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04-3347
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2004
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04-3347
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Last modified
3/6/2009 3:23:13 PM
Creation date
2/1/2007 11:47:47 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
04-3347
Building Department - Name
BEAN TOWNS BEST
Address
5709 6TH ST
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<br />09/02/2004 14:03 <br /> <br />7278417647 <br /> <br />A I RCORPS <br /> <br />PAGE 02/02 <br /> <br />POWER OF ATTORNEY <br /> <br />Check one: ' <br />!l6wer of Attorney for Application for Building Pennit <br />~ Power of Attorney for PickupIRcceive a Building Permit <br /> <br />Whenever the qualifier of a company wisbes t,) designate an agent to l'epresent him ill tJl~ <br />application of a building permit or in the issuance of a building permit, the following <br />Power of Anomey must be properly executed. <br /> <br />KNOW AI,.L MEN ihat r iblA:j~!'j; L. ~}m ,'f\ do hucby coru..titute 'and appoint ~VI\ ~ Q L" ; Y\ IrA V\ <br />my true and lawful attorney-in-fact to apply to/receive from the City of <br />::Ze P~y rh.' US. Ruilding Division to sign for the above described bUilding permit <br /> <br />State ofFloriq,A" ^. .. <br />Countyof~ <br /> <br /> <br />r Builder <br /> <br />.. ~~'!~' CHEfM.hl~DD....c:'l.13" <br />.~ !~1r~- tAY COMMIsslota 10'2007 Ir,'" <br />"..;f(.iJ: ~ I"VPlRES; oecemoer 15, '.\ <br />::;...\. ' 101\ 1I\IIl~11\llllftCll~-1 <br />"..,.~.. IloI'dIlI :::~. ~.... ...,..,,, <br />" .~r... <br />.~~. . <br /> <br /> <br />Notary Signature <br /> <br />~11e ore ing ~t <br />~by' <br />P uced (Name of State) <br />identification. <br /> <br />r)rill~d Notary N3nle <br />
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