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<br />Date: zI/? /0 y <br /> <br />Pmperty Owner Namc:__ Y€f' t:- 64~5 <br />AcIcInai:_. $ .3 f'~, _ ]T!:l ST <br />~'14J(,1Is <br /> <br />J....1-n L. - ])f1n_ KnoaJ/kN <br /> <br />- <br />~- <br />{ <br /> <br />3~.;;;v2- <br /> <br />RE: <br /> <br />k 1- J< q I a 55 <br /> <br />'to Whom it may COftCCtl\: <br /> <br />As (owac:r) (agent for owaer) or die abowe properly. I .put permission fur Robert E. DaugI8s Ie iDstaU sipap fOf" <br />the above m~ job Iocatioa. Robert E. Douglas and/or his agentS arc auaborized to secure Lhe oeccssaty <br />pctaUt!I'Or the flo~~. <br /> <br />x~- <br />PriD1edIWDC ilil1l~ I 4-/~o.-.J/~" <br />Title .p~ ~d., ",-f____..._._ <br /> <br />Sweor ho,c..t: 1)# County of '2 C D <br /> <br />The fon:going illSlnuneat was lICkaowlcdp bcCan: me OIlIbi.s~dIty of W ~ ~ <br />:;y~ ~V~/7v~ Whoi~meorwhobas <br />produccd-- ~~ ..--.........-.-. <br />Si_oK_ ~ _---:-~N- <br />Print&xlume C'A notary . EIZ ~ f1 ~ ~ <br /> <br />~,~~:';j:"", Derek Hormeson <br />f~A:l!':t1... MY C"" ..""~V>>J # Crn9837 EXPIRES <br />..*. .....:. \.JffRVII~' <br />~ : i Sep1embel' 24, 2004 <br />~';:'.... rpj BONDED THR\.IlllOY FAIN INSlIlWlCf. IHC. <br />~',P.f'l~\' <br /> <br />I . d <br /> <br />22SB-B"S-EIB <br /> <br />~U~JS I::ll::ll::l <br />