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<br />N <br /> <br />~ <br /> <br />w <br /> <br /> <br />s <br /> <br />CONTRACTOR AUTHORIZA110N FORM <br />CON1l"RAcrOR UCENSb CBC1251n4 <br /> <br />FROM: <br /> <br />David C. Bearce <br />Engage Technologies, Inc. <br />8419 Sunstate Street <br />Tampa, Florida 33634 <br /> <br />I hereby authorize the e IT~ 6f 2t:Pttie.l\lu.sts0iL-l)i,.Jb~f'A;z..-rM.~"-.)1 <br />name of Engage Technologies, Inc. signed by IH I N ~ f i-\A!'J <br /> <br />to issue permits in the <br /> <br />I certify that the above <br /> <br />authorized person is employed by the firm and understand that I am fully responsible and liable for all acts performed <br /> <br />under said permits, <br /> <br />DB/oi /o~ <br />I , <br />Date <br /> <br />/ <br /> <br /> <br />1) tJ1A J t!J- <br />County of: f/ / / (siN) ro '-tf0 <br /> <br />Subscribed and sworn to before me this :2.. J day of a u~u.s.t, 2oLL( <br /> <br />J1)~l )JJJ(7Y\., <br /> <br />Signature of Authorized Agent <br /> <br />Sta te of: <br /> <br />Commission Expires: <br /> <br />0/"-/.3 -0 ) <br /> <br />Notary Public <br /> <br />,........................... I. <br />i ~..~"~~:""",. DEAl.JNA.l.~.PAAr:~.ON......1 <br />. $~~1(i~~ C~' <-.;;, . <br />:!~ .~! -..'....'IOn. DOo2oo724 : <br />: \'a.:- .. A",i EJcpi,.. "'1312007 : <br />. .,~;~ OFr-..~-..~ D-...a-.... . <br />: ""IIII\\\\: ......~~ I <br />: (800-432-4254) FIDrfda N"'... : <br />...............................;::7 Alan., Inc. f <br />.... .... ... ......... <br />