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15-16351
Zephyrhills
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2015
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15-16351
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Last modified
3/10/2016 10:24:27 AM
Creation date
3/10/2016 10:24:26 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16351
Building Department - Name
REECE,JACQUELINE S
Address
5552 18TH ST
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� <br /> AGENT OF RECORD LETTER <br /> TO THE PASCO COUN7Y GROWfH MANAGEMENT DEPARTMENT AND THE PASCO COUNlY BOARD OF <br /> COUNTY COMMISSIONERS: <br /> �, Jack Arthur Paris ,hereby designate and <br /> appoint Amy Maynard as my Agent of <br /> Record for the purposes of representing me during the plan amendment application and hearing processes. <br /> My Agent of Record is hereby vested with authority to make any representations,agreements,or promises which <br /> are necessary or desirable in conjunction with the process. My Agent of Record is also authorized to accept or <br /> reject any conditions imposed by any neviewing board or entity. <br /> Jack Arthur Paris <br /> DATE APPLICANT/OWNER <br /> Amy Maynard <br /> APPLICANTS REPRESENTATNE <br /> 7955 66th St.N. <br /> ADDRESS <br /> Pinellas Park, FL,33781 <br /> CITY,STATE,ZIP CODE <br /> 727-452-3881 <br /> TELEPHONE NUMBER <br /> � ,/ ��r �.� <br /> APP ���OWNER'S SI NATURE <br /> ��_.�e,_2 <br /> TITLE <br /> DATE <br /> STATE OF FLORIDA <br /> COUNTY OF �� <br /> fh O .� <br /> The foregoing inst�nt was acknowledged fore c�e this � GLrJ f���Ol��� <br /> (date),by C� �j C',,�� i�rA�C <br /> (name of officer or agent, tiUe of officer or agent <br /> acknowledging)of <br /> (name of corporation acknowledging)a <br /> (State or place of incorporation)corporation,on behalf of the corporation_ e/she is personally known to me r <br /> who has produced <br /> , (type of identification)as ide � cation. <br /> :, <br /> Seal: <br /> NOTARY <br /> �� JEFFERY W RAYL <br /> �; <br /> ::?`•' �; <br /> '�: ''e MV COMMISSION�FF206995 <br /> ` � EXPIRES Maroh 13.2019 � <br /> Ma en 1•�'�4�� �, <br /> 9 9 �S�:�yHS{;,�3 �WrtlaHpJ'Y§pricp,-,pr Co oral(on <br /> •t <br />
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