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From 01\0111ON;k I, I's I" Nfail in: 107 1\411111 Keiji Sitect Winchester, Virminia 22601 (540-1722,1480 01/10/2017 10:57 H300 P.001/001 Fredclick-NVilich"ter flealih Dcparujivat AlitrSailitatioll Engincul 107 North Keiji Sitvct, SIiiie 2ol W11101C.Stm Virginia Applicaut. It Is vour rusponsibility 141 C0111111elcillis filrfjj 'Jr;JCV11ralply as pvsxibf;in order it) a"Wi'm file agellry tvill) dicit iv% icw_ Also. 1AVO t2i copies ofyOurapplication-I* loc. ioll Imup ,tnd all ollicrpertiticnt inAil-Iliatil,11. J5 -1417 Mailing Addrc,", v '1amc of'devvlolvictit mithirdescriptiall i.ifille rC(1tje.,-t: pfoperf\; .. . ... ..... ...... ...... . . .. Frederick -Winchester ffeglif, Ile,, ,. (, J C#':1es (211hl I 1111 Iv I'-), f� ,iu Z I Dale. P11 le acture This Form to the tppli"rant 13 Post -it;® Fax Note 7671 Date \ ItoI# Of ge [pas TO From V"11 C, Go./Dept. Co. Phone # Phone# UJ Fax 4 Fax #