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f.f..-.,��`•_,�\���� � _ �_ <br /> i � � � <br /> + :;'�. k� - <br /> � , �, �r �;E' ��' w ' i�1 �;�.52� Uce�se 6CV-0Q56667tFL <br /> t 1 f <br /> i���..��..,.�;`j r',,.�` '° � � s�� ''="Lwy=�:�k; Keeping You In Hat Watei <br /> r4merlcur� Solarr Enet�y, I,L� `:`=` Keeps Us Out <br /> SC)LAR GQNTRACTORS � '� r�•:;,b,,;,;�,�.�--- - __ �:`�,;•�,3 <br /> Ucerrsed � /nsureci•Bonded "��"'�. �$s�-"V , "�" <br /> So%smeansFr�eEnemv z���_�.�'�_".�.,,,._..w.=.'`.w„����.�_,.... _-'.;�..._ <br /> RE: Permit Agent Authorization Form <br /> I, Labron E. Taylor, Jr., a state certified solar contractor, License Number CVC056667, <br /> hereby authorize the following to act as my agent(s) in obtaining permits in <br /> , Florida. <br /> Name of Agent Driver's License No. <br /> i v ' �a�a-i o - --'1 3-C� <br /> I STATE OF Florida <br /> This letter contains the names and identification - couNTY oF POLK <br /> � numbers of people that aTe authorized to pul-1 Sworn to(or affirmed)and subscribed before me this L, <br />� permits in my name. This letter supersedes 1riy- day of S ,ao�by <br /> previously submitted letter(s) of authorization. ��bC� �,�CT(r!'•�T � <br /> This signed authorization will remain in effect �Printed/I'yped Name of License Holder Making Statement) <br /> until cancelled in writing by the undersigned NOTARY PUBLIC � <br /> license holder. ���•���M -���9� <br /> � (Signature of Notary) <br /> ��Sc�v��,�T�n �i.Vl 5-Q,� <br /> (Name of Notary Typed,Printed,or Stamped) <br /> (Lice se Hol r's Sign re) My Commission expires: <br /> MINSER `} �, `�� <br /> =�;a:�%w�; JASON RYAN — <br /> •. •: MY COMMISSION il FF217901 Personally Known X_OR Produced Identification <br /> '.'}'��' XPIR S April 07��,2019 � - - <br /> �'•';!o..;, Affix 1€1bFabr�yd�o ayservwe•cc^' (Type of Identification Produced) <br /> �4C7�398-0'S3 . � <br /> 5109 Meadows End • Lakeland, FL 33810 • (863)-859-7800 • Fax (863)-816-5426 <br />