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11-12455
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2011
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11-12455
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Last modified
6/12/2012 12:11:57 PM
Creation date
6/12/2012 12:11:56 PM
Metadata
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Template:
Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
11-12455
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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LETTER OF AUTHORIZATION <br /> TO WHOM IT MAY CONCERN: <br /> This letter serves as authorization for �� .�'JG,i1/ �'.t,,�'i/�Cg �, �C, <br /> to secure permits and install signs at the following locations: <br /> �S'� /�lA�K.d'"r' St9v4�e.b �67ANY�'�i`GC..f' F�l�iE'!4�v .�3S.a� <br /> � r' �,e� �n ��t� �Ll�v� G � �� ��' '�,�-h�4�1� L L�tT�Y� <br /> ��.4;�,/t)�0 yv��E DIC,oI..., GLj�t',�� <br /> �l3-��'�-t�'7�� <br /> Owner Signature Telephone Number <br /> Owners Name and Address: <br /> ���i/�r`�t� ��r�� ���ncc P� <br /> � <br /> l� a �K� S r� <br /> �-���t��lls _� �5`?- <br /> State of ����l�c� <br /> County of I-�as c � <br /> Before me a � � � <br /> Ppeared � U'� �'�l� �C- � this � day of <br /> _(�'c�_f�be� �ir <br /> � ,�'being person, ally known of having produced <br /> as identification and who executed the <br /> foregoing instrument, and acknowledged to and before me that he/she <br /> executed said instrument for the purposes therein expressed. <br /> ; <br /> � ; rO l�� PVA�� <br /> Notary Public _ ;�'__ Notary publ c Sta e Flwida <br /> ;y,�.•'� MY Comm. Exptres Nov 5. 2011 <br /> .;��,,, �� Commission � EE 30133 <br /> �"""" Bonded Throu h National Noh <br /> My commission expires: <br /> � ry Assn. <br />
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