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Parcel ID # C�.� ' �-� - �- � d`� � d -.Q�! DU '00 � � <br /> Folio # <br /> Property Address (e G� G' fF- � l ✓c.l <br /> City / State / Zip Code �� �T l,��t � �S -�j ?S�y�— <br /> Date: � � 3 ✓ � ` <br /> To whom it may concern: <br /> As the Owner of the above referenced property, i hereby authorize CB Sign Service, Inc. to apply for <br /> permits and to install signage at this property. <br /> _-------- <br /> Owner's Signature - <br /> � 1�6v��.S � c�,�n��� � ��5� G /�l� � � �� <br /> Printed Owner's Name Owner's Address <br /> �Z �P k, � r ti�� � �� E- �..�.�5' y� <br /> Owner's City / te / Zip Code <br /> � ��" �OU� 7� �- d <br /> Owner's Telephone Number <br /> R,�- <br /> to and subscribed before me this � day of , 20 ��. <br /> � <br /> blic <br /> rmuuumu n.unounuuwnmunu <br /> . - BONNIE MONTGOA�RY <br /> q,iu <br /> a �a Yp Comm# DD0824014 ; <br /> PIl OtBty Name =_� �= Expires 9/17/2012 <br /> � ,''- <br /> �%������ Fbrida NotaryAssn., Inc '. <br /> �........� ...................................: <br />