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2021-09-27_REVISION - M1990057
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2021-09-27_REVISION - M1990057
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Entry Properties
Last modified
1/12/2025 2:02:19 AM
Creation date
9/27/2021 4:35:44 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990057
IBM Index Class Name
REVISION
Doc Date
9/27/2021
Doc Name
Adequacy Review Response
From
The Union Milling Contractors
To
DRMS
Type & Sequence
CN1
Email Name
DMC
Media Type
D
Archive
No
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�ca,rU� 13 <br /> . - IIIIi�Ylll IIIIYII� II III <br /> 349517 7'9'2008 3.40 PM Patricia Berger <br /> 2 of 2 QCD R51 1.00 D$0.00 lake County ReCUldcr <br /> IN WITNESS WHEREOF,The said first party has signed and scaled these presents the day and year <br /> st abo a wr' .Signed,sealed and delivered in presence of: <br /> k a! u <br /> gnattue of Witness � l Signature of First Party <br /> Print name of Witness Print na a of First Party <br /> Signature of Wime , Sig aeure of First Party <br /> 1j�d,Q lt'_ G•,Jti��AroK1 LD/�'/z A/�Yry C_. r�- <br /> Print name of Witness Print name of First Party <br /> State of F-l o r i d 4- <br /> Count of Vfeuaroc-- <br /> On e pt t 1 r Z 007 before me, <br /> appeared Val t i t;a in H. 1Gf:t -Z 0,,pL L O c f oL.r%Q C <br /> personally known to me.(or proved to me on the basis of satisfactory evidence)to be the person(s)whose <br /> name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the <br /> same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the <br /> person(s),or the entity upon behalf of which the person(&)acted,executed the instrument. <br /> WITNESS my hand and official seal. <br /> a�- <br /> Signature of N tary / <br /> Affiant Known y Produced ID <br /> Type of ID <br /> NOTARY MUCSTATE OF FIAtt1DA (Seal) <br /> State of Florida Shirley H Bradley <br /> CamatUoa*DD732519 <br /> County of .733 f t°Jd.I Cam. ., Expires: FEE.27,2012 <br /> On S ert- t z,L 00 r) before me, Agirga Tug Ar)Nng aOHDING C44 Dia <br /> appeared W 7 f I i d m H . R;t z. OL..-) L e+!a,i#-A C_ r, .tZ- <br /> personallv known to me(or proved to me on the basis of satisfactory evidence)to be the person(s)whose <br /> name(s)Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the <br /> same in his/her/their authorized capacity(ies),and that by his/lier/their signature(s)on the instrument the <br /> person(s),or the entity upon behalf of which the person(s)acted,executed the instrument. <br /> WITNESS my hand and official seal. NOTARY puBLICSTATEOFFLORMA <br /> Shirley ht Bradley <br /> m Commi3sion#DD732519 <br /> ,.`Expires: FEB.27,2012 <br /> Signature of N4dry DutiJFDTHAVATLWnCSONO2;000,LNc <br /> Affiant KnownProduced ID <br /> Type of ID <br /> J (Seal) <br /> Sig ure of Preparer <br /> -- -- 'ntz`iame oFPrrlmrer— ---- <br /> `��'tY rnfySe C"'Cle <br /> Ad ess of Preparer <br /> �l pur„e, FL- 3 91 Y 0 <br /> P+{a T <br /> AQAa <br /> , <br />
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