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<br />Parcel ill #: <br /> <br />3::;-....~-~/- ()J/tJ- 07J-<,u'@iJ <br /> <br />7Lf)-1 0-A-l( ~/vA '5~ 11:-/0 <br /> <br />""2-e ,fJ ~41 h ,-J/J f 1t- <br />( 7a~ Ule'-\...; ~~cl'-'-- ~ <br /> <br />Address: <br /> <br />To whom it may concern: <br /> <br /> <br />wner of the above referenced property, I hereby authorize Sign Installation & Service, <br />ply for permits and to install signage at this property. <br /> <br /> <br />, LLC <br /> <br />Owner <br /> <br />...... ..... AuI1arIzedPerun <br /> <br />1-ZS ~{)hocbn s.~cJ <br /> <br />Owner's Address <br /> <br />Print Owner's Name <br /> <br />.1>> fl1 C~n(tf,'j PIt ;q flYI <br />Owner's C ty / St te / Zip Code <br /> <br />10ID-&(;'1 -~~DD <br /> <br />Owner's Telephone number <br /> <br />Sworn to and subscribed before me this 2-- day of <br /> <br /> <br />,20ag: <br /> <br />B~f){-f .4 J./-h.i>VSe - k/at2,- <br /> <br />Print otary's Name <br /> <br />COMMONWEAL. TH OF PENNSYLVANIA <br />NotarIal Seal <br />s~~NotaryPubllc 1 <br />UppIr Derby 1'Np.. [)eIav.ere ColI'1l.y <br />My 0ammIISI0n E>lplr8s Dee. 5. 2011 <br />Member. Penlllylvanla Association of Notaries <br /> <br />Notary Scal <br /> <br />~lR (j))lwm-~ <br />