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15-16649
Zephyrhills
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2015
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15-16649
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Last modified
6/15/2016 11:56:26 AM
Creation date
6/15/2016 11:54:43 AM
Metadata
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Building Department
Company Name
SHIVA 6005 GALL LLC
Building Department - Doc Type
Permit
Permit #
15-16649
Building Department - Name
SHIVA 6005 GALL LLC
Address
6013 GALL BLVD
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!( <br /> i <br /> � <br /> � <br /> Appl Sign & Awning, lLC '�, <br /> LETTER OF PE MiSSIQN TO INSTALL SIGN <br /> DATE: 09-/l��/S ' <br /> ADDRESS; �' � r �33 - <br /> . , <br /> AS OWNER(S) OF THE PROPER�LISTED ABOVE, WE GRANT APPLE SIGN & AWNING LLC, <br /> PERMISSION TO INSTALL SIGN. APPL SIGN &AWNING LLC. TO ACT AS OWNERS AGENT TO <br /> OBTAIN SIGN PERMIT. ' <br /> OWNERS NAME; S h i 1fLL (oC�05 �Q.I1 1_j (�_ <br /> ADDRESS:�j dO �S I�II J 7��h ��f". <br /> i <br /> CITY: P�lrne 1�i(}�I � STATE: ��, ZIP; �33/57-�1��3 <br /> PH. ��:_^ _ ��':� -- �,`�T � <br /> , <br /> ' OWNERS SIGNATURE <br /> STATE OF ��� , � <br /> COUNTY OF � 'C�`�v<�� ---- - _ <br /> Tfie faregoing inst;�im�rit wa ac no la�ged �, � <br /> befare me this /L _ �a� ��f ���, �`L)�- ' <br /> By �.:�.�ti �1��..��1�_ i �G� I � ��o,�ti-� �`�'��� �'1��� <br /> and who is persor�ai!�� K.;����e:• r/� f r ` <br /> , �-::;.��„�q � PRINT NAME & TITLE <br /> Identification � �1�%�,,Y � � �� <br /> .T ` �� . -�._ - . - � . �Z - ��. ��L� �_ � <br /> ;, DRIVER'S LICENSE # <br />, )C NOTARY; ��"' , KAr�EN J F!NLEY <br /> �. ,-�., Nc:ary Public-Statz ol F�orida <br /> � _� , , �,-:'!�{a1v�Comr�. E�cpires Jul 17 2016 <br /> � DATE; � ?4-=;�. '� ortT;s=.or #cE 2 i 7150 <br /> _ -�._. <br /> ,���� _. ._. .�_ <br /> . • <br /> '�?: �.. 'y i�i5^ <br /> 1635 N.Dale Mabry Hwy.Sulte 7 Lutz, Florida 3 5d8 813-448-2220 Fax 813-948-2403 E-mail:apple.signsl @verizon.net <br />
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