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<br />09/1~/~~~~ ~o:!~ '~'~L~LJJU <br /> <br />DATE <\ \~l t ~~ <br /> <br />I, :r i)""" c, C'~Co <br /> <br />GIVE PERMISSION TO: <br /> <br />OWEN YOUNG <br />& <br />UNIVERSE NOVELTY & FIREWORKS COMPANY, INC. <br />POST OFFICE BOX 1862 <br />RIVERVIEW. FLORIDA 33S68 <br />(813) 677-1874 <br /> <br />, ' <br />TO SET UP AND OPERATE A TEMPORARY STAND ONMY PR.OPERTY <br />LOCATED AT: <br /> <br />SCY '35 G CA. t \ ~J v cL <br />7~h\{"'~;\\51 t:"L <br /> <br />LOT # <br /> <br />BLOCK # <br /> <br />SUBDIVlSION # <br /> <br />r-/~ ~.,.,.' <br />OWNER/AGENT SIGNATURE <br /> <br />81 A TE OF FLORIDA <br />COUNTY OF IDLLSBOROUGH <br /> <br />SWp AND SUBSClUBED BEFORE, ME THIS '!?-J <br />OF ' ,2<XJ!~O I~RSON.c\LL YKNo~OR HAS <br />PROD CED AS IDENTI~A TIDN, <br /> <br />DAY <br /> <br /> <br />~~L <br />