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� <br /> To: <br /> i <br /> Re: Commercial Sign Pernut Procurement for <br /> Dear Sirs or Madam, <br /> � � <br />� I, �yC. ' � l�S ; '' �U �� , ' ��� , do hereby authorize Allen Industries <br /> and their agents to sign,�apply for,pay for, nd pick up permits,building and electrical, and install <br /> for the sign work proposed at the address listed below. <br /> - ��b3��3L�g���e�e�3�ce�4�a,�t�d_f�►�c���e�-s�gt��gg w�����, �' =- � <br /> � <br /> i <br /> AUTHORIZED AGENT AGENT SIGNATUI2E <br /> -------------------------------------------- --------------------------------------------- <br /> P��� �� -- ��.�o�-�� <br /> �_ <br /> - ----- ---- �----y- <br /> -------------=��'�;=��-r <br /> (Client Signature) <br /> State of I�T����: � `� <br />' CounTy of P:�: N �5 SA�c <br /> Before me personally appeared Lp� �-�S , (.1�C�,��—,to me well known and known <br /> to me as the person described in and who executed the foregoing instrument, and acknowledged to <br /> and before me that he executed said instrument for the p ose herein expressed. <br /> _ Wrtness my hand and Official seal tlus .z� day of�,p„��Pij , 2014 <br /> � TERRY ROSENBAUM <br /> NOTARY PUBLIC STATE OF NEW YORK I, <br /> QUALIFIED IN NASSAU COUNTY � <br /> N0.01 R04992279 <br />� COMNf.EXP,3116/201� � �� / i <br /> �b•- <br />�� Stamp Nota ublic � <br /> ���� <br />