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LETTER OF CONSENT
DATE:
I BASEM ALI. (name) BEING THE OWNER OR LESSEE OF
GIANT OIL #205 LOCATED AT: 2475 MIDWAY RD
(business name) (street address)
FORT PIERCE -HEREBY GIVE MY PERMISSION
(city)
TO DO REPAIRS AT THE ABOVE NAMED PROPERTY AS PER DRAWINGS AND SPECIFICATIONS
R PERMIT APPROVAL.
(signature)
STATE OF FLORIDA
COUNTY OF
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
DAY OF _,20
PATRICIA E. CARRANO
State 01 Florida
Notary public
My Comm. Expires Oct 31. 2017
Commission # FF 034320
PRINT OR TYPE NAME KEE
PERSONALLY KNOW . N L/OR PRODUCED IDENTIFICATION
TYPE OF IDENTIFICATION PRODUCE AND WHO
DID OR DID NOT TAKEN AN OATH.