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This note is made and executed under and is in all respects governed by the laws of the State of Florida. Venue and jurisdiction is established in Duval County Florida. Authorized SIGNATURE of applicant FEI or SSN. Total Needed Est. Mthly Usage Stored Material Billing/Pymt Draw Schedule Yes No General Contractor Information INC LLC LP Proprietor State Zip Code Fax Contact Person Cell Email Project Owner Information Project Owner INC LLC LP Proprietor Project Financial Information...

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