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<br />Mer JOB NO. L_L:~'. I " <br /> <br />LUUt" lOWl. or ~ <br /> <br />DATE <br /> <br />1'/ l'if'\I) . i <br /> <br />, <br />1 hereby name and appoint ~)r~l <br />':\\,.", ,. '\ 'Y, .1 (.\ 'If \ i <br />of \, I I\W ,f V: I 111\'1 <br /> <br />( .\ \ <br />,j r' r\ v) v , <br />\ 1,1 ' <br /> <br />to be my lawful attorney <br /> <br />in fact to act for me and apply to <br /> <br />/' \. \ \ \ \ " <br />"- . - ,. - <br /> <br />) I" \ .\ <br />, )i('11 \ \.'\ for <br />. \ 1 <br />) <br />to be performed <br /> <br />a <br /> <br />,{ (. ,( U\) \ \ \ II <br /> <br />permit for: wOt"k <br /> <br />,,\ <br /> <br />at a location described as. <br /> <br />Section <br /> <br />Township <br /> <br />Range <br /> <br />Lot <br /> <br />Block <br /> <br />Subdivision <br /> <br />~' \ IJ'1 \ i\ ,\ <br />(Owner <br /> <br />, () ). ',\ ~, I I <br />. '\' ) ~ ) '\ \J \ (l'l~- ~, {'" " () f C { ~, <br />(Addreuof Job) <br /> <br />fV1Pc\1 ((\\ ,(\\\\\ ( <br />of Property and Address) <br /> <br />\~ 'h <br />, <br /> <br />~) \ ,I <br />. L1 U' <br />__ _ il4h-- <br /> <br />and to sign my name and do all things neces.ary to this appointment. <br /> <br />\1~~(L L- fY\\.\~ <br />Type Or Print n~~)(of Ce 1fied <br /> <br />/ <br /> <br /> <br />RC 0 OSS 21-C <br />Contractor, Ltcense # <br /> <br />Acknowledged: <br />Personally known to me <br />Sworn to and .ub.crt~.d before me thiS <br /> <br />-,.~ <br />'\ l.' <br /> <br />Day of \\', " \1,11 - A.D. 19 ','J <br />Notary Public, State of florid;-' <br /> <br />(Seal ) <br /> <br /> <br />My Commission t.pires: <br /> <br />~~' ...(. <br />'" .- <br />o -:: <br />& n <br /> <br />OLIVIA A. LOVETT <br />Notary Pu:.lic, Stale of Floilda <br />My c~mm, expires July 28, 2000 <br />r:m!'1 N). GG572916 <br />