ࡱ> '` |bjbjLULU .?.?x....~~~z1z1z181T2$.34(444477|x8@lnnnnnn$AhE~UA77"UAUA..44"CCCUAj.84~4lCUAlCCGf~G4"3 X(;z1AG0G)AB)0G)~G8n&;C<dF>888SCj888UAUAUAUA$$ $...... NEW APPLICATION FOR LICENSING AS A LEAD ABATEMENT CONTRACTOR Complete all sections of the application either by hand printing in ink or typing in the gray areas. Print out and sign the completed application and mail to Maine DEP with the appropriate application fee. Attach additional sheets as necessary. 1. Applicant:Company Name FORMTEXT  Company Address FORMTEXT  City FORMTEXT  State FORMTEXT  Zip FORMTEXT      Company Phone Number FORMTEXT  e-mail address FORMTEXT  Previous License Number (if applicable): FORMTEXT  Responsible Person: FORMTEXT  Title FORMTEXT      (Circle One) Primarily Residential or Commercial Abatement [this is for public informational purposes only]2. Other Information:Are you presently permitted, licensed, certified or registered in the lead abatement field with another state?Yes FORMCHECKBOX No FORMCHECKBOX If Yes, State: FORMTEXT  Number:  FORMTEXT  If Yes, State: FORMTEXT  Number:  FORMTEXT   3. License Requirements for Contractors Please provide the following: A. Listing of names of the applicant's principals or officers, and any persons with a controlling interest in the business. B. List of any lead citations or notice of violation(s) in the past year. C. Other lead abatement companies owned by applicant or officers. D. A list of all names and acronyms by which the applicant's firm is known or under which it does or has done business. E. Signed statement attesting that the firm shall employ only duly certified employees to conduct lead-based paint activities, and that the firm and its employees will follow the work practice standards in section 6 of this chapter. 4. Qualified Project Supervisors: No on-site work for any lead abatement project shall be conducted unless at least one Maine certified lead abatement project supervisor is physically present on the job site. Please provide the names and certification numbers of current project supervisors employed by the applicant. Name:  FORMTEXT   Number:  FORMTEXT   Name:  FORMTEXT   Number:  FORMTEXT   Name:  FORMTEXT   Number:  FORMTEXT   5. State and Federal Regulations A. Lead abatement contractors and abatement personnel must be knowledgeable about and comply with all applicable Occupational Health and Safety regulations of the Maine Bureau of Labor Standards, Federal Occupational Safety and Health Administration regulations, the Maine Department of Environmental Protection and the U.S. Department of Transportation. Please provide a statement. B. Please provide evidence of familiarity with the applicable rules. Also, please provide an up-to-date written worker protection program (Respiratory Protection 29 CFR 1910.134, Lead in Construction 29 CFR 1926.62). 6. Record Keeping Requirements A statement must be submitted affirming that the Lead Abatement Contractor maintains the following documents at the abatement work site throughout the duration of such activity, and would make the documents immediately available to the Department upon request: * A current copy of the rules, Chapter 424 "Lead Management Regulations"; * A copy of the on-going lead abatement project design; * Records of all project documentation. * Other documentation relevant to project. * A listing of all employees, by name, social security number and Department certification number, who are assigned to the on-going project; * A listing of each of the subcontractors involved in the on-going project; * A Department certification card for each employee involved in the ongoing project; * A daily sign-in/out log clearly identifying each employee involved in the on-going project by name and Department certification number, identifying the length of time each spent at the project location; * A copy of the notification of the project provided to the Department. 7. Application and License Fees: The application must include a non-refundable cashiers, certified or company check in the amount of $275.00 made payable to the Maine Environmental Protection Fund. 8. Signature: I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED THE INFORMATION SUBMITTED IN THIS DOCUMENT AND ALL ATTACHMENTS THERETO AND THAT, BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, I BELIEVE THE INFORMATION IS TRUE, ACCURATE, AND COMPLETE. I AM AWARE THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SIGNED:  DATE: FORMTEXT   PRINTED:  RETURN TO: Lead & Asbestos Hazard Prevention Program Department of Environmental Protection (BRWM) 17 State House Station Augusta, Maine 04333-0017 (207) 287-2651     Letter to (date) Page  PAGE 4 of  NUMPAGES 4 STATE OF MAINE Department of Environmental Protection PAUL R. LEPAGE PATRICIA W. AHO GOVERNOR ACTING Commissioner AUGUSTA17 STATE HOUSE STATIONBANGORPORTLANDPRESQUE ISLEAUGUSTA, MAINE 04333-0017106 HOGAN ROAD, SUITE 6312 CANCO ROAD1235 CENTRAL DRIVE, SKYWAY PARK(207) 287-7688 FAX: (207) 287-7826BANGOR, MAINE 04401PORTLAND, MAINE 04103PRESQUE ISLE, MAINE 04679-2094RAY BLDG., HOSPITAL ST.>?5 6 D T U _ ` a    r t ⍡{g{S{'jhQk"h2OJQJU^J'j hQk"h2OJQJU^J#hQk"h2OJQJ^JmHnHu'jhQk"h2OJQJU^J!jhQk"h2OJQJU^J#hQk"h25CJOJQJ^JaJhQk"h26OJQJ^JhQk"h25CJOJQJ^JhQk"h2OJQJ^JhQk"h25CJ$OJQJ^J>?5 6 D E F gikd$$Ifl$$ t044 laytf $Ifgdfgd2 h8(gd2$ h8(a$gd2  ||F G T $Ifgdf $IfgdfikdL$$Ifl$$ t044 laytf z $Ifgdf|kdr$$Ifl0$( t044 laytf $Ifgdf $Ifgdfikd$$Ifl$$ t044 laytf z $Ifgdf|kd$$Ifl0$6  t044 laytf v $Ifgdf $Ifgdfikdb$$Ifl$$ t044 laytf   . 0 2 j l > @ T V X ڻڻڐڻڻ|ڻڻhڻڻT'jhQk"h2OJQJU^J'j6hQk"h2OJQJU^J'jhQk"h2OJQJU^J,jhQk"h2OJQJU^JmHnHu'jhQk"h2OJQJU^JhQk"h2OJQJ^J#hQk"h2OJQJ^JmHnHu!jhQk"h2OJQJU^J'jhQk"h2OJQJU^J 7. $Ifgdfkd$$Iflֈ*46c $W-- t044 laytf  n $Ifgdfikd>$$Ifl$$ t044 laytf ]T $Ifgdfkd$$Ifl\ l$ b$ t044 laytf > $Ifgdfikdt$$Ifl$$ t044 laytf zqzq $Ifgdf $Ifgdf|kd| $$Ifl0$ t044 laytf > J r ]TKTK $Ifgdf $Ifgdfkd $$Ifl\~ $ &  t044 laytf : < J L ` b d n p x +/?@DyygXgIhQk"h2CJOJQJ^Jh25CJOJQJ^JaJ#hQk"h25CJOJQJ^JaJhQk"h2>*OJQJ^JhQk"h25OJQJ^J$jhQk"h2U^JmHnHu'j( hQk"h2OJQJU^J#hQk"h2OJQJ^JmHnHu'jl hQk"h2OJQJU^J!jhQk"h2OJQJU^JhQk"h2OJQJ^Jr t v ]T $Ifgdfkd $$Ifl\~ $ &  t044 laytfv x ()*$ikdv $$Ifl$$ t044 laytf $Ifgdfikd* $$Ifl$$ t044 laytf*+ABC$ikd $$Ifl$$ t044 laytf $Ifgdfikd $$Ifl$$ t044 laytfCD $IfgdfikdZ $$Ifl$$ t044 laytf12;<FGH|}ΔΔlΔX'jhQk"h2OJQJU^J'jhQk"h2OJQJU^J'jLhQk"h2OJQJU^J#hQk"h2OJQJ^JmHnHu'jphQk"h2OJQJU^J'jhQk"h2OJQJU^J!jhQk"h2OJQJU^J'j hQk"h2OJQJU^JhQk"h2OJQJ^J"JA $Ifgdfkd$$Iflr!$~v t044 laytf3~ $Ifgdfikd$$$Ifl$$ t044 laytf~pg $Ifgdfkd*$$IflF0$  t0    44 laytf $Ifgdfikd$$Ifl$$ t044 laytf $GH'+#$./0\]fgqrsϽϤϽϖψteQeψ'jhQk"h2OJQJU^Jh2OJQJ^JmHnHu'j hQk"h2OJQJU^Jjh2OJQJU^JhQk"h26OJQJ^Jh2OJQJ^Jh25CJOJQJ^JaJ#hQk"h25CJOJQJ^JaJhQk"h2OJQJ^J!jhQk"h2OJQJU^J#hQk"h2OJQJ^JmHnHu HIhipkTkTT h8(h^h`gd2gd2kd$$IflF0$  t0    44 laytfi23vw h8(h^hgd2gd2 h8(0^`0gd2 h8(h^h`gd2 h8(0^`0gd267ghBDcdi h^hgd2 h^`gd2 hh^hgd2 h0^`0gd2 h^`gd2 8(^gd245=>HIJvwKkBCİݣď{ݣiZiģģh25CJOJQJ^JaJ#hQk"h25CJOJQJ^JaJ'jFhQk"h2OJQJU^J'jxhQk"h2OJQJU^JhQk"h2OJQJ^J'jhQk"h2OJQJU^Jh2OJQJ^Jh2OJQJ^JmHnHujh2OJQJU^J'jhQk"h2OJQJU^J#CDHbc$+@dfghltvfg9:DEFUVf        ria]a]a]hvGjhvGUh2h&%aJ#hQk"h2OJQJ^JmHnHu'j$hQk"h2OJQJU^J!jhQk"h2OJQJU^Jh2OJQJ^JhQk"h25OJQJ^J hQk"h2CJOJQJ^JaJh25CJOJQJ^JaJ#hQk"h25CJOJQJ^JaJhQk"h2OJQJ^J$ijJK)* h8p8^8`gd2 h88^8`gd2 h8p^p`gd2 h8gd2 h88^8`gd2 hgd2RSfhvwqqq h8(`^``gd2 h8(h^hgd2 h8(h^h`gd2 h8gd2 h8 ^ `gd2 h88^8`gd2 h8p@ ^@ `gd2 w%&'(01239W $Ifgdf h8(0^`0gd2 h8(h^h`gd2 WXYbcd[RRRR $Ifgdfkd$$Ifl\w,"9 t0644 laytfdefgh|bbbbbb$ h8(0^`0a$gd2gd2}kdG$$Ifl0,"9_ t0644 laytf            ' . P Q R S T U V W g $da$gdq~gdPWgd2$ h8(0^`0a$gd2   3 4 : ; < = A B L M N O W X g жvjYOBh=ihGB*CJphhGB*CJph h=ihG5B*CJ^JphhGB*CJ^Jphh=ihGB*CJ^Jph,h=ihG@B*CJOJQJ\aJph2hMhG5:@B*CJOJQJ\aJph2h=ihG5:@B*CJOJQJ\aJphjhGUmHnHuhY3mHnHujhGUhGhvGjhvGUg $If^gd| $If^gdM  $If^ gdMgd)kH  H$gd)kH $0^0gd  $0dh^0gd  $ 0!a$gd)kH $da$gdq~ !!$!.!v!w!z!!!!xcxcxRxcRDRxhG@ B*CJaJph!h=ihG@ B*CJaJph)h=ihG@ B*CJOJQJaJph!h=ihG@ B*CJaJphhGh=ihGB*CJ^Jph h}hG;B*CJ^Jph$hYhG;B*CJ ^JaJ ph!hYhGB*CJ ^JaJ phhGB*CJ ^JaJ ph h}hG;B*CJ ^Jphh}hGB*CJ^Jph !!~qddW $If^gd| $If^gdM  $If^ gdMkd$$IfTl\ 8 H-   ` t-644 laytMT!!/!G!V!v!~qddW $If^gd| $If^gdM  $If^ gdMkdt$$IfTl\ 8 H-   ` t-644 laytMTv!w!!!!!~qddW $If^gd7 $If^gd|  $If^ gd|kd<$$IfTl\ 8 H-   ` t-644 laytMT!!!!!!!|#|E|F|h|i|j|k|||||||ɸ˩h2h&%aJh4hvGhG!h}hG@ B*CJaJphh=ihGB*CJ aJ ph!h=ihG@ B*CJaJphU)h=ihG@ B*CJOJQJaJph!h=ihG@ B*CJaJphhG@ B*CJaJph!!!#|F|i|~qdWW $If^gd7 $If^gd|  $If^ gd|kd$$IfTl\ 8 H-   ` t-644 laytMT(207) 941-4570 FAX: (207) 941-4584(207) 822-6300 FAX: (207) 822-6303(207) 764-0477 FAX: (207) 760-3143 web site: www.maine.gov/dep i|j|k|||||||~n^YWUWPgd2gd{vd  @^gdM  @^gd{vdkd$$IfTl\ 8 H-   ` t-644 laytMT5 01h:p{vd/ =!"#$P% n.A+ne\Hp}V_cPNG  IHDR2ZsRGB@}0PLTE9O pHYsYYNV.4IDATxI#9Q\ԕH E UVdFG AڿߖC}_hE~6[{F,CSum9γ anҔgt 4(i11a|hB%MИ`ӌfOјv#h^lM>  4r_, =iKN!03s4;u ՌChhmM5#:N3[&& Ml8HO4jl# ui,J44Od,$iJF66ndh4,ΐQ ǕbRی s1M4Ni0'xQӻ!8iiTJ^٢)MFЙFUѷ rJ#,V,$DoK8!g6*'iz9繩K@iǓ@J41; k?0MRkF{,|^? d;hb G."J^i ䷧yvu(#4*Ѥ&T#b}XtXVhړ1kr#|iڲOGV]V)s+7Ѥ NytMՓ0=?k=JQ]iG=Y!$v13A=6>RRUM'_4T \?*5nԴibeh_9O~otzj-!V-jicwnOs+Ќ0޴e;9qݨnzFlps9 %6ϾWbsyhw#h|PʱM4;Uc-Հ|l|Ϡ&yfO9O֝;Jє3 _Fe#wEbaS H-cѨhybu3DZI߸]y(g#v:zc ׏~4e'gˤϲHѯhco&f4fAEewbaѭjߌ&Ai4zSGccf^Stp},3ςfܒh|Xh~nGq ߏf|")`}̈$NH7asv=:h0mxnb۽|8x&Y6 i瓖6m=]''4M}ezl)ͦ<h+j#i jD<44d4=0ȧ+B}O66h& ߐnt_g=Ǜ@3,hiO(n4cG<:64wSl&4Ïy~1KwL ?NtML{u%Ɇ"4>]D8U7?͔G$lԝHGJdZ&LA[uY6%s1/u5 MEl@ӕ `sY! QsKUC֋MP7ipЃN#@;4QfkG4(HP'CgqkvB^\5lXi)7h6c)بn/cR^ iK4Jo?6pа Z`%Sxph$R}k '8V}a=\33eLP4+-Y* \a<)^Qf)M%m'rJ`_-{jf4ZAC[krg(w38N<5V&i73b`2_>Whʉ!Lsws0fiI+4Wwi6DWNEy+(zUy'vylK\[joȬwY+#)}DIOS)Xwh^SX[4⢋$El {|cw>8~ $Gvg(ӎkt[H嶀NOV#MF3nEBUEiu;74k him];_qi:82JCC[5ei;+XZ$78- /=vo[h 8@ }7u:qK=-шi$V դNPo};Hp:! -$ۦ($Mci ޅ37rvKdOJ/}; = Fu4)!44g9f 7 ű'RF.@dV c$u*4|F[V Dp/ +Ҵ% h$( D'<1{M1]^S MBy4=ն]"H.~|mDq ToY 'k4P>) Nh%f@IM'B kd3h|[t+[B3«7'=P1:0>8 !/. p{u^c@#h'3f |t{PEӒƢg msJӿv! sb̢%L  Edb~ kb4ftAqQ j Yf9 +4i"xQٖ%H355S~Q!׿j{SNki0vsK-nM,5[.=h hXOР ͦkN="Oa]dO#ɮL炦DZcJa{@Stn4Ke͝&ךJ(n.6F Pj[?yćE4e(i/.pr<̶pG4H7ӷiDKuc5d8[5YB9Mٴ;t7hx7?M +iFOE Q5}bE\Ti;l!u@(JFvѻ[vE9DiS#&I _Ny|hr9k4v kq>O^9RNdçk֛AkpPѸx fiF漵l9 Z(w<}3ѬEdnϝ9L48/Q`b`'섳$][KO~y)4:4v0uwLіƎjR'R74a`-9cdoj`v174nh,Ur·Lvgz3o2YEki؍+WWYrD9 rD&_Dütd:q{lQ/x|MAz,tycNBFq7hwlK>*|m}iX-okbsh/3x|8@M5m;8J`w:qs߱w-+RF\[6B[4k b hjj;˕pgwY+NS雺URƖV"B"4 1ՋhUK ݥsZP`fcjC͢6꨸;^P7X]>3~g̖YHqyp+!ӏ3'8n %l:zq}E5EKm ;.MB7yFQfè 1pneRihGCa:Vک'4µӖ2 MS^l4݆<-wai&&"p#3,rUGiZмbN ; yy0PI7hSkuA@wRbˀKOhp qy5ŌzmqgM:V ֑.hvLQg)l텞^'CZ@AP7ka\4])É&'woИvDRޘ$a)քh4B;pejͪ{=Zy'ٳ k:VΛUyYҨLVǮpKi௙7qΏ灕iwt64^ BB}dd*Y/lufY]#ҰJ5)ٍѠpQ8 ufz i^Jek4IEb,hu ѱi&/Fgd:J(\dS3'#jP3vl۳cN3 K>XdL+'݌&FhD+/,m84ۗwą-2&xFo#Ƚ8#Ue#Zu2G#f$uiz-YNFL xF3&pkWhhD!@9ͤ ␾DKM֫/JG' /-u.1Ac6ULA{W f@#.\`l1BEDu4[izYдJSۼp15 0RTtLcUɋ0ceryidjhv22eHry&ݎ;4^q .M WU5 e ap$̧r.hsյ~8mo4S\ƯJqw4QNqGlhؠͶ,DI}T}-'rw? ٴ)_EԓzZIa.?"‡YYa-z1[`hu49gkBthi/O48_ak54\h΃{ZL`4aVo]X_l+څ<;Vj`4^a ޡ_/7411Ҹjf|@i޷qXԹò%,YJw|F71 ݵ4B9h;s4R~bZZ#] Q D`CYj4, 5IQכkwi\˺YEv2,\F2o#j'hV3ƲTx fBYY%45]e+C'SgR-U=bNu.85hn҄K0!tLP,KoEa&L3|nL3kK8q㣻ŢAH&"|uL$cZ%^#YGeG?*%;y0B3-il|3GV[{J/nc˥UYx33Ar mn.4D"kW^Y&hSBa.EhZnd)xct?@f<ߣhU3>Uԑt^¶QlNuL4nj'(G4 Ty}nAJC@F哎&yΚjv0o+lZjM&; Mw~ᗖVɻ7Q|(kЉ#dwZ`Vbٛxݽ\;\xFs(fL5Zl0uIw D%7@#glt밴~&^ .tiQqi(b?ޣɅ_1е2JG;UHo.|f!Fjj>x؛1CkVT8?Py-VE'ow4J1TsDy+ Ւ8y2ysw}1?[4~3M imB^8g8EɻO)R4!Wi'nB M;(tqYBv'ԙ hEÛZ HQB<&x]CqUߦK^2Xҗ $i ِ/ypьb8]ВpO倡Qа6fdV\JMmϨ.-MF^Tհ:Zpif6U%G4˖6:"u|w4cjkA1 ],F=0e^nD+9,g/ Oࢸ9--M\ hf"/]0ga}˵o5$󯉆.pH>19^mj`W"j[qvt= \v/YKK'hFܢ)  Vjo !M zڃvPByIz*WTf|O#h̕&\UlaN/N]q!zCw@07r&kY^,M0Y%kǯ9Hަ S1SݫC `襏,D "M4n-&kDK 4@ö QG6m| LPL1 棝|(Ǜn{n;.KM;`^}_AfA#є)oʦ9scX|S|EM8)!|43LO Z\Rt@oӔ2%@;8p1=jRQBASo=͋Ӑ]z3&i~W4wvAQ'KS,i@@3y@S-m{AfX" TIB46@<`TIM)4tfzʁƏE;Y,8Ѵ+4+qHt 1銩+7,[M+FG#'4_|fؔڥ-h$+HCh$r46{lm&,+4ZE3ȋԲsRG\j:8h~Si40Oo$uK,AOeLaUCR0\83;{跛 GmT?y,Ǿ8ڍ`[1 h8ܣ"۱!/L.h`cˎtL%IU444b[qvx:NLZA`17.$ CIg>LyO]kPɪܱ A I| Fh/є:s5QxnVSn6,i^ݰU+-1>54qZ&9KpUX)W>G# .x1Omx!lϖCIF+h6;4^;ea5x7ۍ:}4T46X|iF/#)UЬ0Wϖʋ+\N25͚p-ڐnxif:LYhHBh~yEv6}準<&T^?B\L/&"gU|nb@x6= s3 eE#ajnh ˺@Ӫ*;ppvMf!`.c*^ؑnK&U5&hrA54Ԁ W&T?ѽ-fz  hCBB+yAÓԻ]}ҌJmL0[3jgޘq~D.ތ҃F럿wk'%w޷6fȱk,ٯuY ox!ZARp%MWD+Za>ꤥE]+B* 6a0|F.&.ua}D*L4WW5^3}:¾ \_i}pS 81";߈y1ҎΪHjQ=XIf-#uډ%;(,E@[m_5 M2J<Ԡ!YAkր *Ӥt# *1L&jMiMnUp;Ic-}nhYӢ|:%Tu= 0vOFގi p _8tm[Lb :Ҭi`4Qil\{ݡ"+G4 ו|Dڎr󿻦ܙΊ+j~|rkjMVgـn'@eJ_U~iNR Ov>gQVh`^&*էj/vAiB:~Hr$V?ζ6!X!6ug6&'&G{qKSluE/F 2 -8x&\faโ#^o۵֯4͖!2%6(&ifWRKiUfSM0sT) )- \)79op!H@MKF4B{ܯD<8X.ьJMn+^Mv!W-Ml؃id+N1I۶kMu_i쟤-> R84dg)67)4xМe[/Cu %(F_3n0aXU "t5],+Ԝƺ$=nL~Q!Xk"Bdz̷i$e!Ѵy.RI[sf=SS <Gڐh*WiM$=Ε~?<_Q  1ˊyGw 2-x34 h-f҈M[ ]}J@UAMХgۚA7IiLWœo:M,$O]5%hOy]#2li86h\uf̗s44y|h~Le sfZ *C;^\9si)RbҔE텞Ywe'f_ ZқG‘6AaJ,0ܥ{Mpԃ1`lbTf{.̈́hp L#͇`n,q,mx)NƷv,M瓖ه4Т;[Z_Kʒf<57h8_-ͲW0ЬV9Ʊ3*_yfF ,4nqyfiU=Ͳ.Migik%XާY۸Dܕ`J~]?&ߖBsҡS0_9tBvXnx}JʩeَFea>he`J' 4-g^?L3m L`vm~=yt01h@*B*ph@B@@ -f Body Text$a$ 5CJaJ6P@6 -f Body Text 2aJ:Q@: -f Body Text 35aJDOD |w Table Text  1$aJh8>@8 )IxTitle$a$ 5CJaJ >?56DEFGT;A\`tuvwRSTUVWXl()*+ABCD3~ HIhi23vw   6 7 g h BDcdijJK)*RSfhvw%&'(01239WXYbcdefgh '.PQRSUVWg/GVvw Cfgh0000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000000000000000000000000000000000000000000000000000000000000000000 0 00 0 0 000 0 0 00000000@000@000@000@000001 Z[@0@0@0@0@0@000+Z[@000*Z[@0@0@0@0@0@0@0@0@0@0@0@0@0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0@0@000y00tDEFG;AtuvwRSWX()*+ABCD3WXde'.PQRg/GVvw Cfgh00 CTb0  00 CTb0  00 CTb0  00 CTb0  00 CTb0  00sCTb0  00s000000 00s@8>00@0  00@0  0 0 @00 00 @0000 @0000D @00 00D @0000 @0000 @0000 @0000 @000 0! @000"0#0$0% @000"0#0*0+ @000001D @000203D @00Z00Z00@$@$@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0Z0 0 q@0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0@0Z0&0' 00 EGIwz C !| %*./68<F r v *C~iiwWdg !v!!i||!"#$&'()+,-01234579:;=?|T`9AMZ`lr+Plx1;G|# / \ f r 4 = I v 9EUFFFFFFFFFFG$G$FFFFFFFFFFF%,.3>@z!   /Xb$A+ne\Hp}V_c.7b$[G Q&];@ (    <xA3"`0(  B S  ?IzRText1Text2Text10Text11Text3Text4Text6Text5Check1Check2Text8Text12Text13Text14Text9TAal;# f 9 [s2}] V,o ,!p Կ8q r ľ8s 8t (%u 5v T8w dx d:Ey  .%z L.%{ .%| .%}  /%~ L/% ! ! ! . ! dA /% L 5 <8  L. l" 4  D7 8 & , B B '  ,! 5 l  +-  +. \.-U U @@aa$//GGVVjjq      "!#&$%'()*+Z Z EEff#..FFUUhhpuu  "!#%&$'()*+=*urn:schemas-microsoft-com:office:smarttags PlaceName= *urn:schemas-microsoft-com:office:smarttags PlaceType:*urn:schemas-microsoft-com:office:smarttagsStreet;*urn:schemas-microsoft-com:office:smarttagsaddress9+*urn:schemas-microsoft-com:office:smarttagsplace8&*urn:schemas-microsoft-com:office:smarttagsCity9,*urn:schemas-microsoft-com:office:smarttagsState>#*urn:schemas-microsoft-com:office:smarttags PostalCode 8a ,+,+,+&+,#,+++&&+&++&,#+ &+,#+&,#+,r[g(,hk333 3=AO/vwwfgg t 4 8' : ZT[v\cd}fhijv||D~,vh5!!$)U-u2>379<8?@pAADE]KXY[addfgNhn>?BHmIJKCMhY[\bdoksy|M n) Gha L#q$y%P()6;<v>1ENSjV^^Z_a b>c(fhhUmmptv|}}q~~#Z \h !%'S.H2p577;V<=v@AR$XXZc^gk$su{}!-/0?018E=>1BDaIK[_2gjrooiqrr8ux9~~     {  P  ! A# & ?) 0 B1 |3 5 '; > E E UL O vX Y eZ Z b ze ;h h i l t ~ ~ ~   e j   " # . t9 u: > ? ? @ D nE E H I WL YN IY ] _ \` a mi l n ,v bw w ^x v{  b  }  %   ' q, C- n/ 1 1 9 = d> CF ^K P ~S \ H^ c d e h tq q "w ^z  : e g @ :! /( 0 1 3 4 "8 : < E< < = /? nC pF F G SN N 'W \ b .d d @e e k u } #  % H  }  s p/ / 0 0 1 +2 2 *? E H fL $S RT d ip Wr x } ` < BPv ,%%+-.V347K:BDKU6ZZjssa   .X)!$%M&.q11i66;@BaCK\MNO RRGS`S4YC^_aadZk{sstz| f &<0123(4v@/NPde8lpW{We T iZ"U&G/254+:u<=>H?s?WDVNT\UdVDWZ`eeuhimpGru %y# .05:H<??JDwEOIGJ,MMMP5YoY]M`e!gio(ty1zI}gGT   A "#),1w?CG9G HHR1T ]b\ccfmsoo:{|UI!*"s&-M148ARCMPTQB[[\%jkoo9p vz L  #1$0%)g.w0U128a9?FVLpOO`SVWZV^xhlo9ql  -)!"(4 9B=WG'I)NNQU|VfYYo[]ai`iko{sssuxI{~U69Y!{!!%&'../w3K9.<FJjMKNR#UX$^.^n^^c%hhQjllmzprvx}zy{|| uq r! #&&'.p00u>BBDqKLNP'QQQT>U#`accps{|=ulx   c$%v"$T% 'y)[./3S4-6i699:;>?UBBKpLVo^^_ek:lmoy}F~~'U#(-39: >cEJK1\abUdddelt zP{KMu]8'*-23X4B79:?@;AAGLPaSU_eilknxy]~] | O ^  & & ,( ) "0 1 3 8 > h? 2G J J K 8S V ` c f j m n t x y y ! !!!@&!'!l)!2!/3!4!6!:!;!@!B!vF!F!H!K!XL!M!O! Q!U!X!X!Y!^!^!m!*s!y!`" "R """;""E"j'"'"'"h*"B7"l7"<"?"!C"H"J"Q"T"]"`"d"oh"Qn"z"|"0}"a##C ####r###a*#2.#?/#1#2#;#>#WN#_N#;T#!V#DV#n\#f#g#bp#ws#st#fu#wy#{#u}#~###A$$$m$$$ #$$$)$*$o1$2$2$=$Q@$F$*J$rK$P$;S$T$Y$@^$b$d$mj$`r$u$v$`y$>~$%%%%!%4%%%%&%(%)%0%2%L:%N:%v<%=%G%Q%Y%{^%_%`%`%u%9w%w%z%^{%a}%~%M&&& & &I&&& &&&$&&&1&7&8&%B&2B&D&]O&O&O&Q&S&Y&Z&[&+^&7d&f&g&h&k& ''X' ' ' '{ '''^','g''m' '0!'P''b''`(')'0'2'4';'=<'='C'H'R'jS'(U' \'I]'g'h'j'nk'k'l'?s'Cu'u'1v'y'z'8{'<((a(y(((G ((,(P(W#()())()(.(5:(k;(`<(>(@(:I(I(J(J(W(X(X(?_(e(g(m(t(Uu(7w(w(l~(()))X) ))!)M)w!)!)r#)$)$)+)/)4)7)c8)8)=)?)H)+J),J)N)S)q^)_)`)*`)h)h)>m)s)Rw)w)z)C*Y*7**' *w**k*k *'*(*#+*.*.*E0*0*2*3*4*r9*:*:*=*F*#L*L*N*V*IW*X*6Y*Y*^*^*c*f*f*^g*~j*j*Co*s*Lv*v*y*{*{**%+Q++d +` +++L++=++(+*+0+Y1+p2+N;+?<+,>+S+mX+X+X+Ya+d+Dg+mt+w+;x+y+(}+,^,.,, , ,d,P,,,,,T%,S+,e4,4,'9,R,Z,;],`,~e,yj,k,u,u,Zw,w,w,;z,z,~{,{,P-- --o--d-f--T---3.-/-&4-d;-x<-.>-F-@O- U-]V-x\-_-:a-Vc-d-d-g-*l-u-v-y-z-z-S|-h~-/.Z. . .*....f . .$.%.(.(.,.C.E.E.|Q.Y.[.z].K_.#`.b.f.,l.l.q.r.s.t.^w.<//////U"/#/$/-/0/2/ 6/6/:/&2*2Q-2.202 52?2#@2lE2`K2L2O2P2:P2Y2F\2Ne2rg2g2Nh2l2r2az22p333R3333~3 3333s&3 ,3;637383C3D3P3P3V3W3b3k3hk3k3q3s3au30w3x3444 4b 4 4 4S 4 444]42444&4*4*4,4q24546474_:4w=4H4O4O4U4Z49]4b4i4 j4dm4w45 55i5{5[5}#5'5(5,5,5M05154585G>5bN5{N5V5xW5\Z5L^5a5a5g5 }5~56U66b666666}6'6M(6)6e/6 06"96T96D6QK6K6K6sN6DV6jW6kY6#[6ab6Pc6e6j6fm6|p6q6w6w67| 7 7H77!7Q%7&7&7)7T/725767879797HC7J7wK7GV7V7X7UZ7Z7z[7\7,f7k70n7Zq7v7Oz7{70}7}7I8 8! 8 8488|888%8(8*858n98W:8:8A8A8E8pI8 L8N8O8vP8R8U8V8V8X8_8c8e8t8{8k 999M9:999 9'9'9)9.909d6999h?9hB9D9aH9NN9Z9i[9If90g9i9bj9`l9n9p9s9v9|9::j :::":*:r+:+:3,:.:3:"8:d9:=:?:jC:#K:Q:U:U:\:`:Va:c:`f:f:o:q:r:u:"{:|:%;8 ;a ;% ;C;;;f;1;;;7#;j);+;-;.;3;?;;<;@;@;(A;ZE;F;H;S;1S;T;c;e;lf;f;l;0m;q;x;z;|;};<< <<<<<<<P<<<"#<(<.<B6<6<1;<U;<A<E<pF<G<H<H<BQ<aQ<V<V<t<u<Zy<{z<<~<?= = = = =p==}==@=.="=)=/=J0=0=0=1=8=9=:=A=A=C=C=E=E= F=J=]L=Q=T=V=Y=-_=xa=k=~o=Cr=u=v=v=^{=>j>5>f>f>#>K%>%>%>&>)>*>1,>5->/>2>5>8><8>l:>w<>?>\C>U>KV>\>T\>L_>.e>g>.g> i>o>As>t>Ku>@x>p?.? ??6?2? ?0?2?4?56?J6?'7?&C>CCCEC{KCOCXPC~QCTCZC-[C^C`CRfCfCgC+kClCumCoC%wC${C|C}CD DwDDD_D|D#D"'DM/D0Ds4D15D:D">DCD&DDDDID ODQDRDRDTD]D^DJeDgDjDjDnDqDqDuDIxD~DDGEE EEEE$EEE}"E)(E-E$/E71E6E6E};E=EAE=BEVGEHEHEIEJE>KEKEQEQE\VEXEhZET`Eu`ECcEfEfhEqhEmE!mE4mE rE!rEvE=wEFFFCFFFF1,F-F.F70F5F`>Fg?F BFEFKFRF4SF YF]FgFiFlF@tF5{FGGIGkGmG, GGOG'G0G<6GGGIG`JG@LGbLGNG,PG?SG\G`G`G aGcGcGeGfGphGiG>oG4rGtG yGyGzGx~G~GGbHHHH H HHH HHH&(H,H9H{=HYAHpCHJHJH`PHRH{UHVH[H)kHlHmHvHzH<{H IY IF IIIaII!I#IU(I+I-I1I[3Is5I?I7AIiAI8HI$IIMI|OIPIQIRI_IdIiInIpItITwIayI}I^~I>J JJlJeJJ(J Jt Jb#J$J'JZ,J,J%/JV2J5JBJIJKJLJOJ1ZJp[J^JQ`JcJkJZoJoJBtJuJB{J}JKKLKKMK K KKKvK{ K$K=&K%'K*K*K+5K~>K@KBKvCK;FK=IKIKKKtMKMKRK.UKWKYKZKaKrdKIfKhK1iK\iKbiKnKnKCoKexKL Li L LLiLLL#LL?LiL&L&L)L.L9LILRLULAXLHYL+[L[Lu\LY]L[cLpiL|iLmL{LMzMM MMM?MM<M{MW M!M!M%M'M(M+Mk.M0M6M6M7M:M-;M{>MM@MCMDGMHM5RMGdMhM?kMkMoM%vMwMzMzMN,NqN NPNNNNN&N N#N'N(Ny2N2N-4Ny=N:HN)MN*NNNNPNQNrQNCRNSNpWNa]N]NqNtN{NO#Ow Oq O O?OOOOO~OO!O'O{'O1O.5O7O4AOAOAOGOWHO=KOVO{]O]OcOeO~hO8xO4}OPwPp P PP6P PP) P+P{,P-P1.PO/P*:P:PX;PjAPBPBPDP)DP>HPLP>MPMPPPWPYP`PcPkP]nPuPO{P}P Q QQlQ2QQt$Q$Q5Q)QIQLQUQXQ^QgbQ=oQoQvQR+ RRyR|RR!R5"R$R6&R8)Rr,R6.R3RG4R.9R/9RORXRZR;]R`RmR/oRrRrRuR8RS! S: SS5SSkS6!S!S%S\&SH(S'.S~1S5S&9STT T T: TTfTT@T%Tu(T*T+T,Ta3TK6T6T8T;T>T"?T1ATCTETFTHTKTLTuOTVT]T]Tz_TdTkTqTuT:wTzT U5 U+ U UXU-UUU< U)U-U.U/U0Uc2U"5U8Up9U:U;UBUGU_MUOU8QU UU,VUWUYU"ZU^UbUbUeU>eU|lUrU|tUyU~UU&V VVV\%Vh'V*VZ9V;VAVBV~HV.JVMVCRVWV([VcVUmV,nVoVWWyWWU WWPWWW$Wn+W,W[o@[L[R[S[[[Vb[&l[n[r[u[v[z[{[\L\\5\!\%\I'\)\p,\e0\^1\1\2\3\)4\~6\6\9\~9\4>\A\DG\(P\sS\{S\ X\[\X\\a\2h\i\i\vo\ip\q\Os\&w\*y\y\K]u]]]]t#]}(].]4]f7]v:];]<]/I]M]>O]X]Y]2a]d]1e]e]f]i]q]x]}]^^(^t^ ^ ^!^u'^.^.^.^2^4^6^8^;^.=^@^VC^H^|T^U^[^d^j^l^w^~x^{^}^~^5_ _ _ ______t_, _!_%_/_3_7_9_:_;_<_FE_F_K_"M_Q_S_X_E`_a_b_Oi_i_j_k_Du_w_y_zy_}``i`` ` ` ` `/``6```)`,`F```s`~'`2`;`$<`Z@`H`.K`6R`T`|U`D]`]`{``Rc`d`#i`0i`s`x`b|`}`~`.`a aa aH aaaaaa a(a .a.a3a|6a>aBaNaAVabWahXa`aQiakakapaqaxayabD b bbZb0b{bb.b3"b)*b.bz/b82bBbJCb7Eb[Gb6TbXbL[b\b#^b_bbbcbogbbvbxb+cccJc#c?c!c)c)c*c8c8c9c-=c?cqGcIc,Sc=ScVcUZcC]c9dcjcmcncqcsctc?tcxcoycyyczc~|cH}cIdd0ddq#d#d%d%d4*dB.dh;d;d7f>fEf-GfeIfJfJf Wf]fafcfcfifkfmf@ofofnufuf|f}fg g gg(gggVggs#g%g(g-g>g>g1?gAg@EgSFgGgKgILgPgQgl?lBlGlJlKl1VlWlWlZl3`l flEflgltjlvlxl)ylyl~lmm mmPmTm"m*(m.m0m0mpG@p@pApBp.PpPp0QpRphXp\p\ptpp q|qSqqyqTqqqqr'q'q,qA0q7q8q9q;qhDqHq+YqZqZqv]qf_qaqfqpquqwqarbr= r rrrr< r r$r-%r~&r(rH1r2ru5rJ9r=rDrhFrGrJr{ { {}{{{s{^${'{=({({){M.{4{8{A{`L{Q{T{V{|\{._{n{p{kr{t{u{(w{ |{x|j|x|| |6#|F&|)|z+|U,|.|L0|01|1|I>|B|B|F|K|NL|N|N|Q|S|U|\|xf|i|uj|p|u|v|x|x|}{|e|}n} } }= }P }b } } }}}-}}}I}Y!}#&}+}g-}.}3}5};}>}zH}H}J}M}WQ}I]}a}e}Pm}o}Vw}y}z}{}C~~'~4~ ~ ~~~~?~]~~~s~ ~"~$'~)~{2~ :~@~3B~ND~tE~E~F~KH~L~aO~T~T~[~?`~Ti~q~sr~fs~>z~ b  rM(&/0113s59;cACDBEJK~RSWZ1[[_fg4k~lnpRx*#%F)**01I4y4u6@:<?@mE7FGGJL0MNPsY2\]g9i^jfk?q?AIILL MQSV7[-gkmtuNv5y7yyy{~ o "Z$+).23R684884<?@'@FKKQRSTVW]`bj[kkrstPt=xz{d  a/L&*-2;4 D'DDDFGdII8PSXXZ]0cQjl^ow)||}~[ !,.11>IFM_PlQjRUX[befflt}~\d +#c%')+:11,7=>A3DEhFI(Z0[\_h!lmmnQrtdx:{=HJ#'((./22377:<CDSGGdJQQQaR$SRVkWZZeUg"u#} K?"."175>J`KRVXZ@[\bdeAff'jvqtP3 C]"?$%k&(,-+//:2c555<@BBJJUXPZ]a%q%(b(**z1135M7p:== CBDEKWZ[\]_OdeeLght7xx6J i * !'$))B,@:: CEKROQVSZ^`Z`@agbf6i[pq:zSp{S 3gl3,;-77u<>EABDEYHgJVRVWYXYYOZ [a lqDuyvbzz}s{Q p$t%1k4:: =*? E*NOQkRWb8fnno0wz|~3# &h,4<>?eAKUZ_-bMb^d'gzhiPiFlssw?~Y WGI"+,2i39:;c=E$MRJW _z`jjCkkk*lo{prntvy|!$?%&)-+348;u=>j?mABCvDwDRtUt[`bdzde=ikk*mrsu xV~b!GExG&({,!.1948Y99<=CAGHCJK3MY\NaGcfefgilrv 4f UU $&()200<:i:;??$A]TbTgUWVZ$]^ce}fi!movRqHR"%''y(7079;d>}??VQboo]uu~ 0 :g )"-$=&(({.o5S88:D<e>BGH8OGUUuV`na!hIhLhyikmJvf} ?[C&h(),,,,`.!2h8>?AECRW[beMkklkm`np]uux{|R%   %-1378)9:<JAFFGJQN@ORVX\^`g}! {nM8##k%|/g239\;m>BIwJ%R'V"bc!fjll;u:}}}Ys2 L +E"".;//[6 DZQ{Q]Ah!m:mmnprt~/SR~S!$,/378V;K<@BYJK KOUwVWFZ_:fiiKkun0otwyt{u}`~ +' Q -!L+d+4#ACDEEGKKKoRS[aeijr>y{ H',67a8O>A&J$NKU`WQY[\*moouvw|~~c] <4<EKQT9`aetkppp)sty} <#$+4:\=BH IIPhQ\alfln9tnz|~ /L  m##$(,))060;4BkDDbK?MOST]^cdehlm=ss\t>uLwy{8~?Br~  !"L&A+++0B4T45@NCD2GHGiIP_VZ5[^5jZy1z;|}x&P[= $e@%C&&W'.()+-<4$:;.A5MPPlW$XuYYfegirftuKz|>p U o"%I&(`)711#6,:8?@AHBIJQWZ[V`bdKg{ilsttzu voxD 6E,%')*k+-'//2Y37Z8 >s>kIIPNWZ\aPgps5x7}?D(G)//)5699:]@@FABFYkZ^;^<^`dfkpsz {}~U < "-.011257==@$GKN)PUZW%\]`XddDfjmt8usy~ D%(%)*19n:6>{@&EF?JVZ1[?`mfgimm\ty~' y=!_#-45=?@FB@GINW9ZnhiknEuw||&Y   N 5\ &G-55L6:*@B}CCZDoFDJMmNX-\_]ehSppqrosvj~59  c#S(/F002^2DKSUVyXXYk`3akl"qTss6xxy|}# PB%d/;19P>eAB'H!L"ORVRW[Y[imnQp%yJ*!"),Z-448:N<@BDDeEEEGIK>LTT^WYY\|^^_Ebf_llo qtuzzDf7D 6 W ] Q8^ a!`"$,-0//5 8A0CIINPUW6YZ[m]gj0mvZ !$$*46A>CD)KP[_Ta hjmm"{'}uw J$"% ))*H+022*37:?'DCJJLMPSS]TV(XPY]brsYvAy|b<K I  z & !(*->@)DFIPPPS(YwZ[^lmpp(u0uu y W 6e"""%W&','^2PABfGGJN$PQR Y^^^.ei}  #*.[00w1"4459?(@ WZW__ccKe]ecfitjuuy{b "a"l#)*67|<v>AbAE8KKPRTVUW#pq ssu *E[L%*+/z66>EkLNPPUV WY\a2j mt"vvw4x~xXd !"1#+9&;ACFGZHWWWiabc-fln!o4xz1~~pr   e!"k&)*E,213 8;??D EJLJ^T\qhTik wyzx{}\  !a)_,,-;@>AFIJ,NRSVVh"ipjj8kmsez~  *!k")+Y-Y//3376M68;>@SEK4L&NOQBTcTV[J\_`cd-e kkmnrdvv} { 28}5=?4@EISPlSTJV|WWXXY;dghny{E^[DX Q 8vL!!.9%<<>?@,AACKLQZ\8gjmt  ".a '+-;|<>?BDIILM~U!ZLZZ`d}gkm@m@CkOVdX\lTpprs]tyF*BPa "##&% &'+F-\-0_1s3=8>?G@E IcUZ_Z[R^e]mN (hT+#&$F'*/9R<BC/IsIIJM#R_aubhhAx|$~j~G}(()(,,0T44>HAiC5F~KN2UdimwXy|~ GLG ^!"%&.4a9:HPJMMNNO!S{STo_ddkr>tx(y{G}t t?.**.1KD1E}FIyPPafi uO{}|F 1 m W%"&'(*<6g78[:j;P==CEEIURX[}dho8qraw}v"* - @#%*))+2A7;=DFJM[NdNNXxZG_adfjamr=~~l \~(&/+002<?GQLMSSTY\]]]aa#ghpirimptTz{l1  #&(+`,m/0U1X1;<>AEYE#FFALSVZ[\^^dyooo^v|x9~6_S[ 01496=8]8@EEsGGKKO~UV%Z5[\Jjorrw%yy?zz|b 7C'+,/Z5U67s9B CbC>FGJ PS,W&[dbemm`oqwxx2y|H3H $ L h e \"%%&t.33+5h5668e<eC@F(G;MNOUV}\axdlTM$ 7VQ"$w&'(k**.G?KM(QT [[]U]L^`b cJdgylnptu$z} ]b`m%-?-/223<j>@BBEF~HHVJK.QVYY\aNjkm9np[tKzL,uR p 1!`&o''l.=?@EFFPUUWY8[]^jprsvnwx y&}a~o !*+1Q226;+<?DrFJSd%fgqt^uv |m \cz!##$x%+,.44637CEEEFF?GH.HRmhoqx}~W ~ Dj!l../011":u:+DDE@JKQTXY}`gegijnprsuuj{F ( ^M"(.37:wAYFIMI6O\+]abcrh`k)qtsvlw|K} ] d !!*#+?,/2x=>RA4FHI.NfPqT~WUZ [\S^b bbXiijl#yy"{<f!s#%% '4)+X//3%45899;DTMDOT>TUUVJ\^a!h)kordxy|  Jr$)|.3 8W;? DH3RU XVZ;hi!jmnpRq sttxW{|"e ( I()*.25:MCFGQSWuZE\_)fk1mrrv}=-'#(^/12?AA2DG[QV=W4^;b0ckqSruv"wx^z}kU [VJC(y*35q68b::z<#???EFGG0XXZEgmqvxy{0u$%*-1[46]9|=HLRUX-Z[G]*_aghUt }}F  L N-''*059;=CDF1QqUWnXZ[]L``;abdGeUfh-iwxxy9kYf%)*/036[<<=A+CEGHPKJMN+SST)\n^lll}p^tvNxd|},U (,m-.z/0968]>A DTGI MOT]Z[bcbf"lopqqTsvs{ ; p #%&&02\5l:<> NQXY)]_Zclho%tUu=v4xy {b 5 Sd:!V(()u.15R66789!<?$CxDMPN(PY>[ ]B_)`ZadoiZmmm'svy.z}y}y V'$3$$U&6):?u@$AB GBILNLPuQ6]^achhkotuQx_y# ^ 7r 0++/--/5J9>CE*G"HGJNN*OOLQTTW)aadquO} U o  r2/'B')*4n788::@9BYDGLqNPZPRS UW?YvZ[ ^ ^aafzkEryvvzz{ S ~   T"(* ,L/1199:E@@EvG[HPS8TBVWgZG\\__c8d|fghhnoHp?stKww{*2: :&>K?@%H;HHmOORZaJdi&ijoUpss]v|w yyz-S >kn &')*k2O6M7:dB9CDFFGGOTXYvZG_dhisuu~~&m>5@"")$1%-.0.17S<SBpCCCJKLLOS \Gfk\mZsQvv*2+ y"b##&)*b,3:IK!LHM WY0ZJ` ep vw"x{|~Q) $) )f)+.14566D9=v>N@ABD'HwKNX5Y0]A]mc}cVlq~tuPz|[ 6y#X}$+-+-83;=IKFOZMikQm=o!pvwXz|:}G2  I X.4NE$(,,70<HvXX\ `dgjl|loRqqsttyyz+za6 A+ 3[#{#j'*600 1jBI2JK8[_nyv}x`<  GgW(")c026=;v;;=R@@CEEFdK LL`Q^be>gg7nnp!rs)v~x|/-023=5 ) t'](0F58!94<<t??A+EELMPV.Yh`#aafkq rt$v\xxy|N|:gF nC> ?'^'/V157?AhD(LLQ[RS'WW{]R^ekkwxyzz1tz#r%%~'n-.7DGqJJ(QTUXX\^O_w_`idhhjk|mmtvyzLz i&gFU <&(O2 6:;">DDFGHM5NPTT0\^*_:b8p}q Y=XJ3"#N-1+6:: <>HCF}GRDVYZ\_gFnnNqqyz};~' w0g"y#%'!(57l:==h>?I@EFIMsOOXX]^`hCllms{tSvxy  ##&P)378:;AANGKLLOS [[^` bilnpwz}  t!(^*6[8Z:=#>n?GLQWZ\`ccefh kmpstt<~7Z{v #;#$%&M+,AFKTPT\]b!ceyz{Q|Z} of9#$&\)G+/4>FGHH JKIL@PQVXY[_`cimqQqyz~RjVu!we <,,83=>?AcHDIOOW;b]be/vyC~0>wB\ "T$((v)+9/;;u=BqDDHJwQQRUfkms#t8x.{|}~JJ0}9d7<Fmymq,ruzi  ~&'^( +,1Z13u67N9=?@ABDdJwNOR<\`dlxGyny}56DEFGT;A\`tuvwRSTUVWXl()*+ABCD3~H&'129WXcde /GVvw Cfg3ym0ym0ym0ym0ym0@ aanaa@`@` ` `@`@UnknownGz Times New Roman5Symbol3& z Arial9Garamond3z Times"1hh*F*F*FJ (J (4d2QHX jBNEW APPLICATIONState of MaineState of Maine0         Oh+'0 (4 T ` l xNEW APPLICATIONState of Maineabatecontractor.dotState of Maine3Microsoft Office Word@F#@AC(;@AC(;@AC(;J՜.+,0  hp  State of Maine, DAFS( ' NEW APPLICATION Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWYZ[\]^_`abcdefgijklmnopqrstuvwxyz{|}~Root Entry FX(;Data X1TablehYWordDocumentSummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q