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<br />Bunt/f d. 12#)/ e(- <br /> <br />Name <br />~ 7) <br />-3Jt;Ja J()urm(fj{n~ <br />Address <br /> <br />~hy (A {Vf:./ FG 33S1-{D <br /> <br />To Whom It May Concern, <br /> <br />Please be advised that: <br /> <br />Stacie Zullo, & Debbie Dokendorf of Pasco <br /> <br />Permit Service have my permission until further written <br /> <br />notice to sign and pick up permits for me. <br /> <br />)1l1Y' <br /> <br />signature <br /> <br />NOTARY <br /> <br />STATE OF FLORIDA - COUNTY OF PASCO <br /> <br />The foregoing instrument was sworn to and <br />subscribed before me this 1::2. -r-- day of D ~--c. , ~o S- . <br />Personally known or Produced identification ____ <br /> <br /> <br />,~;6~ <br /> <br />~ary s'gnature <br /> <br />Commissioned Stamp <br />and Expiration Date <br /> <br />Page 1 <br />