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<br />, <br />. <br /> <br />I,~ CAST~() <br /> <br />DA TE.-.f.O /" /iJ 7 <br />GIVE PERMISSION TO: <br /> <br />O'\'JlEN YOUl\G <br />.& <br />UNIVERSE NOVELry & FIREWORKS COMPANY, INC. <br />POST OFFICE BOX 1862 <br />RlVERVlEW, FLORIDA 33568 <br />(813) 677-1874 <br /> <br />TO SET UP AND OPERATE A TEMPORARY STAND ON MY PROPERTY <br />LOCATED AT: <br /> <br />5"9"3.s C-'iLt. 6,LlId. t~pi>t "I/(J;iL.(.!" <br /> <br />, <br />. <br /> <br />LOT # <br />BLOCK # <br /> <br />SUBDIVISION '# <br /> <br />~~I~ <br /> <br />STATE OF FLORIDA <br />COUNTY OF HILLSBOROCGR <br /> <br /> <br />SWORN-i;: AND SUBSCRIBED BEFQRE ME THlS II DAY <br />g,1'}~ . 20-, BY/J"WyJi> (j+.sTJllo ~ISPERSONALLV <br />OWN HAS PR.ODUCED AS IDENTIFICATION. <br /> <br />~n~J:/ J <br />L OTARY ~ <br /> <br />, <br />. <br /> <br />.....,..-.....,..... <br />~ '. ........ <br />...... ..-.. <br />~-.. <br />