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f I <br /> .,- � <br /> i <br /> . � � � <br /> �#rr�err�a s �'r�,��r�� �r���►a�a�r � <br /> I <br /> � <br /> PERMIT AGENT AUTHORIZATION FORM � <br /> �I <br /> I, Mike Sullivan. License#_(�C)Sa � , Hereby authorize I�' <br /> Christina Beall. Florida Driver's License#6400-101-70-584-0 to act as my agent in � <br /> obtalining permits in the following counties and municipalities (including but not limited to) <br /> � � <br /> ; <br /> Hillsborough County, Polk County, Pasco County, Polk City, City of Plant City, City of Lakeland, City of , <br /> ' <br /> Zep yrhills, City of Temple Terrace, City of Tampa and City of Auburndale. ; <br /> i <br /> This etter supersedes any previously submitted letter(s) of authorization. �, <br /> This' uthorization will remain in effect until cancelled in writing by the undersigned license holder. I� <br /> �Gl���� � <br /> Mike'Sullivan I <br /> i <br /> � <br /> �I <br /> ; <br /> ,I <br /> State lof Florida ; <br /> County of �I�L-„�IFI-�Y,�-��C�-- � <br /> � <br /> Swor to (or affirmed) and subscribed before me on this�_day of 20 l �-P , <br /> I <br /> By � l�r ��.Jc,.--- � <br /> I <br /> a <br /> � <br /> OTA� PUBLIC ������- pqTRICIAJ.MCKINNEY � <br /> � . =������k`' Commission#EE 828894 �� <br /> "-- °*• �'`= tember"l,2U16 <br /> �;.�,:\ Expires SeP �.�.,o,s <br /> oS gpodedThm7mYFainlnvxac�ca <br /> �`�,F1��� <br /> My C Immission Expires � ��i <br /> Perso ally known or Produced Identification � <br />� - <br />