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AUTHORIZATION AND CONSENT FORM <br /> RE: Wachovia Securities — PCG Zephyrhills, FL <br /> 614881 <br /> 6240 Gall Blvd <br /> Zephyrhills, FL 33542 <br /> Landlord/Owner Name: aOle,P //4 El/ 7 <br /> Landlord Contact: et -,77/ O' i4at L Lio.e•egi.4 <br /> Print Name: '� \ 6 v C-- (� <br /> Telephone Number: ' t 3 `l S `� 3 <br /> RE: Signage Conversion <br /> To Whom It May Concern: r� <br /> I am a duly authorized representative of Co 2426. 1 � e Landlord/Owner at <br /> the referenced leased premises. <br /> In my capacity as Landlord's official representative, I do hereby authorize Wells Fargo to <br /> perform all work associated with the sign conversion. <br /> I further authorize Thomas Sign & Awning Co., Inc. or its representatives to obtain in <br /> Landlord's name all permits for the sign conversion hereby consented to by Landlord. <br /> Costs associated with permit acquisition and signage replacement will be at the <br /> tenant's expense. <br /> Landlord /Owner: <br /> By: CY' "� <br /> Date: Or t" <br /> ` q <br /> Sworn to and subscribed to before me this /57- day of Z I2.._ <br /> 2009 and beir kno / identification. <br /> My commission expires: i4 <br /> ....�. _ NOTARY PUBLIC <br /> ",,, SHlR K DEL COTTO <br /> t' . : MY COMMISSION # DD 785499 <br /> EXPIRES: June 26, 2012 <br /> • Af Bonded rnn, Notary Pubic underwriters <br />