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08-963-008*4D ,*goo* • a AI Z 0 U 4, • Y G w v V Q • v VU0♦ 4; bQ•vo N V60W p e rEi I N;. Addr%. �; C iT Y 0 3,0, 1 J T F I PA I Will ELECT R;CAL .. . . .... .. I&CI Q-5 - 5z, i7-L, T E Larry, rules and W;ilMi,1SZOrne3 no responsibivus$ for thq 2. 1 and the permit card must be gy, oll 4 1,e Andl v c ;C.ed. c I o 04 HE L '3 1 2GGS 'APPROVED ray