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02-1086
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02-1086
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Last modified
3/6/2009 2:56:01 PM
Creation date
11/7/2006 9:29:42 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
02-1086
Building Department - Name
DIEHL,ALBERTA
Address
4904 COTTAGE ST
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<br />(INVINCIBLE] <br /> <br />State Certified License # CRC015276 <br /> <br />Owner's Letter of Authorization <br /> <br />I hereby authorize the below named individual to act as my agent to <br />obtain all necessary permits for residential ~i " . work for: <br />. t~AlVrr <br /> <br />Owner: /) LeJ/~'/Q. T/9 D, 'eHL <br /> <br />At this location: tf9t:JL! L'c:>/7r1hG $/-, <br /> <br />Ze,(J/.,t J/I'?H/tC.S I F~ ~? G'c; I <br />, , <br /> <br />This person is also empowered to obtain, complete, and sign all forms, <br />applications, registrations, and documentation, with this limited power of attorney, <br />on behalf of me that may be required to accomplish the issuance of any permits <br />that may be required in any jurisdiction throughout the State of Florida. <br /> <br />Authorized Person: Idt /flot-V I/-~ /-/ IJOC-<-J~ <br /> <br />Authorized Person's Signature: ~ ~ <br /> <br />~ <br /> <br />Owner's Signature: C/-~ "z;? ~ <br />. FL (Jt<'f LIe '-:Ii: tJ--t/ifJ-tltJl-25- 7iZ'Z; <br /> <br />INVINCffiLE ASSOCIATES <br />10931 75TH ST. LARGO,FL 33777 727/545-1800 800/937-6635 <br />
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