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DBKJI <br /> y <br /> POWER OF ATTORNEY <br /> Permit#: <br /> Site Address: <br /> Street City State Zip <br /> Description of work:T21+fiur <br /> Contractor:-9-'a cbon k Moe le, <br /> c� <br /> (Print Name of License Holder) <br /> Phone#:2No- %A(3- a056 <br /> .tcontraEr for the above referenced permit, I hereby authorize <br /> n l -anon a5 to sign documents related to the above mentioned address. <br /> (Print Name) <br /> (Signature of License Holder) <br /> State of County of 0 <br /> The foregoing instrument was acknowledged before me this <br /> day of e('/r]['� 1 -Z& by� omflL) rnY ml <br /> Who ✓ is personally known to me or has produced <br /> as identification, and did take an oath <br /> d' n ke a ath. <br /> lr� Notary Public Stata of FkAft <br /> Sheila Gomez <br /> My Commission GG 383745 <br /> n Expires 08/07/2023 <br /> 398 S SHELL ROAD • DEBARY, FL • 32713 <br /> PHONE:-386.860.2050 FAX- 321.414.0201 <br />