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�..,. <br />� a�I aS COFiPORATE HEADQUAflTERS NOHTHEAST DIVISION <br /> i S/G N /N O U S T R/E S 1077 West Blue Heron Bbd.,West Palm Beach,Florida 33404 707 Commerce Dr(ve,Concord,North Carotina 28025 <br /> " '- PHONE:(561)863.6659/800.772.7932 FAX:(567)863.4294 PHONE:(704)788.3733/800.772.7932 FAX:(704)788.3843 <br /> FLORIDA i NorrrH cnRourw-i GEORGIA www,aUassignindustriesus <br /> ! <br /> I <br />� Date: '1 Z o[ <br /> To Whom It ay Concern: <br /> License Holder: Jeffery Adinolfe Sta.te License: ES0000204 <br /> Fum Address: 1077 W. Blue Heron Blvd., West Palm Beach, FL 33404 <br /> Telephone Number: 813-907-8000 <br /> I hereby authorize the following individuals to act as my agent in a11 azeas of permitting <br /> and licensing procedure with the municipality to which this is presented. <br /> This authorization is for sign permits at various locations and to register the <br /> contractor <br /> X This au��a��is fo�th�(following�location: � <br /> <�a� �3 i,�- z.�.��,��,,1 �s, � <br /> Stephanie Arce, West Central Florida Permits <br /> Cindy Evangelista, West Central Florida Permits <br />;� Ed Krauss, West Central Florida Permits <br /> Theresa Krauss, West Central Florida Permits <br /> Charlie Buff, West Central Florida Permits <br /> Marshall Chmura, West Central Florida Permits <br /> Tim Byrd, West Central Florida Permits <br /> Date�1 � t''� Signed: � <br /> Con a to <br /> CONTRACTOR� SIGNATURE NOTARIZED: <br /> State of Flori <br /> County of y�jCf��f � <br /> S sc 'bed befo�e me on this � day of t�(� 2017 by <br /> �� �� � who is personally known to�e. \�����N�������b���� <br /> Notary Signature ``����N�FFR L►9F,p,!�oi��� <br /> CommissionNumb F �$�j'(m �` �,�� �'�qy�� <br /> ; ;:, �+�o� - <br /> My Commission Expires: 7 _ �+'; � <br /> `l�f�C> '� _ <br /> _*' �•� :*= <br /> � . FF 96�689 � <br /> � ��� <br /> i�q����oye�4ded 1t��ce;�� <br /> %"r!-� ;;+�n lesu��° ��� <br /> �i���//�,b,�F�1��F'�e� <br /> -o� <br /> . , ,,, <br />