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10-10958
Zephyrhills
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Building Department
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2010
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10-10958
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Last modified
8/15/2011 11:38:06 AM
Creation date
8/15/2011 11:38:04 AM
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Building Department
Company Name
EMERALD POINTE
Building Department - Doc Type
Permit
Permit #
10-10958
Building Department - Name
CONKLIN,EUGENE
Address
3504 TOURMALINE DR LOT 276
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Name <br /> 3s-of � 462 %).--:. <br /> Address / <br /> 7e7D ,4, -, nlkr . /Y 3c3S3l0 <br /> To Whom It May Concern, <br /> Please be advised that: <br /> Stacie Hartwig and eves of Pasco Permit Service have my permission <br /> until further written notice to act as my agent to sign and pick up permits. <br /> Sincerely, <br /> 2 ..(_.2.. <br /> Signature <br /> 9 — /(e / <br /> Date <br /> NOTARY <br /> STATE OF FLORIDA, COUNTY OF PASCO <br /> The fore oing instrument was sworn to and subscribed before me this /d day <br /> of , b24/ D . <br /> Personally known {/ or Produced identification <br /> NOTARY PUBLIC - STATE OF FLORIDA <br /> ''' • Suzanne Bahr <br /> '4f i Commission # DD601110 <br /> , <br /> flV Expires: NOV. 15, 2010 , / <br /> RflP 'JP AT[AVT RO ":DI G CO., ISM' <br /> 4 ._..t�� _�_%�l <br /> Commissioned Stamp ■ otary S' . ature <br /> and Expiration Date <br />
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