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CITY OF BVF.RrTT � <br /> Snohonish County , Idashington <br /> U\SA1E f3UII,UINGS REPERE;�CE ti0 . �`�11-187 <br /> LP7TL'I; Or 1'P,.;::S;�;ITi�1i, OP .�OTICG <br /> 7p ; Peter Poortin9a tJ� 587865 <br /> N a m e – ------ — <br /> 581n n6th N.E. X�{�LX}CPt4{XLCC{{�XlY�RX <br /> PlarysVille, 64ashington 9$270 Certi.fied Afail <br /> Adclress---- --- (Cross ouC inapplicable m>ii7 ) <br /> --- – RY'.1'Un?d P.I'.CI:ll'T GI? �UF:STP�U <br /> CiC}' , SCzte , Zip -- � <br /> ACtaclied is tl.r �ollo�airi dccu��enC : (C;oss out i.n; ppl icable <br /> notic�e�) <br /> (Aj :��OTTCL OF U't:5�1I'F, PUll.i)7;C- ( 5 ) <br /> �c�`i:�:{YR�.`I7d.'GX}C.Yr.[X:C�i. ?I:Im:CDC.Y}iP4}4}9}{.y'}i:i}�'S�'.}'iNX�:iI�`?fX <br /> :f�:Z;tx�:r;',{h��a\:�r�k`�;F�k`�`t:�:fti`�:�Xht:{:c�aX�,dKilSb'7Dx?iXx�:G}..�^`�:C4:�: <br /> k YC'k�X�IX.'�?��X?L'�:4'X 7CCL'{CC(�<4X7i.'Q`4+XX�;.X�ti4�i3`v.:K <br /> (�.`[X:iJ{]D%:il:_�X3�5`.:'T,.'I�iXXXX:G�'{:ti4:IiCXiC:i�'{:i:. <br /> (:1.Y'i 01� 1�.�'iii:i�.�i'i Dl! IIi� I ;�.G ii�i� ! L: I ;�.I. <br /> � ---,—����—!__�::`�' . `_ �__/r_ � <br /> �� i <br /> P,obert I:. Rovice <br /> (' icp Ca? ] <br /> i:cerc� ! . ,. . .�;�i.n �..[ �,�,� <br />