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11-11886
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11-11886
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Last modified
2/9/2012 1:24:14 PM
Creation date
2/9/2012 1:24:11 PM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
11-11886
Building Department - Name
SHIVA 6005 GALL LLC
Address
6005 GALL BLVD
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, . � �ti � �►L�� �, � <br /> i <br /> 1 <br /> # • � <br /> AI►���E:` S��tl $t ,�W�111��, ��.� i <br /> � <br /> L�TTEf� C�F PEf��VI��SI�N TC� INSTALL �I��I <br /> 3 <br /> t�AT�: _5� /a // <br /> ,��rz�ss:�t�a� t��►t,c. '��.va. — ��utz���..s �� �� �� <br /> � <br /> AS (JWNE(�(S) QF THE PROPERTY LISTED AB�VE, W� GRANT APPLE S(�N & AV1JNlN� LLC. <br /> PERMISSIQRI T� INSTALL SIGN, '��_�. C}F APPL� SI+GN & AWNING LLC. <br /> TtJ ACT AS OW�IEI2S AGENT 1'CJ OBTAIN SI�N PEI�MIT. i <br /> O�WNERS NAM�; �Y� t �t�. �0�� � <br /> ._____ ___---..._�_.._.�.___ C� 'RL,L. �-C- � <br /> At�at�ESS;__�1 �O s •� `�� � �-e� 3 <br /> _.�___ _ ; <br /> CfT`(; ��,�� STAT�:`�6?�_ ZIP; 33�5'�- ; <br /> PH; 3C�s �- � � �o - � � � � � <br /> C�WNERS SfGNATURE , <br /> .. k�oxr�� <br /> � �rssessar � <br /> _�> #DD730663 <br /> � ��T. 31, 2011 <br /> ' ' ' % YBL°IG CO., IN�, � <br /> _ � <br /> ,s�--�,� �j �� � �'�'� � <br /> A���� PR1Ni' NAME & TITLE <br /> Sc�n� -a ��._ ��- � b2� O <br /> DRIV�R`S LiCENSE # i <br /> � <br /> Sworn to and subscribe before me this <br /> NtJTARY� ____ �'''`=da ot_�/I�4� z0 � E <br /> �' ' � E <br /> DA1`�: <br /> �EAL Signature of �tary Pub!ic-Sta`� c` ;"lor�da r <br /> _ R!;E/ �.��;s.��?cc �r <br /> Print, �ype o� S��,n��; i'�,�r;�� ofi ►yoiary Public <br /> ❑ Personaily known to me, or <br /> C-�f'roduced identification: �'D �- � <br /> Type of identificafion ! <br /> 1635 N. l3ale Mabry Hwy. Suite 7 Lutz, �Ic�rida 33�d8 813-948-2220 Fax 813- 94�-ZdCl3 C-mali: apple.signsl @vc�rfzan.net <br />
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