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POWER OF ATTORNEY <br /> I hereby name and appoint � of ST1,A,,T�E NERGY CONSERVATION to <br /> be my lawful attorney in fact to act for me and apply to I�UG��I��.5 for a solar <br /> hot water heater for work to be performed at a location described as: <br /> Section_Township Range Lot Block <br /> Parcel ID: ' � 2'' v � � ' �V l� • �,Q(� <br /> ?��3 �'" �� Zt(�1��n,��lf � 3?��Z <br /> Address of Job <br /> 1(1��� �,��� <br /> Owner of Property <br /> And to sign my name and do all things necessary to this appointment. <br /> �`,��L�.�2� <br /> License# <br /> �`'v 111� �� <br /> Name of Contractor(Print Name) <br /> ��" . <br /> Signature of Contractor <br /> Acknowledged: `\�I <br /> Sworn to and subscribed before me on this�y of��,�012 (� � �� <br /> Who is personally known to me/who produced � t )/�j (,�(��,� � � P p ��� <br /> . <br /> As identification and who did not take oath. <br /> State of Flori��, <br /> County of /l,�.s � <br /> _u.,�:.,..�..�.....+. <br /> � :,,:'%Yw•. ALEIAFi.PONfES <br /> "•`• •:�%= MY COMA�ASSION t fF 046140 <br /> � ;�;�; EXPIRES:August 15,2017 <br /> tary Public (Signature) •.�Rr�„ 8ondedThNNotarYP�b��� <br />