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t�� � �IL{ E�� G�V��96�9 � ��u�u' ���'i� <br /> AUTHORIZATION FORM <br /> LANDLORD LETTER <br /> To Whom It May Concern: <br /> I �� '�� I�� PYOge ty owner/Landlord of the propexty <br /> located at � � V Y L .do hexeby <br /> authorize � and/or its agents to apply for and <br /> retain sign p 't and to remove,modify a d/oY e�ect signs, and obtain buildi.ng and electrical <br /> pe �ts as reqwred by state and local laws. I further authorize <br /> to act as agent on my behalf,and <br /> sign any ocuments necessary for the px curement of variances and permits xelated to this project. <br /> I authorize said contractor (or authorized agent) to sign and notarize variance and permit <br /> applicati� � (s) as owner/agent.All work will meet or exceed code requirements. <br /> � %� <br /> er Signature at <br /> Tracv Heisler 813-382-8501 <br /> . <br /> Owners Printed Name Phone Number <br /> 11501 Northlake Drive, Cincinnati, OH 45249 <br /> OwneYS Address <br /> No—� � <br /> Sworn and acknowledged before me this�Day of .�. 1,� GUILLERMO BRACAMONTES <br /> �g� °� Notary Public,State of Florida <br /> OTARY P LIC,STAT'E OF <br /> .� (���J Commission�EE 58752 <br /> Mycomm.expiresJanuary 26,2015 <br /> ommission Expires: �,r,wt,��2Q�5 °r-J .L� � <br /> I I501 NORTHLAKE DRIVE � CINCINNATI,OHIO 45249 � (513) 554-I I 10 (800) 875-6585 FAX (513) 554-1009 � <br /> WWV✓.PHILLIPSEDISON COM I �I,�d� <br />