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<br />". <br /> <br /> <br />Design <br />Manufacturing <br />Service <br />Installation <br /> <br />Property Owner Authorization Form <br />For Sign Permit Applications <br /> <br />I, <br /> <br />f? () b~R.1 <br />S I ( 1/-rP1C <br />, <br /> <br />EljJ I...;? k s: , property owner or agent of <br />o A- k ~ (\ (l /Yl1Jll U A/ I ( V .4, )' ~ A.J../ <br />/ <br /> <br />do hereby give permission to West Central Signs, Inc. to erect a sign <br /> <br />at the above location. <br /> <br />/(0 73 E~ r- E P/PF:ic \' <br />Property Owner (Please Type or Print) <br /> <br /> <br />f-o, <br /> <br />//6~ <br /> <br />Mailing Address <br /> <br />T~~?) N::'!~ ~ d 29 7 <br />-;; // rf/7J <br /> <br />I I <br /> <br />Date <br /> <br />~...." '11.<. SHARON THOMPSON - <br />~ fi ~ My ComrnlMiOn CC463676 <br />*JiiilJ * Expires May. 14, 1990 <br />q1. ~ Bonded by HAl <br />~.... o~.,. 800-422-1555 <br />." OF f\, <br /> <br />was acknowledged before me this \ ~ day of <br />19~byK()\~,-\, I .1~p~h <br /> <br />~""c::.'0-. <:Ji~} l-, r r- <br />Notary Public (Signed) <br />~~ -' <br />"---') \\ ,,' \: \" \ \\c'\ \0.r\ps,C) \\ <br />Notary Public Name Printed <br /> <br />The foregoing instrument <br /> <br />-s~~}. <br />j <br /> <br />Personally Known X <br />Produced Identification <br />Type: <br /> <br />7720 U.S. 301 N, <br /> <br />Tampa, FL 33637. <br /> <br />State Cert: #ES-87 <br /> <br />(813) 980-6763 <br /> <br />Fax (813) 980-6857 <br />