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15-16190
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2015
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15-16190
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Last modified
3/21/2016 2:51:07 PM
Creation date
3/21/2016 2:51:03 PM
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Building Department
Company Name
SILVERADO
Building Department - Doc Type
Permit
Permit #
15-16190
Building Department - Name
HIGHLAND HOLDINGS INC SHADY
Address
36122 SHADY BLUFF LOT 9
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� <br /> AUTHORIZATION TO RELEASE CREDIT INFORMATION <br /> TO BILL LAVENDER <br /> 1/V1le, <br /> �I <br /> { inted Names Above) <br />� hereby authorize and give permission to the: <br /> NAME OF MORTGAGE COMPANY OR BANK <br /> To forward,send,transmit my/our credit report(s)to Bill Lavender/Credit <br /> Restoraiion Services,505 Westbrook Ave., Brandon, FL 33511. Fax number is <br /> 813-645-8203,or E-mail is wlaven3088C�aol.com. 7his informa#ion may be <br /> faxed, mailed,e-mailed, hand-delive�ed,or transmitted by any satisfactory <br /> means. I/We hereby hold above referenced mortgage company/bank harmless <br /> fram any and all liabiliry it may incur as a result or releasing said information. In <br /> addition, IMIe hereby give mortgage company/bank representatives permission <br /> to freely discuss my credit situaiion with Bill Lavender and his staff without <br /> limitation. <br /> � - f` <br /> Signature Date <br /> Signature Date <br />
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