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06-6251
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2006
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06-6251
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Last modified
3/6/2009 4:17:16 PM
Creation date
6/21/2007 8:17:37 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-6251
Building Department - Name
BARBIAN,TOM
Address
3516 AQUAMARINE WY
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<br />~O/n /{J (ja r/;/~ <br />Name <br />JS / fR A r tL ~1F1 tlPue tv fi-L/ <br />Address J <br />Z~~rYIF Fl. 33SlO <br /> <br />To Whom It May Concern, <br /> <br />Please be advised that: <br /> <br />Stacie Cross, & Debbie Dokendorf of 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 />Sincerely, <br /> <br />U ,# #r <br />~./J!~~~?- <br />-signature . <br /> <br />//;1--30- 0 8 <br />date <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 ~~day of ~~7.Sp~~ <br /> <br />,d-OJ& <br /> <br />Personally known <br />NOTARY PUBUC-STATE OF FLORIDA <br />,II" B 1.- <br />::..... '\ Suzanne at If <br />~ W ., .. "-.- ~.-.. --'J <br />~ ~1. E C'1mmlSSlon fF UUO) ! 1 J' <br />-"""""",:: Expires: NOY. 15, 2010 <br />BO:-;DED THRU AI1.A.\TIC BONDI;\G CO,. l~( <br /> <br />or Produced identification v/ <br /> <br />~ :t3z4 <br />N~ary~ <br /> <br />Commissioned Stamp <br />and Expiration Date <br /> <br />Page 1 <br />
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