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August 25,2020 <br /> To: The City of Zephyrhills Building Department <br /> I Richard Back, contractor license CGC060094, give permission to Kathy Mims to act <br /> as my agent to sign for permits in the City of Zephyrhills. <br /> Sincerely, <br /> Richard Back <br /> STATE OF FL PASC <br /> COUNTY OF PASCO 1 <br /> Signature of Owner or Lessee,or Owner's or Lessee's Author zed <br /> Off icer/Director/Partner/Manager <br /> Signatory's Title/Office <br /> The foregoing instrument was acknowledged before me this%day of ,209Q by+ 2/CAar-D <br /> Q(�l� <br /> as (type of authority,e.g.,officer,trustee,attorney in fact)for <br /> (name of party on behalf of whom instrument was executed). <br /> Personally Known❑OR Produced Identification]I Notary Signature 0 <br /> Type of Identification Produced �t! br.VR-5 (.1t1 es c ^ <br /> Name(Print) �f/1 /2 <br /> Notary Public State of Florida <br /> Nancy J Brooks <br /> My Commission GG 178530 <br /> a R Expires 0211 W2O22 <br /> wpdata/bcs/noticecom mencement_pc053048 <br />