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13-14779
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2013
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13-14779
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Last modified
7/28/2014 10:08:25 AM
Creation date
7/28/2014 10:08:24 AM
Metadata
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Template:
Building Department
Company Name
KAUFMAN EYE
Building Department - Doc Type
Permit
Permit #
13-14779
Building Department - Name
KAUFMAN GROUP ENTERPRISES
Address
6329 GALL BLVD
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NOV-Ol -2013(FRI ) " 1 : 06 �aufman Eye Institute (FAX)813 783 2856 P 002/002 <br /> Parccl ID#: <br /> AddresS: �329 GA�� BLVp, <br /> ZEPHYRHiLLS, FL <br /> To whom it may concern: <br /> As thc owner of tUe above reFerenced property, I hereby authorize CB Sifin Scrvice, Inc <br /> Inc. to apply for pernvts and to install signage at tbis property, <br /> % <br /> Ownec's 5ignature Owner <br /> ��� ,J . �A-�d�'►^ +� (�3 a-�1 6��► /31v c� <br /> Print Owner's Name Owner's Address <br /> Zc �, �, �1�f ` 3 �5� � <br /> Owner's City State/Zip Code <br /> �?13 �d'���/1 <br /> Owner's Telephone number <br /> � � f <br /> Sworn to and subscribed before me this � day of v V � 2013 <br /> , <br /> , � , � � � <br /> , �-� ' ����� <br /> Not public t <br /> , No[:►ry Su+l <br /> `I r 1 � �r�'�/V '�'�� ."r" <br /> ��"�_ JESSICA JANE STYLES-WOAI�LE <br /> Print Notary'S N1Tri� -'' :`: MY COMMISS{ON#EE1Z6{01 <br /> ���,. EXPIRES Seplember 19,2015 <br /> � JYL-01 Florida rvqe.� <br />
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