HomeMy WebLinkAboutBuilding Permit #Exception - 10 CABOT ROAD 8/27/2001 f NORTH
0�>:.r. Zoning Bylaw Denial
p Town Of North rt Andover Building Department
27 Charles St. North Andover, MA. 01845
4S3^`HUS Phone 978-688-9545 Fax 978-688-9542
Street:
Map/Lot:
A licant: CorNe t VS �+. /Cnnenr
Request: a+7�3�x i� � Ac
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Date:
an — a l
Please be advised that after review of your Application and Plans that your Application is
DENIED for the following Zoning Bylaw reasons:
Zoning
item Notes
A Lot Area Item Notes
F Frontage
1 Lot area Insufficient 1 Frontage Insufficient
2 Lot Area Preexisting y e S 2 Frontage Complies
3 Lot Area Complies 3 Preexisting frontage
4 Insufficient Information 4 Insufficient Information
1 Allowed
1 Use 5 No access over Frontage
G Contiguous Building Area ,v
2 Not Allowed 1 Insufficient Area
3 Use Preexisting 2
TCOmplies4 Special Permit Required y e S 3 reexisting CBA
5 Insufficient Information 4 Insufficient Information
C Setback H Building Height
1 All setbacks comply 1 Height Exceeds Maximum
2 Front Insufficient yes 2 Complies
3 Left Side Insufficient `1 e s 3 Preexisting Height
4 Right Side Insufficient yeS 4 Insufficient Information
5 Rear Insufficient
y 5 ( Building Coverage
6 Preexisting setback(s) 1 Coverage exceeds maximum
7 Insufficient Information F Coverage Complies
D Watershed _ 3= -Coverage Preexisting
-
-` 1 Not in Watershed S 4 Insufficient Information
2 In Watershed Sign
3 Lot prior to 10/24/94
1 Sign not allowed
4 Zone to be Determined 2 Sign Complies
5 Insufficient Information 3 Insufficient Information
E Historic District K Parking
1 In District review required N
1 More Parking Required
2 Not in district y N S 2 Parking Complies
3 Insufficient Information 3 Insufficient Information
4 Pre-existin Parkin
Remedy for the above is checked below.
Item # Special Permits Planning Board Item # Variance
Site Plan Review S ecial Permit — Setback Variance
Access other than Fronta e S ecial Permit
Fronta a Exception Lot S ecial Permit Parkin Variance
Common Driveway Special Permit Lot Area Variance
Con re ate Housin S ecial Permit Hei ht Variance
Continuing Care Retirement Special Permit Variance for Si n
Inde endent Elderl Housin S ecial Permit S ecial Permits Zoning Board
Larrip Estate Condo S ecial Permit S ecial Permit Non-Conformin Use ZBA
Planned Development District S ecial Permit Earth Removal S ecial Permit ZBA
Planned Residential S ecial Permit S ecial Permit Use not Listed but Similar
R-6 Densit Special Permit S ecial Permit for Si n
Watershed Special Permit Special Permit preexistinq nonconformin
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The above review and attached explanation of such is based on the plans and information submitted. No definitive review and
or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to
provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent
changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the
Building Department. The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein
by reference. The building department will retain all plans and documentation for the above rile.You must file a new building
permit application form and begin the permitting process.
Building Departmen Official Signature / /
Application ReceivedApplication Denied
Denial Sent : If Faxed Phnna
Plan Review Narrative
The following narrative is provided to further explain the reasons for denial for the application/
permit for the property indicated on the reverse side:
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Referred To:
Fire Health
Police Zoning-Board
,Conservation De Other artment of Public rks
Planning thenWoHistorical Commission
BUILDING DEPT
50 DEERN EADOW ROAD
NORTH ANDOVER, MA 01845
E-IviAIL FrankGilesSurvey(a:,mediaone net
TEL. (978) 683-2645 (978)683-3924
SURVEYING LAND PLANNING CONSULTING
SEPTEIVIBER 24, 2001
To: NORTH ANDOVER ZONING BOARD OF APPEALS
From: FRANK S. GILES, P.L.S.
RE: VARIANCE APPLICATION from MGLA ch. 40A Sec. 10
Site: 10 CABOT ROAD
This document is to address a requirement WRITTEN DOCUMENTATION of Section on
page 4 of 4 on the Mariance application.
A. The particular use is existing as a Single Family Residential and remains as such.
B. The soil conditions, topography shall not be altered or affected.
C. The hardship is a pre-existing non conforming situation and Nvith a growing family
needing more room to function properly.
D. The proposed addition will be small and consistent with conditionsin the immediate
area.
E. The zoning is meant to protect the public health, safety conditions, traffic overcrowding
conditions do not derogate the purpose. This allows the family to maintain a level of housing
for the level of income .
F. There are no wetlands on this property or within any jurisdictional distance to warrant a
RDA.
Please call me for any questions you may have in this matter.
Thank you
Frank S. Giles, P.L.S.
( r.
TOWN OF NORTH ANDOVER SPECIAL PERMIT
PAGE 4 OF 4 M.Application for a SPECIAL PERMIT
ZONING BOARD OF APPEALS
9. WRITTEN DOCUMENTATION PROCEDURE
Application for a Special Permit must be supported by a and REQUIREMENTS STEP 6: SCHEDULING OF HEARING AND
legibly written or typed memorandum setting forth in 10 C. FEATURES TO BE INDICATED ON PLAN: PREPARATION OF LEGAL NOTICE:
detail all facts relied upon. This is required in the case for FILING an APPLICATION for The Office of the Zoning Board of Appeals schedules
of a Special Permit when the following pints, based on A. Site Orientation shall include:
p g p 1. North point a SPECIAL PERMIT the applicant for a hearing date and prepares the legal
MGLA ch. 40A, sec. 9 of the North Andover Zoning By-Law notice for mailingto the parties in interest abutters and
and P 9.2 S ecial Permit Granting Authorityshall be clear) 2. zoning district (s) Ten (10) copies of the following information must (abutters)
Sp � y 3. names of streets for publication in the newspaper. The petitioner is 4. wetlands to be shown on plan (if applicable)
identified and factually supported: Addressing each of the be submitted thirty (30) days not later than noon notified that the legal notice has been prepared and the
below points individually is required with this 5. abutters of property, within 300 foot radius prior to the first public hearing. Failure to submit cost of the Party in Interest fee.
application. the required information within the time periods
6. location of buildings on adjacent properties within prescribed may result in a dismissal b the Zoning STEP 7: DELIVERY OF LEGAL NOTICE TO
50 from applicants proposed structure p Y Y 9
1. The particular use proposed for the land or structure. 7. deed restrictions, easements Board of an a lication as incom tete. NEWSPAPER/PARTY IN INTEREST FEE:
2. The specific site is an appropriate location for such The information herein is an abstract of more specific
The petitioner picks up the legal notice from the Office
B. Legend & Graphic Aids: p
use, structure or condition. requirements listed in the Zoning Board Rules and of the Zoning Board of Appeals and delivers the legal
1. Proposed features in solid lines &outlined in red
3. There will be no nuisance or serious hazard to 1 Regulations and is not meant to supersede them. Items that notice to the local newspaper for publication.
vehicles or pedestrians. 2. Existing features to be removed in dashed lines
p 3. Graphic Scales are underlined will be completed by the Town.
4. Adequate and appropriate facilities will be provided for 4. Date of Pian STEP 1: ADMINISTRATOR PERMIT DENIAL: STEP 8: PUBLIC HEARING BEFORE THE ZONING
the proper operation of the proposed use. i BOARD OF APPEALS:
5. Title of Plan The petitioner applies for a Building Permit and
5. The use is in harmony with the purpose and intent of 6. Names addresses and phone numbers of the receivers a Permit Denial form completed by the The petitioner should appear in his/her behalf, or be
the zoning by-law. applicant, owner of record, and designer or Building Commissioner. represented by an agent or attorney,. In the absence of
6. Specific reference and response to the criteria any appearance without due cause on behalf of the
required b the articular special permit for which this surveyor.
q y p � STEP 2: SPECIAL PERMIT APPLICATION FORM: petitioner, the Board shall decide on the matter by using
application is made (i.e. Earth Removal Special the information it has otherwise received.
Permit respond to criteria and submittal 10 D. FURTHER REQUIREMENTS: Petitioner completes an application form to petition the
requirements). Major Projects shall require that in addition to the above i Board of Appeals for a Special Permit. All information
STEP 9: DECISION:
features, plans must show detailed utilities, soils, and as required in items 1 through and including 11 shall be
topographic information. A set of building elevation and completed. After the hearing, a copy of the Board's decision will be
10. Plan of Land sent to all parties in interest. Any appeal of the Board's
interior of building plans will be required when the
decision may be made pursuant to Massachusetts
Each application to the Zoning Board of Appeals shall be
application involves new construction/conversion and/ora Step 3: PLAN PREPARATION:
accompanied by the following described plan. Plans mustGeneral Laws ch. 40A sec. 17, within twenty (20) days
proposed change in use. Elevation plans for minor Petitioner submits all of the required plan information as
be submitted with this application to the Town Clerk's projects including decks, sheds, & garages shall be cited in item 10 page 4 of this form. after the decision is filed with the Town Clerk.
Office and ZBA secretary at least thirty (30) days prior to included with a side view depicted on the plot pian,
the public hearing before the Zoning Board of Appeals. which include a ground level elevation STEP 4: SUBMIT APPLICATION: Step 10: RECORDING CERTIFICATE OF DECISION
Petitioner submits one (1) original of all the required PLANS.
10 A. Major Projects information and 10 xerox copies to the ZBA Secretary. The petitioner is responsible for recording certification of
11. APPLICATION FILING FEES p y accompanying the decision and an
Major projects are those which involve one of the following A. Notification Fees: Applicant is to send b certified The original will be stamped by the Town Clerkplans at the Essex
whether existing or proposed: a) five or more parking mail all legal notices to all abutters, and then certifying the time and date of filing. The remaining ten County North Registry of Deeds, Lawrence
spaces, b) three or more dwelling units, and g copies will remain at the office of the Zoning Board of Massachusetts, and shall complete the Certification of
c) 2000 square feet of building area. supply proof of mailing to ZBA secretary. Applicant is Appeals secretary. Recording form and forward it to the Zoning Board of
Minor projects that are less than the above limits shall to supply stamps (appropriate current postage) for Appeals and the Building Department Office.
require only the plan information as indicated with mailing of decisions to all parties of interest as STEP 5: LIST OF PARTIES IN INTEREST:
identified in MGLA ch. 40A in sec. 11 as listed on the Once the petitioner submits all of the re
quired
asterisks
q u (,�� In some cases further information may be application. ZBA Secretary will compute number of information, the petitioner requests from the Assessors
stamps. Office a certified list of Parties in Interest (abutters). �+
B. Applicant is to supply one (1) set of addressed j
c..
10 B. Plan Specifications: labels of abutters to ZBA Secretary who will mail "'' �. --{
a) Size of plan: Ten (10) copies of a plan not to exceed decisions to abutters and parties in interest. ;
11"x17", preferred scale of 1"=40' C. Administrative fee of$50.00 per application. _ = ��,M
b) Plan prepared by a Registered Professional Engineer CD M
and or Land surveyor, with a block for five (5)ZBA A Special Permit once granted by the ZBA will lapse D 1�ZCu
signatures and date on mylar. in two (2) years if not exercised and a new petition Mme,_ . .a ..,.
. ....
must be submitted. i IMPORTANT PHONE NUMBERS.
i 978-688-9501 Town Clerk's Office + �$ �_ 2 2002 J N
i 978-688-9545 Building Department
978-688-9541 Zoning Board of Appeals
SIXID OF APPEALS .
Page 3 of 4
PAGE 2 OF 4 Date &Time
Stamp Application for a SPECIAL_ PERMIT'
Application for P E
pp _ NORTH ANDOVER ZONING BOARD OF APPEALS
w . 6.a Existing Lot:
North ANDOVER ZONING BOARD OF APPEALS
- 3-�- FrontageParking Minimum Lot set Back*
--- __ _ _ Sq. Ft. Open
Ft. Coverage Feet Spaces Front Side A Side BRear
Space Percent
1. Petitioner: Name, address and telephone number:
% 45-.z z/ Z. Z_
p,,j c �c� m . C,�t-�� �,� b. Proposed Lot (S):
v.r o a 978 68l /!eAg Lot Area Open Space Percent Lot Frontage Parking * Minimum Lot set Back'
*The petitioner shall be entered on the legal notice and the decision as entered above. Sq. Ft. .Sq. Ft. Coverage Feet Spaces Front Side A Side B Rear
l a t8 lZ �17t?7o�
2. Owners of Land: Name, Address and Telephone number and number of
4- Z Sc-Fr�
years under this ownership:
c. Required Lot: (As required by Zoning By-Law)
Co Q.,yEz--c J 5 41 � E!FZ -e-. Ary Z7 �s�t P-�.cJ �• +g,S�j�
I n CR 74-=�T rj o �-r 'F-( goo d Lot Area Open Space Percent Lot Frontage Parking * Minimum Lot set Back'
/�o.6 Years Owned Land:
Sq. Ft. Sq. Ft. Coverage Feet Spaces Front Side A Side B Rear
Q78 GBI-- !9
o�
3. Location of Property:
7. a. Existing Buildings:
a. Street: (o Cgp3 o-T— Zoning District ';-;7 - 4- Ground Floor Number of Total Use of Number
b. Assessors: Map number i s Lot Number: z 6 Square feet Floors Sq. feet Building* of Units
L•G.
c. Registry of Deeds: Book Number ¢ Page Number: 33 loo 0 2. 2000 vim,parr-,4 C_
4. By-Law Sections under which the petition for the Special Permit is made. *Reference Use Code numbers and Uses from the Zoning By-Law. State number of units in building.
�. r 4. Z
B. Proposed Buildings:
Ground Floor Number of Total Use of Number
Refer to the Permit Denial and Zoning By-Law Plan Review as supplied by the Building Commissioner. Square feet Floors Sq. feet Building* of Units
5. Describe the Special Permit request: �3so _ 3 S-o Avn,r70
Tn1 D t��r �2� —�X!STi.J6. a til Co Go2M i�� V S� *Reference Use Code numbers and Uses from the Zoning Ordinance. State number of units in building.
-
8. Petitioner and Landowner signature. (s):
Every application for a Special Permit shall be made on this form which is the official form of the Zoning Board of
e
Appeals. Every application shall be filed with the Town Clerk's Office. It shall be the responsibility of the petitioner to
furnish all supporting documentation with this application. The dated copy of this application received by the Town Clerk,
or the Zoning Board of Appeals does not absolve the applicant from this responsibility. The petitioner shall be
*The above description shall be used for the purpose of the legal notice and decision. A more detailed description is responsible for all expenses for filing and legal notification. Failure to comply with application requirements, as cited
required pursuant to the Zoning Board Rules and Regulations as cited on page 4 of this application. herein and in the Zoning Board Rules and Regulations may result in a dismissal by the Zoning Board of this application
as incomplete.
Signature �
Type above name (s) here
DATE:
of r AUGUST 21, 2001 SCOTT L. GILES
N°RAN STRF z� s cy R1 v1S1oNs: FRANKS GILES
w
SITE o . 13972 � 3/11/2002 SURVEYING
cl) '" �fGISTE���
o L LA�o SCALE: I"=20' 50 DEERMEADOW ROAD
U� / Lc�v of 20' NO. ANDOVER, MA 01845 (978) 683-2645
'3`w WWW.FRANKGILES SURVEY.COM
LOCUS SUBJECT PROPERTY
MAP 15,PARCEL 26 PLAN OF LAND
NTS 10 CABOT ROAD LOCATION
CASEY,CORNELIUS M,JR❑KAREN L CASEY 10 CABOT STREET
AREA 5610 S.F.
LANDCOURT BK. 64,PG. 33 NORTH ANDOVER, MA
LANDCOURT PLAN#8813L,LOT 17A PREPARED FOR
ASSESSORS MAP 15 PARCEL 26
CORNELIUS M. & KAREN L. CASEY
WW
`ter MAP 15„PARCEL 11
(� 21 NORMAN ROAD
TRICKETT,JOSEPH S
EMMA O TRICKETT
FS BK. 36,PG. 385
MAP 15,PARCEL 12
29 NORMAN ROAD
BOEGLIN,PAULINE E.
BK. 70,PG. 373
BOUNDS
NOT IND. 4 h
-s, ~ w ti,q•
O O B SN
4b o W
303
LOT 17A b G
O a PARCEL 26 10,, ° I 43
hem 5,610 S.F. N 41 88 5 Iz MAP29 BUCKINGHAM 15 PARCEL IRD
2 SMITH,DAVID V
gyp, MIRIAM G SMITH
STEAS BK. 55,PG. 157
89 64,
N
F�Sr
ADDITION 1106,
MAP 15,PARCEL 25
18 CABOT RD MAP 15 PARCEL 14
EXISTING 27' JULIUS,JEFFREY S 33 BUCKINGHAM ROAD
14' BUILDING APRIL JULIUS STACK,BARBARA A
BK. 103,PG. 389 BK. 39,PG.477
28, 12'
SIDE VIEW BAST BUND
NTS
ZONING DISTRICT R-4 THIS IS TO CERTIFY THAT/HAVE CONFORMED
EXIST.HEIGHT=27 FT WITH THE RULES AND REGULATIONS OF THE
NORTH ANDO VER PROP.HEIGHT= 14 FT REGISTERS OF DEEDS IN PREPARING THIS PLAN
BOARD OF APPEALS EXIST.BUILDING AREA= 1,000 SF
PROP.ADDITION AREA=350 SF
THE PROPERTY LINES SHOWN ARE THE
LINES DIVIDING EXISTING OWNERSHIPS,AND
THE LINES OF STREETS AND WAYS SHOWN
ARE THOSE OF PUBLIC OR PRIVATE STREETS
OR WAYS ALREADY ESTABLISHED,AND NO
NEW LINES FOR DIVISION OF EXISTING
DATE OF FILING: OWNERSHIP OR NEW WAYS ARE SHOWN.
DATE OF HEARING: /
DATE OF APPROVAL: DATE: `
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cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
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required.
■For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595-01-M-1047
U.S.Postal Service
CERTIFIED MAIL RECEIPT
(qpmestic Mail Only; .
Ira
Mru
..fc
N Postage $ J� T j ;.41 t
� w
lid
Certified Feeryi
Return Receipt Fee 1 1"50 Postmark
(Endorsement Required) Here
O Restricted Delivery Fee ""' '.
C3 (Endorsement Required)
O Total Postage&Feesq4 04 4
M Sent T
�A►_n-e Vie_:..
1�_.._.....
r-q Street,Apt.No.; 'nn
C3 or PO Box No. � \ 'I Of nq 0 / /�3
E3 ------------------ ,ill,f 1 I _-._.----.... SJ I,J�
Clty,State,ZIP+4 �,n M
Certified Mail Provides:
■A mailing receipt
o A unique identifier for your mailpiece
■A signature upon delivery
■A record of delivery kept by the Postal Service for two years
Important Reminders.
■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
Y Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
m For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
p If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595-01-M-1047
U.S.Postal Service,
CERTIFIED MAIL RECEIPT
(Domestic Mail Only; . .•.
Ln
Ln y
W .,, rl"xi'Tu% G
I Y
IIA'T,T Toml,:: ^�c
Postage $ ✓V �LVv�.
Certified Fee
IYl Postmark
Return Receipt Fee '
(Endorsement Required) Here
p Restricted Delivery Fee z
0 (Endorsement Required)
Total Postage&Fees .p
M Sent To
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Srreet,Apt.No.;
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r-qor PO Box No.
C3 Ca't!^)
"D --—e
c►ry srare,z►P+4
L Ahrb 3 t -f 1 Ak o�- 01 M'j
Certified Mail Provides:
o A mailing receipt
•A unique identifier for your mailpiece
■A signature upon delivery
o A record of delivery kept by the Postal Service for two years
Important Reminders:
0 Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
0 Certified Mail is not available for any class of international mail.
Q NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
o For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return j
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
■For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
s If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595-01-M-1047
U.S.Postal Service:
CERTIFIED MAIL RECE.IPT
.(Domestic Mail Only; No Insurance Coverage Provided)
Cc
-0 77T
=..Z': _All.i Jr: Atari)
Postage $
c
ra Certified Fee
M
Return Receipt Fee
= r) Postmark
Q (Endorsement Required) Here
C3 Restricted Delivery Fee
C3 (Endorsement Required)
Total Postage&Fees "
—0 p
IM Sent �� �1 ��
O
• ................................................................
rq Street,Apt.No.;
or PO Box No. i(�z
........................I........ .-. ...... ..........................
� Clty,State,ZIP+4
Certified Mail Provides:
■A mailing receipt
o A unique identifier for your mailpiece
■A signature upon delivery
■A record of delivery kept by the Postal Service for two years
Important Reminders:
■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
o Certified Mail Js not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
A For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
a For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595-01-M-1047
U.S.Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Mail Only;
Cc
4 t
?7 x,x5 2
I'`•-ru
Postage $
=34 UNIT irir +045
CD
M Certified Fee 10
1 i:0) Postmark
Return Receipt Fee P i°moi' Here
(Endorsement Required)
C3 V
O Restricted Delivery Fee ------
r3
- -••p (Endorsement Required)
O Total Postage&Fees94
3 1�'°
M Sent To
�d.w.-
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r-3Street,Apt.No.;
Q or PO Box No. I /11_it
------------
City,State,ZIP+4
N
Certified Mail Provides:
®A mailing receipt
0 A unique identifier for your mailpiece
o A signature upon delivery
■A record of delivery kept by the Postal Service for two years
Important Reminders:
■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
Y Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
p For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
o For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595-01-M-1047
U.S.Postal Service.'
CERTIFIED MAIL RECEIPT
p. . Insurance Coverage Provided)
i
ru
N Postage $ .4 s sTT L. �t•_
co
Certified Fee 50c lo,
Return Receipt Fee t 7)V, Postmark
1. ,/�s�
Q (Endorsement Required) OC lJ Merl,--.' �+H???:
O Restricted Delivery Fee
C3 (Endorsement Required)
Total Postage&Fees Q?
A
m Sent T
,...I........................................
Street,Apt.No.;
or PO Box No. .!k :-! �----6
Clry,State,ZIP+4
Certified Mail Provides:
■A mailing receipt
•A unique identifier for your mailpiece
■A signature upon delivery
■A record of delivery kept by the Postal Service for two years
Important Reminders:
Y Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
■Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
o For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
Y For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
i If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595-01-M-1047
Oil
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