Laserfiche WebLink
-----•�....,�iT�-�?�$-b.-��-���;,,.�r.:«flfi'..�=.,�l.-'�''..�'.f.�'�__'---- �=.a.�--- <br /> AUTHORIZATtON AND CONSENT FORM <br /> Owner. ,`.lul1� ��a �� <br /> Premises: <br /> �o���: C`���� ��Cl - <br /> 7elephone Number. �`� � � `�� ���� <br /> Re: Signage <br /> To Whom It May Concem: <br /> 1 am a duly authorized representative of � � �L..W the Owner at <br /> the referenced leased premises.In my capacity as owner's official representaGve, 1 do <br /> hereby approve the signage drawings submitted to me for approval. I further authorize <br /> Alien Industries and/or their agents to Project Manage the erection of signs at the above <br /> named location and to sign and notarize dacuments associated with the sign conversion <br /> program hereby consented to b Owner. <br /> Owner Signature: ��-� <br /> Print Name Here: )1�� �t- �5(�`(1 <br /> Date: � 1 �, f v <br /> NOTARY —�,4 <br /> Acknowledged before me this 'I� day of f' �.�Q�/�� �0� � <br /> / . r <br /> ,Notary Public,State of /"�G'��� <br /> � <br /> �yh,��THOMAS H.WHITE,JR. <br /> `7l7/ MY COMMISSION a FFI93tSYl <br /> 9D� EXPIRFS'Febmary03.2019 <br /> w <br />