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01-0816
Zephyrhills
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2001
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01-0816
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Last modified
3/6/2009 2:40:45 PM
Creation date
11/1/2006 8:42:27 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
01-0816
Building Department - Name
Z-HILLS BOTTLES WATE
Address
4330 20TH ST
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<br />SIGNATURE: <br /> <br />OWNER OR AGENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />Before me this _ day of <br />by <br /> <br />acknowledged <br />19_ <br /> <br />(name of person acknowLedged) <br />o who is personally ~nown to me, or <br /> <br />Dwho has produced <br />(type of identification) <br />and whoD did Ddid not. take an oath. <br /> <br />Signature of person taking acknowledgement <br /> <br />Name typed, printed or stamped <br /> <br />I <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF Polk <br /> <br />The foregoing instrument was acknowledged <br />Before me this .-?th_day cf Dec,ull~-, 2lO:OL_ <br />by James.We Williams, Pre~;dpnr <br />(name of person dcknowledged) <br />[Jl;.ho is personally Known to me, or <br /> <br />.0 who has produced <br />(type of identification) <br />id not take <br /> <br /> <br />Name typed, <br />
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