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07-6633
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2007
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07-6633
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Last modified
3/6/2009 4:35:21 PM
Creation date
6/26/2007 12:08:08 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6633
Building Department - Name
ARNOLD WILLIAM CAPTO
Address
38501 5TH AV HISTORIC
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<br />~L-30-2004 l2:l7A FROM: <br />::: m", I J, 'LVU! "" I Rm <br /> <br />TO:9P14073329l83 P.l <br />"U. LOOO r. l <br /> <br />LEITER OF AUTHORIZATION <br /> <br />To Whom It May ConC8ln: <br /> <br />This lettet' authorizes Gerry PoUtsch Electric,Inc. to set as agent to secure pennits or <br />variances required by the City/County of2;pt.y~ ~:: \ \s J 7'ttSc [:) . and <br />perform sign instaUatiOD. removal) and/or maintenance of the propel1.y located at: <br />TenantName6lb~ :;I;';A~/A' ,;XMSU/A,.;xe.,:TIUC. e!).f.A. AHSmle~u~co. <br /> <br />Address 38'S-Of S..c-. Av(" <br />4-f~yrk: \\5) ~L. 3JS&f;1 <br /> <br />8ignlllllre ofOwner/Landlord be '- J ~ ks <br />Print Owner Name be,~ \~ f?aor..s. <br />Address:~iSol stl.. "v~ '"2~\-yt \,.t \bJ R 33.Sy<. <br />Owner Telephone 8 )3 - 1 &d' 3 ~ 30 <br />Name Shown on Wa1untyDeed ~\~ ~O()'!5.. A.~\~ W,\\~ C~:~),ZAJ(. <br />ParcelID.#j/ do/, ~J 00'0 J5200 0180 <br /> <br />'"-:2 1J1 3/4n' <br />SIgnature ofNotll11 Stato ofFlorlde -/C:M.U..J.t . fatl.l l, k <br />'. .;:)//),4 I . . U~ I"YJ <br />County of <br /> <br /> <br />ANAN <br />Notary Pub!,' '. Slate of Florida <br />mISSion E~plres Jan 31. 2009 <br />CommISsion # 384884 <br />Bondod By Nabonal Notary Assn. <br /> <br />Personally known )C" <br /> <br />01' produced identification <br /> <br /> <br /> <br />Identification produced <br /> <br />- <br /> <br />- <br /> <br />'USSV {]e)ON leuoqcN .{e PT!puog .... "'''' - <br />"99~ 00 # uOIst,WWO<,\ , ,~. ( J'- _ ~ <br /> <br />oJ -tOO" <br />I liOOZ; 'I C uer saJ!dx3 UOlSSIWUJO::l ~~t.:'. ',~ 1 ~ <br />. eplJOf~ JO llllllS ":I!Iqnd Nt'lON ...... .... i ~ <br />N"IN\fHon9 " ""ON3lJ9 \,;~" ~ ...~"',...,. ~ <br />v g "IIt1'" <br />- - <br /> <br />- <br />
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