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Power of Attorney <br /> Date: I I 1 <br /> Qr\ �\Vc&� VrmQ.,ft <br /> I hereby name and appoint , <br /> of �,C- <br /> In ( o be my lawful attorney <br /> fact to act for me and apply to the 1-6 <br /> Building Department for a permit for <br /> work to be performed at a location described as: <br /> Section._Township Ranged Lot Block <br /> Subdivision n �C�a- S <br /> �6 RU22 <br /> ►r 3 �.c � � Is I�� <br /> (Owner of Property and Ad ess) J <br /> And to sign my name and do all things necessary to this appointment. <br /> 7 <br /> =or me of Regist Certified Contractor and Contractor's License Number <br /> Signature o egis er or Certified tontractor <br /> The fore g instrument was acknowledged before me this day of of 20 <br /> BY <br /> Who is personally know me/who produced <br /> As identification and who did not take oath. <br /> Allison Todd <br /> �ot Ygssg, NOTARY PUBLIC <br /> STATE OF FLORIDA <br /> State of Flori Y"' 2 Comm#GG083826 <br /> i co s�NCE 19�� Expires 3/15/2021 <br /> un of 1 <br /> T b,o Seal <br /> Notary Public,Florida <br />