HomeMy WebLinkAboutLETTER OF CONSENTLETTER OF CONSENT
DATE: 4th 5� —
I BASEM ALI BEING THE OWNER OR LESSEE OF
... (name)
SCANNED
BY
St Lucie Countv
GIANT OIL #204 LOCATED AT: 7961 S US 1
(business name) (street address)
FORT PIERCE —HEREBY GIVE MY PERMISSION
(city)
TO DO REPAIRS AT THE ABOVE NAMED PROPERTY AS PER DRAWINGS AND SPECIFICATIONS
PERMIT APPROVAL.-
f
(signature).
STATE OF FLORIDA
COUNTY OF 4idC,
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
02Y DAY OF OIL-/ 20
PATRICIA E. CARRANO
_ff0TARY PlrJBLI(:r t Notary Public - State of Florida
J my comm. Expires DO 31, 2017
bg Commission # FIF 034320
PRINT OR TYPE NAME
PERSONALLYKNOWN 1,�'/OR PRODUCED IDENTIFICATION
TYPE OF IDENTIFICATION PRODUCE
DID OR DID NOT TAKEN AN OATH.
AND WHO