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Florida Medical Clinic <br /> Parcel ID # [2 -Z(o -Z I- Q'�1� -C��foo�- �o�� <br /> Address 3 8�0�.! ��a�e,�sr �r�e.�.s,�_�-,�,otl:�l t t�i,�� 33.�'�ra-- <br /> To whom it may concern: <br /> As the owner of the above referenced property, I hereby authorize CB <br /> Sign Service to apply for permits and to install signage at this property. <br /> Owners Signa Owner <br /> !�e�►� �c 3�8l 3 S �t.t�c✓1� � u�-� Z�� r�-/ls � <br /> Print Owner's Name Owners address 3 3 S�l 2� <br /> �—CQh��lu'Ils, � 3 3 s�-l2� <br /> Owner's City/State/Zip Code <br /> �►3 ��o -8���-1 <br /> Owner's Telephone Number <br /> Sworn to and subscribed before me this �y� day ofC�,�o��,2013 <br /> �� ���� <br /> Not Publi� �QB1N"'.�"�''""�"`�R <br /> � NOTARY PUBLIC <br /> STATE OF FLORIDA <br /> ' , Comm#EE155651 <br /> Expires 12/26/2015 <br /> �ok�n ►� 1(Y��4 ,- <br /> Print Notary's Name Notary Seal <br /> t.�� <br />