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13-13960
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13-13960
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Last modified
2/3/2014 1:53:55 PM
Creation date
2/3/2014 1:53:54 PM
Metadata
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Building Department
Company Name
SLEEPY HOLLOW MHSUB DIV
Building Department - Doc Type
Permit
Permit #
13-13960
Building Department - Name
HOLLINGS,WALTER & SANDRA
Address
38638 LANSING AVE
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FEB, 22. 2013 2 47PM WALLER & SCHAR9ER PA N0. 645 P. 2 <br /> ` �f�►� C�rf�o�, �in��) <br /> � wmv�.ss <br /> f��n �Jf� <br /> , Prirrt Name � <br /> �� .�5�(+SFA�L) <br /> , Wil'NESS KATHY 1 ICE SMITH <br /> 50 Howtand Cres <br /> ��}-�.�/J N (f � �� Brampton,Ontario l6Y 5K3 Canada <br /> Print Name .�r R 2��� <br /> �%� �1�1 <br /> WITNESS OR BK �8,32f 3G �SS <br /> � <br /> i / <br /> ' pcittt Name <br /> � � � <br /> � COUNTY OF�� � <br /> � STATE OF �A��R�� <br /> (HEREBY CERTIFY that on this day„before me,an offioer dulx authorized to administer oarths <br /> ; and take adcnowledgmerrts,personally appeared CUFTON lOSEPH SMITH and KATHYJANICE SlVlffH, <br /> , known to me to be the person described irt�nd who exetuted the foregoing Assfgnment,who <br /> ; acknowledged before me that thQy execuCed the same freely and volurrtarily tcr the purposes therein <br /> expressed,that I relied�pon the foliowing forms of identi�cation of the above named person: <br /> �}c,�... 1.2e-,1 e..,� � <br /> WtTNE55 my hand and offiaal seal at the aty and state tisted above thi��`'�day of Feb�uary <br /> Z013. <br /> Notary Public <br /> State of /��RS� <br /> 1 have witnessed the si natur�of <br /> G=-�^''` d�.�t� � Jati.rro�t� <br /> after presentation of satisfactory �aK t.�w <br /> idendfication atw�'�'���.,L _ �"�d`r�v���r <br /> 3fA4-t0 Kicgabtidgc 1Ga►tlertCixz�t <br /> OTt thiS �f'- day of �.L3 �°�Mixsisxau�a,vN-!SR 3R6 <br /> , �ww.bkltteV.etf <br /> �LV99ebD�6:�'•!!'c�IAR <br /> !+.oS.ry PoblEc and Coa;�si�siencr of�Siu <br /> En ind fOt!!ta PeoVirx'A Of O�tario <br /> AAl9yy Core++�is�+on Es ot�mlimitod dara4ion <br /> , �10 lo?�!t�ef:ca ntv6�. <br /> I �y _ <br />
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