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FFIDAVIT <br /> . Permit Numbcr• ���`t Ta��olio Numi�er: <br /> er: <br /> -- - <br /> • .; , <br /> �'operiyAddress: ' - - . °�l'�,. n'1=• _ _. . � _ _ - -- -�= - - <br /> _ _ . . __ . - - - - � <br /> . - - <br /> STATE O�:�F1,�O�DA �,� . • <br /> _ . <br /> • COUN'��i.'OF:.-_.. _ -_-` = ' = . <br /> . . ,_ - - -, I ; . <br /> Bc�o�+c mo�'the undersigned ti'.:_ -ri�",:d-p';a - - -o take.aclmbwlcdgwe�s aad adaaiaiso�ar • <br />, �,PersonallY$PP� - - - ' - - - - .(he�maf�a'Aff�mt)* <br /> who af�er bciag swarni,de s`es: 'd sa�ys: '� . <br /> �3' Fp <br /> ,. <br /> i. Affiant is t�e(Gheck ): Ownraoof�abnved�mbedprn�rty; <br /> hec <br /> I�tha Ovvner's Av�oriud Agen# .. <br /> 2. A Nof3c�of Cflmma�ac as secritited ptnsusat fo 5oction 7l3.�3 of the <br /> Flotid�Statubes,has b SI�d foi recotding in the offiaia�pt�b�c rr.COZds of <br /> HilJsboroug�CountY�F or�d�as it nelate�s to�mpmv�me�t�:to bo m�da to <br /> -t}aat oertain real pro desGribc�bercin. <br /> 3. A copy af said z�rdad atir.s of Cbmmr�ceme�t is att�ched heroto. <br /> . .�----7 � _ . <br />- - antSiga�ec- - �=:.� _.. .___ _�-.-..--_.-_- __-- .i <br /> x�:_� �c i(1,�"1� �'���_ -_ — _ `; <br /> �-�,�- - - - : :�, <br /> , <br /> � � � <br /> ' Swer�to a�ad snbscxibe�bo�azr mo an ' I�"day of � --- 20,=;L� .. � <br /> _ I <br /> . _.. _ . _... _._ . . . ; <br /> try. 1��� _ who is pecsona�ly I�own to xne ox 1�as p�duc�d � <br /> _. ,. - - __ .-- -: - i <br /> - - -- - - aa idGntification. ; <br /> i <br /> 1,,�'�. � <br /> Not�ry Public Si�tiuire: - - , . <br /> _ • � ?�r°� tJOtary�ubiic Stale M Florida � <br /> . . .Jamie l Jenkiris <br /> �1'lllt NS171B:, - � - — - t - . - =-: ,'����BQ -My Corrimisgjon;EE073295 � <br /> � osF� Ezpires05/21%2016� <br /> My CommissianExp�ltes: _ __ - __.._. - - - .. . . _ : <br /> • ; , <br /> , _ i ' ! <br /> � ' <br /> , � <br /> � <br /> � I <br />� <br />