Laserfiche WebLink
<br />La-rl'-J. <br />Name <br />3 9 ~ 3 oL /! /JJ~-f ~ <s1- to~ <br />Address LJ .,1 <br />Zep =ar JV/I.! 11. dlWd <br /> <br />m 0/'9 aJJ <br />- <br /> <br />To Whom It May Concernr <br /> <br />Please be advised that: <br /> <br />Stacie Crossr & Debbie Dokendorfof Pasco <br />Permit Service have my permission until further written <br />notice to act as my agent to sign and pick up permits. <br /> <br />~~~~ <br /> <br />signat e <br /> <br />- <br /> <br />date <br /> <br />NOTARY <br /> <br />STATE OF FLORIDAr COUNTY OF PASCO <br /> <br />The foregoing instrument was sworn to and <br />subscribed before me this ~day of /n~ <br /> <br />I ~tJCe <br /> <br />Personally known <br /> <br />or Produced identification ~~ <br /> <br />Commissioned Stamp <br />and Expiration Date <br /> <br />N~~-~ <br /> <br />Page 1 <br />