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HomeMy WebLinkAboutAdministrative Permit APX2015021 - Supporting DocumentsSUSANW. C A S E , I N C . 917GLENNEYREST# 7 LAGUNABEACHCA92651 PHONE 9 4 9 - 4 9 4 - 6 1 0 5 F A X 9 4 9 - 4 9 4 - 7 4 1 8 susancaseiric ahoo.com RecetveD AUG102015 Li • ofPlanning&Building CertificationofPreparation The attached list represents the *namesand addresses of all p r o p e r t y o w n e r s l o c a t e d within feet a n d o c c u p a n t s l o c a t e d w i t h i n I?00 feet o f t h e e x t e r i o r b o u n d a r i e s of the property located at 01 I M o t iwt -41 -10,4 Neq.mto 1—o This information was obtainedthrough First Am e r i c a n C o r e L o g i c , a d a t a s o u r c e u t i l i z i n g the county assessor rolls and other available sources. This informationis g e n e r a l l y d e e m e d r e l i a b l e , b u t i s n o t g u a r a n t e e d . R e t u r n o f p r o p e r t y addressesthat are deemed undeliverable by the U n i t e d S t a t e s P o s t a l S e r v i c e i s , t h e r e f o r e , apossibility. SusanW. Case, Inc. is not responsible for providi n g furtherinvestigationofsaidlabels. Acceptanc f this package acknowledges this f a c t . . Susan W. Case, Inc. B111#1000101053170 Clerk06 Allsalesfinalonstampsandpostage Refundsforguaranteedservicesonly Thankyouforyourbusiness -------_ HELPUSSERVEYOUBETTER TELLUSABOUTYOURRECENT POSTALEXPERIENCE HUNTINGTONBEACHMAIN USPS HUNTINGTONBEACH,California 926479998 0569390450-0099 08/05/2015(800)275-877701 1341PM SalesReceipt Product SaleUnit Final Description Qty Price Price AccountNumber 1468018 o t o PermitType PermitImprint http / / p o s t a l e e r i e n c e c o m / P o s PermitNumber 405 CustomerName HORSEMENINC Amountot Deposit $47520 NewBdIoiAe $47520Contumail,, # 2015217151324360 $47520 Paid by DebitCard $47520 Account#XXXXXXXXXXXX2674 Approval#101132 Transaction# 10 23903500395 Receipt#000012 1000(***W*X*10(x***X.t*kX**XXXXAX*RXX** **x*WRW**WW****WXAxIkx1C***WWXR*X*X* BRIGHTENSOMEONE'SMAILBOXGreeting cardsavailableforpurchaseat selectPostOffices ftkx**1*X*WAXAA*10,WWX**A***AKM*kx** W*X***K*W*W*X*WX*WICX*JOCWIOVA******AW* Ina hurry')Self-servicekiosks offerquickandeasycheck-outAny RetailAssociatecanshowyouhow Orderstampsatuspscom/shopor call1-800-Stamp24Go to uspscom/clicknshiptoprint shippinglabelswithpostageFor otherinformationcall 1-800-ASK-USPS XXXX**A1XXAx***A*KW**147c*X*WWAWArX*IcA XAM*1.**XYlx*Wit*XitxtAtX*WA*WhAW*NKA Getyourmailwhenandwhereyou wantitwitha securePostOffice Box Signupfora boxonlineat uspscom/poboxes *kinrWMX*MwA***w*W*XWW*14*/(WicxXX** Orscanthiscodewithy J r m o b i l e device YOUROPINIONCOUNTS Cust PostOffice:NoteMailArrivalDate&Time (t)oNotRound-Stamp)UnitedStatesPostalService PostageStatement—StandardMail-Easy NonautomationLettersor F l a t s c) CD 2 Thisformmaybe u s e d o n l y f o r a s i n g l e n o n a u t o m a t i o n p r i c e m a i l i n g o f i d e n t i c a l - w e i g h t p i e c e s . U s e P S F o r m 3 6 0 2 - R f o r a l l o t h e r r e g u l a r S t a n d a r d Mailmailings.Checklistsand o t h e r t o o l s f o r m a i l e r s a r e a v a i l a b l e o n t h e P o s t a l E x p l o r e r w e b s i t e a t pe.u.sps.com. This i s a P o l i t i c a l C a m p a i g n M a i l i n g Yes a f l o • This i s O f f i c i a l E l e c t i o n M a i l Yes . - L o s ' i U G 1 0 ZO/5 tjg ' Ubb,taript Sacys Trays Pallets TotalWeight .41 1-(75-i20 fl Correct L o w e s t Neither pos. x =PostageAffixed Permit# Net P o s t a g e D u e (Subtractpostage a f f i x e d f r o m t o t a l p o s t a g e ) Additional P o s t a g i P a i m e n t (State r e p s o n ) Forpostageaffpontaddadditionalpayrnenttonet p o s t a g e d u e ; . • forpernatimptint add additionalpayment t o t o t a l p o s t a g a . . tTOtat AdjUsted-POstide.Affixed, • • . • • • • (zsrmtmiatsimterir.7:9,prty)Tota,iPostagein •.,Totat•Ailjus.teil..,Ackatatjel4sermitImprint !The m a i l e r ' s s i g n a t u r e c e r t i f i e s a c c e p t a n c e o f l i a b i l i t y f o r a n d a g r e e m e n t t o p a y a n y r e v e n u e d e f i c i e n c i e s a s s e s s e d o n t h i s m a i l i n g , s u b j e c t t o a p p e a l . If an a g e n t s i g n s t h i s f o r m , t h e a g e n t c e r t i f i e s t h a t h e o r s h e i s a u t h o r i z e d t o s i g n o n b e h a l f o f t h e m a i l e r a n d t h a t t h e m a i l e r i s b o u n d b y t h e certificationandagreesto p a y a n y d e f i c i e n c i e s . I n a d d i t i o n , a g e n t s m a y b e l i a b l e f o r a n y d e f i c i e n c i e s r e s u l t i n g f r o m m a t t e r ' s w i t h i n t h e i r r e s p o n s i b i l i t y . knowledge,or c o n . T h e m a i l e r h e r e b y c e r t i f i e s t h a t a l l i n f o r m a t i o n f u r n i s h e d o n t h i s f o r m i s a c c u r a t e , t r u t h f u l , a n d c o m p l e t e ; t h a t t h e m a i l a n d t h e supportingdocum n t t i o n c o m p l y w i t h a l l p o s t a l s t a n d a r d s a n d t h a t t h e m a i l i n g q u a l i f i e s f o r t h e p r i c e s a n d f e e s c l a i m e d : a n d t h a t t h e m a i l i n g d o e s n o t containanymatt p r h i b i t e d b y l a w o r p o s t a l r e g u l a t i o n . I understandthatanyonewho f u r n i s h e s f a l s e o r m i s l e a d i n g i n f o r m a t i o n o n t h i s f o r m o r w h o omits n f o m a t i o r e q e t e d o n t h i s f o r m m a y b e s u b j e c t t o c r i m i n a l a n d / o r c i v i l p e n a l t i e s , i n c l u d i n g f i n e s a n d i m p r i s o n m e n t . PrivacyNotice:For i n f o r m a t i o n r e g a r d i n g o u r P r i V a c y P o l i c y v i s i t w w w . u s p s . c o m Signal r o f M a i l e r n t Printed N a m e o f M a i l e r o r A g e S i g n i n g F o r m I d f 1 M C r i i nr-L-1.7qZ_ L . I AitkqCncj,k.LA ( t co (4-(1164ei Permit H o l d e r s N a m e a n d A d d r e s s a n d E m a i l A d d r e s s , i f A n y T e l e p h o n e • - t I 4-101:SE t i )(Ai-‘, CRID .12-Permit I m p r i n t,Typeof 1-1 P r e c a n c e l e d S t a m p si P o s t a g e — 0 o 1 o 4 pound i El Metered I — • _ - 1 IMove U p d a t e M e t h o d :li A n c i l l a r y S e r v i c e E n d o r s e m e n t : L i N C O / l i n k 0 A C S D A l t e r n a t i v e M e t h o d 0 Multiple —1 L I L e t t e r - s i z e o r f l a t m a i l p i e c e c o n t a i n s D V D / C D o r o t h e r d i s k Post O f f i c e o f M a i l i n g ,Mailer's M a i l i n g D a t e ' P e r m i t N o . 12)2 1 1 - 1 7 1 5-1 ,Weight o f a S i n g l e P i e c e Total P o s t a g e (AddParts T o t a l s ) Price a t % M i c h P o s t a g e A f f i x e d (Checkone)Complete i f t h e m a i l i n g i n c l u d e s p i e c e s b e a r i n g m e t e r e d / P C P o s t a g e o r p r e c a n c e l e d s t a m p s . 2"-re'tters F l a t s Ei OneCode A C S Total P i e s . n/a A l t e r n a t i v e A d d r e s s F o r m a t -794--/5'e)-t Federal A g e n c y C o s t C o d e S t a t e m e n t S e g N o Mailpiece i s a p r o d u c t ' P r o c e s s i n g C a t e g o r y sample _apt iart Welgrdef aSinglePiece • - pound 'Total Pieces ToialWeight - Total P o s t a g e PresortVerificationPerformed?(It r e q u i r e d ) 0 Y e s .'Q No(Check o n e ) . I C E R T I F Y t h a t t h i s m a i l i n g h a s t e e n i d s P e c t e d f o r . each i t e m b e l o w i f n * I t i m d : . : ' • eligibilitylor p o s t a g e p r i c e s c l a i M e d properpreparation (end . p f e s o r t w h e r e r e g u i r e d ) .(3)propercortipletionof p o s t a g e s t a t e r n e n t ; . , 14)paymentof a n n u a l f e e ; a n d (5) s u f f i c i e n t f u n d S o n d e p O s l t ( i t required) USpS E m p l o y e e ' s p g N i f i l r e • Are postagefiguresatlett a d j u s t e d f r o n t 'Yes 0 N o mailer'sentries/Ifyes. r e a s o n . ' Round S t a m p Required). PayrnintDate Date M a i l e r . N O t f l i e d sBy (Initials) 'Print U S P S E r n e ' y e e ' s N a m e Contact ' T i m e •AM Pm , see r e v e r s e side o f t h i s f o r m f o r c o m p l e t e Postage section Thisform a n d m a i l i n g s t a n d a r d s a r e a v a l l p l e on P o s t a l Explorer a t p e u s p s comPS F o r m 3602-EZ,may2015PSN7530-07-000-6221