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� 9440 Philips Hwy Suite 14 <br /> Jacksonville FL 32256 <br /> � � � � .�'� � � Phone: 904-800-1701 <br /> cEr���A�, c��.�Rac�rn�s Fax: 904-297-2090 <br /> LETTER OF AUTHORIZATION <br /> Please print or fype <br /> Business Name: Sutierior Contractors LLC Business License Number: CCC 1327263 <br /> Address: 9440 Philips Hwy Suitel4 <br /> City State Zip Code: Taac FL 32256 <br /> Telephone Number� 90( 4 ) R00 1701 <br /> Please check appropriate authorization boxes: <br /> � All Activities <br /> ❑ Pick Up permits � <br /> Alli West <br /> Printed Name of Authorized Agent -Signature � <br /> -T�r1'1 I,UP_�nln �i2� <br /> Printed Name of Authorized Agent Signature <br /> Printed Name of Authorized Agent Signature <br /> Printed Name of Authorized Agent Signature <br /> Edward Winters <br /> Printed Name of License Holder <br /> ' n re of License Holder Date <br /> STATE OF '�- t I�� <br /> COUNTY OF � N <br /> �� � /� (� <br />� The fore oin instrument was acknowled ed before me this � da of �I�.QI�-L ,20 I U <br /> 9 9 9 Y — <br /> i � <br /> By � ��I� 1�'���S <br /> n KRYSTLE ASHBAU6H � <br /> �-- �/��j ,��\\Iv p II�i <br /> !1 C 1 �4�.R (�B . <br /> � ��� �� . :'r° `c�';, Notary PubNc-State of Florlda <br /> Notary �ublic's Sig re Nota Name :•, Commisslon#FF 230068 � <br /> Personall�r Kn�n��OR � �:���o,i 1,�,��;� My Comm.Explres May 12,2019�' <br /> Type of Identificatig�f Produced BondedthroughMationalNotaryAssn � <br />