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<br />I <br />, <br />. <br /> <br />.. . <br /> <br />., , <br />I . <br />~ J <br /> <br />Lnu~ POD. or ~'-=-= <br /> <br />Oto~:r7 <br />DATE <br /> <br />I hereby name and appoint ....I. ~r'V\l \.~V\ r\ ~.Q..r <br />of ...-"1\'\ \ ~l)r (r))\S'\YHCn l~lY\. \YlC. to be my lawful attorney <br />. <br /> <br />. in fact to act for m8 and apply to Z~'f)h\{ftl.l\\~ \~)~ J)e.r-r- <br /> <br />for <br /> <br />A f P... \' tllii. V)j <br />at a location described as: <br /> <br />perml( for work to be performed <br /> <br />Section <br /> <br />1\ <br /> <br />Township 2- ~ <br /> <br />Range 2.\ <br /> <br />Lot <br /> <br />Block <br /> <br />Subdivision <br /> <br />391';)0\ (j~tVlI~~d'dru~f~~~tl'I\(~J ~ 3~s4-u <br /><;in.. C-- \; WD \\\lWfZ\ Q ,'SSI qD\ (0% I\ve VI IA~ l ZIp n~{hl \\6, FL 3"381-0 <br />I (Owner of Property and Address) <br /> <br />and to sign my name and do all things necessary to chis appointment. <br /> <br />\1a..V\Le. L. m\ \\1)\,,\ I ~C OOSS2..lS <br />Type Or Print na~e of Certified Contractor, License # <br />~A4~ <br /> <br />Signature of Certified Contractor <br /> <br />Acknowledged: <br /> <br />?H60,(\()'\.\.y K.Y\OWI'\ to <br /> <br />YYl e.. <br />O~ I03)9f <br /> <br />Sworn to and .ubsc~1b.d bofor. me chis <br /> <br />3 <br /> <br />Da y 0 f " \ u YI 'L A.D. 1 9 ~ <br />Notary Public, State of Florida <br /> <br />pJit <br /> <br />(Seal) <br /> <br />My Commission Expires: <br /> <br /> <br />~.. OUV1A A. LOVETT <br />...~ " Notary Pll~ic, State of FlOrida <br />~ ~ My c9.mn1:_~xp'ires July 28, 2000 <br />".,11:", ~,o CC572916 <br />