Laserfiche WebLink
Date: �-�'y'/oZ <br /> To Whom It May Concern: <br /> License Hoider: Grant McGuire <br /> State License: ES-12ppp722 <br /> Firm Address: 14055 46`h St N Clearwater FL 33762 <br /> Telephone Number: 813-907-8000 <br /> I hereby authorize the following individuals to act as my agent in all areas of permitting and licensing <br /> procedure with the municipality to which this is presented. <br /> � This authorization is for sign permits at various locations and to register the contractor <br /> � This authorization is for the following location: <br /> Stephanie Arce, West Central Florida Permits <br /> Brian Kelleher,West Center Florida Permits <br /> Cindy Evangelista, West Central Ftorida Permits <br /> Steven Ketleher,West Centrai Florida Permits <br /> Patricia Ortiz, West Central Florida Permits <br /> Jim Russell, West Central Florida Permits <br /> Gina Granville, West Cent�a( Florida Permits <br /> Date �l'—�'i�'l� gigned: r' � <br /> Contractor <br /> CONTRATQR'S SIGNATURE NOTARIZED: <br /> State of Florida <br /> County of ��(,� <br /> Subscribed before me on this � <br /> day of_�i (�- 2012 by <br /> ��� �Y u�''�� w is personally known to me. <br /> \\�������",r1iEl_ISSq�i�,�r� <br /> Notary Signature ` ' �Gpem es�oy Fs�r� <br /> S*• ��0� �d�`f%� % <br /> Commission Number � �C/��'�j =o; •M_ ;y; _ <br /> My Commission Expires: /.2�i�// ��'`'� ����?SS :��= <br /> �f "O�?,'�'�Ymru . ``�. <br /> ' //f�Jf�s��i���O�OP�\ . <br />