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01-0741
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2001
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01-0741
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Last modified
3/6/2009 2:41:00 PM
Creation date
10/27/2006 2:10:56 PM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
01-0741
Building Department - Name
GOLD MEDALLION HOMES
Address
6409 ASHVILLE DR
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<br />_vn.......I......Lv.\,,"" VA; CJ.:IJ"\l..,L.l.l. ./"\..f:.r::J..t..J.J-\.V_'-.'. <br /> <br />STATE' OF FLORiDA 7{\C' C;-., <br />COUNTY OF LA...:> '-' <br />The foregoing instrument was acknowledged <br />Be~ me this..3.1- ~ of ()r?;r~BE"JC. V.....r2a?1 <br />by ~c..e Sm\ <br />~. (name of person acknowledged) <br />"who is personally known to me, or <br /> <br />o who has produced <br />(type of identification) <br />andJjoDdid ~tnot take an oath. <br /> <br />, ~C1. If) . ~ vi <br /> <br />Signature of person taking acknowledgement <br />......~~~:~" Dana M. Ward <br />lit' . ''f,.\ MY COMMISSION # 00038228 EXPIRES <br />Name t" ... '~r~~~ ~ <br />"Rfuff.... <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was a~y~ledged <br />Before \Tle this 31 daY.9f ('C.-tuot--<K-, iiCJ:I:>. ) <br />by LAOLf -s'7ni111 I <br />(name of person acknowledged) <br />~hO is personally known to me, or <br /> <br />o who has produced <br />(type of identification) <br />anc\,who Ddid ~id not take an oath <br /> <br />~/JJ!)tL II} I Ii! I1IJd <br /> <br />Signature of person taking acknowledgment <br /> <br />.i:j;,:'~~~~r~:;:... Dana M. Ward <br />,*: (';, :~ MYCOMMISSlON# oon~??ll EXIlIRE$ <br />Name typ~,$printedMJlt4, DlJlmped <br />"'.,,,..f,-,'" BONDED lHl/U TROY FAIN lNSURAHCf.lHC. <br />
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