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15-16857
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2015
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15-16857
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Last modified
2/22/2017 11:39:58 AM
Creation date
2/22/2017 11:39:57 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16857
Building Department - Name
MCLEOD,MELBA TRUST GRAY JEFFREY
Address
38499 COUNTY ROAD 54
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DATE� � �`�'��� <br /> I, �,��S,�r�„�'�. V►��„ GIVE FERMISSION Tt): <br /> " EDWARD ENTZE <br /> & � <br /> EDWAR.,D ENTZE FIREWORKS ° <br /> 145 BIRCI�CW4077 AV�NUE <br /> PLANT CITY,FLORIDA 33563 <br /> . , <br /> �� <br /> TU SET UP AND OPERATE A TEMPORARY STAI'�D ON�MY PROPERTY <br /> , LOCATED AT: � � <br /> �' �SY��i C� S r�' ��s� <br /> �����t t.� t�� � ( "�7 s" �'�-- - <br /> Ltk"T#� � . <br />� BLQCi�� <br /> S�BDT�IC3�� <br /> � � <br /> � 1 <br /> O AGENT SIGNATURE <br /> . � <br /> STATE OF FLORIDA . ; <br /> CC}I:�J'I`IT O�HILLSBOR4UGI� <br /> �"A�t}R�TC'1�A��SCRI�BED$EFORE�E T�1t� � 7 � DAY' <br /> O�' �r�.. 2(6�BY' �"�-�e�� ���Y '�i0 IS FII�+C��T�,L�L.� <br /> _y� <br /> �Q�i�4R FfA�PRODI�CED �fS IDII��ICATIQ� <br /> �� � <br />( Y"� JENNIfER F�fACGN1�tt0 \' 'F'J <br />� '� Naqty PuCitc-State of Plorid� <br /> ' �= Commission#�fF 234363 <br /> 1R,�`," My Comm.Explres May 26.2019 T� • <br /> Ba�dM th►ouph National Notaty Assn. <br />�.� <br /> -- � <br />
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