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8248 Parkline Boulevard, Suite 100 <br /> momentum <br /> SOLAR <br /> Orlando,FL 32809 <br /> Phone: 732.902.6223 <br /> DATE: ! <br /> I hereby name and appoint &.6_ <br /> of Momentum Solar to be my lawful attorney-in-fact to act for me, and apply to the Division of <br /> Building Safety for a Building/Electrical(PHOTO VOLTAIC SOLAR PANELS)permit ONLY(NOC <br /> and Permit Application) for work to be-performed at a location described as: <br /> Owner of Property: (/1/(etr n e (f✓GZ�rI� <br /> Project Address:. �4_1 f <br /> and to sign my name and do all things necessary to this appointment. <br /> Cameron Christensen <br /> (Contractor Name)(Type or Print) (Contractor Signature) <br /> CVC57036 <br /> (Contractor's License Number) <br /> The foregoing instrument was acknowledged before me this L day of of 20 <br /> by ('C�d�1� cl1 l ��1✓1 <br /> Who is personally known to me or who produced as identification and who <br /> did not t&-e an oa�— <br /> N( e..e. ACGJ"� <br /> Notary Public(Print Name) Seal S Y Aimee McGurn <br /> ptPR AS <br /> NOTARY PUBLIC <br /> STATE OF FLORIDA <br /> Comm#GG200147 <br /> Notary Public(signature) �fhCE 1g��' Expires 10/23/2021 <br />