WQCS00110_DV-2022-0085_20220823

SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
RICH CAPPOLA, INTERIM TOWN MGR
TOWN OF r1 AYTON
PO BOXEJ9
CLAYTON,I 7/52253J9
WQ: NOV & Intent to Asses of Chill Pen/DV-2022-o085/Permit
#WQCS00110/Clayton Collection Sys/JOHNST
Res:7020316000004109634D M:0018/2022
IIIIIIIIIIIIIIII11111IIIII IIII II11IIIIIIIII
9590 9402 3415 7227 6609 60
COMPLETE THIS SECTION ON DELIVERY
1
ved • Jtted Name) _
C] Agent
0 Addressee
Ty ,
D. Is delivery s different from item 1? 0 Yes
If YES, enter delivery address beiow: 0 No
•
livery
,
•) A.Hnln M .n.Swr ?ranefar rmm canifra (ahafl
7020 3160 0000 4109 6340
3. Service T
❑ Adult
Restricted Detlyety
Mall®
0 Certified Mall Restricted Denver/
0 Collect on Delivery
0 Collect on Delivery Restricted Delivery
d Mail
d Mail Restricted Delivery
0 Priority Mall Express®
0 Registered Melly
O Registered Mall Restricted
• Flecelpt for
re ConfBlrlatict "
O Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Retum Receipt