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20-667
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2020
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20-667
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Last modified
5/5/2022 1:15:50 PM
Creation date
2/24/2022 9:56:44 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
20-667
Building Department - Name
COLLAZO,FLORDALIZA
Address
36140 SHADY BLUFF LOOP
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ar <br /> Leval EScpettS who Cate <br /> To whom it may concern, <br /> i <br /> 1,Seann Gates,CVC57002,hereby:authorize,the following to act as my agent(s)and.are authorized to <br /> Sign/pick up permits. <br /> Jason Wncl gesang <br /> Vanessa Delri,o <br /> License Holder's Signature: rk Date;. ea/��Xo <br /> State..of: <br /> County of: f-f7 + +Or`Ottq�, <br /> Before me, personally,appeared, S"Nn f': IGA7-6 S ,who produced <br /> as,identificatiomor is,personally known to me,and who did affirm and subscribed before <br /> me this _ day of '41, Gt 20 <br /> „I <br /> Signature otary Public <br /> Aix Seal. <br /> ,,sri,a;;8;,, C: KYLE:WALKER <br /> ;i� Notary i'}ibiie•State of Florida <br /> = Name of Notary Typed Printed or Stamped <br /> =* � COnamis3i'on#.HH 29.4 <br /> My Commission.Expires y <br /> ''"+ �,• May 14,2Q24 <br /> My.Commission.Expires: t j df ®2�f <br />
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