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Hillsborough <br /> County Florida <br /> i <br /> I, Benjamin Rodddey CBC-1262319 <br /> (License 9iolder's Name N®PCorripaiiy Maine) (Cor+tractoi's:Liceros®#1 <br /> hereby authorize the following to act as my agent(s) in obtaini g permits in Hillsborough County, Florida. <br /> - Irene Downes j D520-401-55-515-0 <br /> Thomas Hancock j H522-830-80-014-0 <br /> Alicia Alderman A436-013-73-956-0 <br /> Seieena Mendoza M532-793-84-909-0 <br /> Chloe Raynes R520-119-84-920-0 <br /> i <br /> I <br /> I <br /> Mi orm superse es::any previous y s'e�- r e. a 00.0 s :o_°aut or�zatlon: <br /> This form must contain only the people you want to pull permits in your name.To make changes to this form,you must:submit a new <br /> form.This form will delete and replace any previous authorization form and the information contained thereon. <br /> license Holder's Signature: I Date: 05/11/18 <br /> State of: <br /> County of: <br /> Before me,personally appeared, �yL�,� �v -zi who produced <br /> 1 L� sl✓ as identification or is persona ly known to me,and who did affirm and subscribed before <br /> me this day of 20 <br /> Affix Seal Signature of Notary Public <br /> S Nome of Not n <br /> _a nt8 0 o i otary Public <br /> �� Z' '� �; — i ?� Commission#GG 15789 <br /> - My Commission Expires: %� `oQe;F My Commission Expires <br /> t 3 , 2020 <br /> 8of3 i <br /> HCFLGov.net <br />