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I PRNTTCO <br /> • • <br /> Shingle•Metal•Fiat•Tile•Service <br /> "ti � uthdrizs <br /> I, Elmer S Pratt Ili CCC058124 <br /> (license Holdeei Name NOTCompany Name) l censeA <br /> hereby authorize the following to act as my agent(s) in obtaining permits for _City of Zephyrhills <br /> ';n 0 l • .3' L <br /> ¢g <br /> pp $�� ,r �'� 4 .sgky (. ..��e.{ c} •v'l T'4,�.`�t:,k::i <br /> David Clemann . <br /> Justin Wolchansky <br /> License Holder's Signature: Date: 716120 <br /> i <br /> State of: Florida <br /> County of: Pasco <br /> Before me,personally appeared, who produced <br /> vx�_CSU(Ac0 v LnUf.►J�-N as identification or is personally known to me,and who did affirm and subscribed before <br /> I <br /> his �i7 day of 20 . <br /> au,a�rxseal CYNTHAR.MACLEAN <br /> ;,�.. Signature of Notary Public <br /> °pr MY COMMlsSioN#GG 025113 <br /> 111fr 4XPiRES:September 19,2020 <br /> ^'• a: <br /> Bonded Thru Notary Public Underwriters <br /> °f p,`•` me of Notary Typed,printed or stamped <br /> My Commission Expires: Ot 1 Zo <br /> HCFLGov net <br />