S OFFICE, REAL PROPERTY DEPARTMENT
007.001
044.001
024
024.001
024.002
005.001
013
035
039
041
040
038
022
042
006
028.001
032
027
028
010
015
039
044.002
014
016
013
038
043
005
004
008
036
007
001
045
069
061
078
001 003
030
036
037
031
032
033
029
017
011
012
018
009
008
009
011
007
016
010
012
014
070
013
015
006
062081
008.001
063
071
001
076
072
034
079
074
003
002
080
010
064
023
060 066
065
021
022
073
025
034
001
068
077
082
006
016
006.001
007 002
009006
009.001
018008
005
026
020
002
017
004
003
019
024.903
024.902
024.904
024.901
067
009
075
008
007
035
044 042.001
022.801
022.800
024.102
031
010.001
1ST ST NW
NORDYKE
AVE3RDAVE NWFLORENCE STLEGACY LNMONON TRL1ST AVE NW2ND AVE NW3RD ST NW
2ND ST NW
Adjoiner Notification Map
Legend ±Subject Parcel(s)
Notification Parcel(s)
Buffer
Parcel Boundary
001 Parcel Number
CO
X01-•
Ln
.n
ru Certified Mail Fee
$
M Extra Services & Fees (check box, add feer�ppro p#ate)
0 r_1 Return Receipt (hardcopy) $
r_1 Return Receipt (electronic) $ T M'
0 F1 Certified Mail Restricted Delivery $ 'i A A
171- F1 Adult Signature Required $ ;,i;-r
ru [] Adult Signature Restricted Delivery $
Lr) Postage
C3 $
r-1 Tqtal Pos
tage and Fees
C3 $
Sent To
Cr - -------------
c[3 Street and
Lr)
Er City, state, ZIP44-------------------------------
Postmark
Here
j
7L1
Certified Mail Fee
-0
$
rn
Extra -Services &Fees (Check box, add fee as a_pPIVA
r3
M Return Receipt (hardcopy) $
F1 Return Receipt (electronic) $
Postmark
M Certified Mall Restricted Delivery $
Here
1ti
❑ Adult Signature Required $
ru
❑Adult Signature Restricted Delivery $
Ln
Postage Y.
13
$ --------
IJ 4
Total Postage and Fees
r-q
r_3
$
Sent To
Er
CO
-------------------------------------------------------
Street and Apt. No., or PO Box No.
U-)
117
---------------- ;-- -------------------------------------------------------------------
City, State, ZIP46
so - X.TMl[5f;j.jjg
U.S. Postal Service"
CERTIFIED MAIL@ RECEIPT
Domestic Mail Only
CO
M
3.11. 9 M9111.11. IR111.1WRI .1 211115MIPM.11
Q!jCpn! I c: ty 62
ru
Certified Mail Fee -J
rt Z.
$
4
M
Extra Services & Fees (_checkbox, add fee as
E3
L1 Return Receipt (hardcopy) $
❑ Return Receipt (electronic) $
Postmark
N❑
Certified Mail Restricted Delivery $
Here
❑ Adult Signature Required $
RI
Lr)
E] Adult Signature Restricted Delivery $
Postage
17"
$
rzi
T(#tW Page and Fees
$
Sent To
Er
cC)
Street and --------------------------------------------------------
U-11
Er
�7� 2i)5:�P State,
"MIR"Wrm"M
L'" CERTIFIED MAIL@ REI
r=1
-0 Domestic Mail Only
Ln For delivery information, visit our websi�
Cri r
ASI Pj W4 6 1_;? W
ru Certified ail Fee $
$
M Extra Services & Fees (ch.,kbI, add !.js-9pprQpriate)
C3 El Return Receipt (hardcopy) $
El Return Receipt (electronic) $
El Certified Mail Restricted Delivery $
El Adult Signature Required $ is;;-i
ru E] Adult Signature Restricted Delivery $
Lr)
Postage V
-1 C
C3 $
r-q To
tal I!pAtage and Fees
r3 $
Sent To
Er
CO _1KCTi -RE
Lil
ir -2ii5;:it -----------------------------------
ru
FMON,=11A
ru
A153N. MUM
Ln
e1Qli H Oj 'Ir 1), 7"
Vu Certified Mail Fee
-0 $
M Extra -Services & Fees (check box, add fise qNolrdate)
C3 L] Return Receipt (hardcopy) $
El Return Receipt (electronic) $ t A A
C3 E] Certified Mail Restricted Delivery $ ft�' jj izi Q
r"_ [] Adult Signature Required $
E] Adult Signature Restricted Delivery $
Postage
E3 $
r-1 Total Postage and Fees
O $
Sent To
Er
cc Street and Apt. No., or PO Box lVo.
Lrl
Er City, State, ZIP+4®
Ir
M K13mg a In yj I M wi 4
ul N w-TIN.
_n
ru Certified Mail Fee
$
M �raServices& Fees (check box, add feegprip
C3 E] Return Receipt (hardcopy) $
E] Return Receipt (electronic) $
E] Certified Mail Restricted Delivery $
E] Adult Signature Required $
ru L-] Adult Signature Restricted Delivery $
U1
Postage
C3 $
r-q To -tall Postage and Fees
C3 Ur
Sent TO Street
0
Apt.
CE3 Stneei�i5a �f (5 6i ff(�
LP)
a City.
'.7
r- i� -8-twt�;" 21IP54446 ----------------------------------
Postmark
Here
0 4.1-`10 /`2 ri 2 "1
.6 1
Postmark
Here
A 2, 4
A 'Pt 1 4
Postmark
Here