HomeMy WebLinkAboutAGENT OF RECORD DESIGNATIONSCANNED
BY
St. Lucie County
AGENT OF RECORD DESIGNATION
Signatures must be notarized
(We), 1 C t4 4Q— R • i %-ZJ N--1D C hereby designate and
appoint W
94 VS-e /, as my (our) Agent of Record for the purpose of
represents g my (our) interests in the change of use process. My (Our) Agent of Record is hereby
vested with the authority to make any representations, agreements, or promises as well as reject or
accept any conditions imposed in conjunction with this matter. Dated this day of
20_
nt'sl 6r " n
fi Agents Signature
Print Name
i I eso RvPAWcsA •7
Address Address
-777- 9-79-e8S9 mn7tP'and6a3 9
Phone Number
Email '3070-1/com Phone Number Email
STATE OF f" l��' r" ) COUNTY OF , �OGre- � /��t 1
The forgoing instrument was acknowledged before me this 'day of °mow
201 q .
M
hYjo
use
Signature of Notary (Stamp Seal Below)
Pic f3133 9 Commission Numbe
Date Commissioner Expires: la 2r4, 1A
is personally known to me or who has produced
identification.
�oaapP °�e�o,ENM
DISE°?;
:� E
e of Florida;�
; ' •eF
931338'�1„eon
i�o?PP
ct 27, 2019
AGENT OF RECORD DESIGNATION
Signatures must be notarized
(We), M 1 C34AEI_ hereby designate and
appoint
rVIq as my (our) Agent of Record for the purpose of
representing my (our) interests in the change of use process. My (Our) Agent of Record is hereby
vested with the authority to make any representations, agreements, or promises as well as reject or
accept any conditions imposed in conjunction with this matter. Dated this day of
20_.
l l r950 A lPP04& 0C;& A QT_
Address
"7'7a-979- /8S�
Phone Number Email
1/9-So 14fPgrmsq (S 3cr98"�
Address
`17r3••979-/8�8 ��nr«ndoa3�
Phone Number Email Girr�r
�J Co ryy
STATE OF r(° 44 COUNTY OF Nle 1
The forgoing instrument was acknowledged before me this day of ' �d;p
204—.
By 8 Who is personally known to me or who has produced
e_
Signature of Notary (Stamp Seal Below)
F 9� 3I333 Commission Number
Date Commissioner Expires: lOf 2$
identification.
oo4apt
NATHAN M LODISE
Notary PublicState of Florida
Z
Commission AtFF 931338
�eAMy
9
Comm. Expires Oct 27, 2019