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Hand-Delivered Receipt - CE-2016-0008.tif CITY OBLAIQ �Qmhe orf DATE LETTER PREPARED: Jan. 13, 2016 1 have received a letter addressed to: BURGER KING 970 WASHINGTON STREET BLAIR, NE 68008 RE: 970 Washington Street qnr Stip/1-c""ro, Signature of person receiving letter Printed name of person receiving letter nat r of rson delivering letter �jl 1 �1�2 Date and iime 66&elivery ----------------------------------------------------------------------------------------------------------------------- 218 S 16th Street•Blair,Nebraska 68008 •402.426.4191 •FAX 402.426.4195 •E-mail: cityofblair@ci.blair.ne.us