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.tY.1GatIOM ;.3 tA."JLRQ,O"JI.'J '�vR A'TROTIT. aPIP:V 3YPFIR PERFr <br /> '3I$ ?E?M. :nG:itS 90 WYS F3L hT .IiPROV� Iy}'I_. M NOT ".ItT V? - <br /> _TT.lt R_ZZ-WIT PrP=RPFTR <br /> c?A S rrs : inotzz' `olTlncT"T'tisriY` ' 209 461 -6337 <br /> PmTRE , <br /> I- <br /> - <br /> Gt �tss do <br /> I <br /> :. i class szREE- <br /> I NMEA,OP S A OR <br /> /lilt J/f. <br /> c 1 ELITE IV CONTRACTORS, INC. 0---'209 462-6337 1 <br /> z 1 � 25,35 WIGWAM DRIVE t G LIC 3 66001 6 I .« A,C, 1 0,HAZ I <br /> R t L'smu d I <br /> ARR>. -3 046-008761 <br /> ' t <br /> c O k zlrau�ulr_oM <br /> T t <br /> O t i PHONE ? _ I <br /> R , <br /> 'tin.valnRarflvrTrn.Yrv.ar 1 PHENEi t <br /> �)aaauaaalTT.YK iD II uaaYual( . <br /> t rte_ sxzE CbTiixGrs sloRm amst£IrIT,z�evEvzulsii DAx ur. usTUCm <br /> I i <br /> - 1!!EIfIlliff 11 Mill IIIIIIIIIIII <br /> — TIIIl1[illi[t(tl{t111I1I111tlIIi1t1111fIt <br /> I1111tti1tl[tittltill� <br /> a <br /> 1 _ _.. +�� nPPRDKm Mlre wmr:'_uNISI oxsrs^Ra+ED . 1 <br /> ;_ ( ':3.Azrnu,El-r �zv mrrt-zozs3 -- I <br /> y 1 'f(Jr,Y RtvZi JFZS YVSE /SC <br /> iII11IIIIfill IIIIIII li I III mlI fill mnlltYtifilihilll11p1111I1t1itiI1111I1Ifill IMI I IIf illtttl It ittilfIII t <br /> r <br /> IPPI.IGTeII' rRG:" PERFORH KL VOR3' :M wCCORnIIY¢ .:B Sut.TDaOrTIM OL'.:LWrQs� STATE LAVS, .liC 2O4Z SMD R6WlJxOTS Q I <br /> Sa.V JO FO - OF ?tffiLLC X F02- S.']nIZ=FS C'1� OR LI@a5E0 FG$'S S:(:NATJAE C11['ZFSES THE FY#:.nVS3aO: 'Z C`Si':IR I1Ui I.Y ' <br /> r <br /> _1=IE-iFOveW:C.= OF T.fE NORK F0= RKICH =FS is ZSAIED. I SFYL MCT aZypZpY AM P:3ttYt LN ST,C6 A:4YMF]I 1$TO 2F,COnE. <br /> ::TJ IECT TO QD Y-- '3 COnPi' MEal LAV$ OF COKSRACTO3'S RLR OR SDB <br /> LRI IFY TY`:: LV Tit P CE OF _TIE VGR:+ TOQ VII GotSt¢1�IIa:SZGYY"ORE CF3TZF3T.s T3E FOLIP+L2�:I <br /> Y IOt"TILLS PLRV3' IS :.SSOm, f FnPLOY _RSON,i SITdJELT.0 VORa9/I.••/�S.I''�/_yI1r1// <br /> :>PL)Ov�T"S SiLtXTNfF ___-._ <br /> v�otil�w-h (�s Itis ^z <br /> �rcuacINFI>rmrrnr: Z. Z� ja5l ►'I�J NGI'� 7qn+ ] � . AtuSF Vw <br /> 1' Sadicate the. responsib_e party to be billed for aeditional PAS- staff time expendedbeyond 16 %y <br /> ae=mir. payment coverage per tack_ If the party desig.l ted below is different thani. <br /> . the pe_-mt <br /> applicant. e=g. property owner, t_ze party must acknowledge this responsibility for the billing <br /> by sigzlatlz:e date below. <br /> N� e£s�CJt/ bae number -4(p I- D,��' <br /> •S igliatu <br /> G1; 13-0018 <br />