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Florida Medical Clinic <br /> Parcel ID # Q�-�6 - �l - OOpa-a0/4�- DO� <br /> Address����Q �,L,�, • <br /> ���/l/����_.L"Q7--�Cr�i�� // � �L��b <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 Signatur Owner <br /> CoGI�P,� Cu�'z g13 s - <br /> a rtc�- ,-� �, 61 � 3 3s�lZ <br /> Print Owner's Name O w n e r s a d d ress <br /> �t.ph�-�,,'��s� � d�3 b�! Z. <br /> Owner's City/State/Zip Code <br /> �813 � g� '��� y <br /> Owner's Telephone Number <br /> Sworn to and subscribed before me this y� day of c�I�,2013 <br /> �c�,' `{� `�Y1�- <br /> Notary Public �,,�:z KUBiN A.McARTHUR <br /> NOTARY PUBLIC <br /> STATE OF FLORIDA <br /> . Comm#EE155651 <br /> Expires 12/26/2015 <br /> �0(�;n � I(I'1� -�I�►� <br /> Print Notary's Name Notary Seal <br /> S�r� PL�N <br />