Simplicity 5364 Vintage Sewing Pattern, dated 1981. 

Misses Pullover Dress and Unlined Jacket... Adjustable for Miss Petite:

Sleeveless dress gathered to forward shoulder seams has V-neck with self-ruffle, full flared skirt stitched to bodice at elasticized waistline and optional tie belt. Short bolero jacket has long set-in sleeves gathered to armholes. 

Sizes 10 - 12 - 14:

Bust    83 - 87 - 92 cm (32 1/2 - 34 - 36 inches )

Waist  64 - 67 - 71 cm (25 - 26 1/2 - 28  inches)

Hip      87 - 92 - 97 cm (34 1/2 - 36 - 38 inches).

Pattern is UNCUT and factory folded. Envelope is in good vintage condition, with some light shelf wear.

More 1980s patterns here:

http://allthepreciousthings.com/collections/1980s