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10-10783
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10-10783
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Last modified
2/7/2011 9:56:20 AM
Creation date
2/7/2011 9:56:16 AM
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Template:
Building Department
Company Name
WALGREENS
Building Department - Doc Type
Permit
Permit #
10-10783
Building Department - Name
WALGREENS
Address
6429 GALL BLVD
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Date: 1 i ' ( 1 a <br /> To Whom It May Concern <br /> VARIOUS MUNICIPALITIES <br /> William Griffin State License: ES- 12000419 <br /> International C & C Corp dba Sign Xpress <br /> 10831 Canal St <br /> Largo, FL 33777 <br /> 1 authorize the following individuals to act as my agent in all areas of permitting and licensing procedure <br /> with the municipality to which this is presented. <br /> This authorization is for sign permits at various locations <br /> ✓ This authorization is for the following location: <br /> l/JQ.Q 11QJti'O .11 S/oo ci <br /> It y 9 CR-c>'.0 61 vd , :Weehicir hr )1s, Ft_ 3 3Si-f1 <br /> Authorized Persons <br /> Stephanie Arce <br /> West Central Florida Permits <br /> Maritza Dandache <br /> West Central Florida Permits <br /> Brian Kelleher <br /> West Central Florida Permits <br /> Jim Russell <br /> West Central Florida Permits <br /> 1 n <br /> , <br /> Date -) Q --- 1 Signed: 0 <br /> Contractor <br /> CONTRACTOR'S SIGNATURE NOTARIZED: <br /> State of Flori <br /> County of I /`'� f 0. S <br /> Subscrib before me on this n G day of 20 b <br /> fri (Np... O` Y �,CY <br /> �(c.0 C /144 17 "„Pi, ho is e sonal ly known to <br /> ----:)' <br /> Notary Signature <br /> Commission Number ' sion Expires: <br /> , K <br /> •� ;: MY COMMISSION # DD 909574 <br /> • off EXPIRES: January 10, 2011 <br /> 4, 7.0v Bonded Thru Notary Public Underwrtters <br /> s <br />
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