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2015-10-06_PERMIT FILE - M2015017 (2)
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2015-10-06_PERMIT FILE - M2015017 (2)
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Last modified
8/24/2016 6:11:21 PM
Creation date
10/8/2015 1:01:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2015017
IBM Index Class Name
PERMIT FILE
Doc Date
10/6/2015
Doc Name
Party Authorization Form
From
Todd Sullivan
To
DRMS
Email Name
MAC
Media Type
D
Archive
No
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RECE'VED <br />OCT 0 2015 <br />AUTHORIZATION TO APPEAR ON BEHALF OF A ' fist#N_ J'ON <br />(Please Type Or Print the Requested Information) <br />SIGNATURES MUST BE IN BLUE INK <br />sIZZ" l�Gl� C! LL(X C� <br />(person's name) (title, if applic le) <br />of ;:j—LS M t VLr .4 pse of company, association, organization, etc. if applicable) <br />hereby delegate to —� (,%CIC 1` <br />(pVrson or entity's name) <br />the right to appear on behalf of e Pre -hearing conference. <br />( company, association, organiz ion, etc.) <br />SIGNED AND ED T IS 2,DAY OF ©( 16 6e i— , <br />f corporate attest (seal) <br />Authorized Si nature (must be signed in blue ink) <br />Title: �o�PoRl47�eE/�7i�w/S % <br />--�?W,v <br />*ate of G12i` %2 Iy IVyC-c <br />} <br />County of = ,,jo yg! D�,.v�7�rJ► <br />The forgoing instrument was acknowledged before me this. day of B6jr <br />by W c- ro o Z2219 6-c=1% as CO R (2. / C-c&p71e v1 s % of <br />Uj Y'✓1 <br />C0M/hi S SOON 2 <br />My commission expires: <br />Wendy Luanne Magee, a Commissioner, <br />etc., province of Ontario, for the Town <br />SIGNATURE MUST BE IN BLUE INK of Greater Napanee. <br />Expires November 4, 2018. <br />11 <br />
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