O4 BY:Atonp t , 1 FP-se:500k A n LEASE NUMBER: (/ 11^ 777/ TYPE OF REQUEST: ( -het th ..(14- NAME OF LESSEE/APPLICANT: Zip O t) tal 775 Ara- - Wagazet .gos ic im - —R , tis 4:...t. ADDRESS 4/5.'7 nil/ semi AVE Net s.i Yam, k ) New Ilictic /007 --) DESIGNATED CONTA Mtn, XL:Sr ; 414% nn• y