HomeMy WebLinkAboutLETTER OF CONSENT%Lkae
LETTER OF CONSENT
RECEIVED DEC 22 2015
DATE: �b/�I1S 61LANNED
BY
St. Lucie County
I BASEM ALI . BEING THE OWNER OR LESSEE OF
(name)
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
PERMIT APPROVAL.
(signature)
STATE OF FLORIDA
COUNTY OF 4iLL6 ba&KvA
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
�XO DAY OF �7T Y 20
OTAN RY4 UB C
- . •,o;;n+Poe��, PATRICIA E. CARRAN
•+ = Notary Public - State of Florida
My Comm. Expires Oct 31. 2017
PRINT OR TYPE NAME commission x FF 034320
PERSONALLY KNOWN l/OR PRODUCED IDENTIFICATION
TYPE OF IDENTIFICATION PRODUCE
DID OR DID NOT TAKEN AN OATH.
AND WHO