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4 <br /> f <br /> I D E NTITI Certificate of Consent Form <br /> LOCATION TO CONSENT: <br /> *AUTHORIZATION AND CONSENT* <br /> By my signature below,I hereby represent that I am the owner of the property <br /> indicated above or otherwise duly authorized by the Lease to grant authorization <br /> for Identiti Resources Limited and/or their sub contractor to apply for permits <br /> and install new signage at the above referenced location. <br /> My signature below is also an approval to the supplied designs and artwork <br /> renderings provided by identiti Resources Limited for the above referenced <br /> location.All signage,included but not limited to,dimensions,materials,mounting <br /> and sign placement are approved and authorized. <br /> LANDLORD APPROVAL <br /> SIGNATURE. PRINT NAME. 1�-1 S I_ vba.._.� DATE 1 1 19 <br /> TITLE INA <br /> PHONE NUMBER: t (pTJ <br /> ADDRESS: j o s E- t)1A j &7 3 202- <br /> • <br /> Please return form to: <br /> Identiti Resources Limited <br /> 1201 Wiley Rd,Ste 150,Schaumburg,IL 60173 <br /> PM: <br /> Office: Fax:847-301-0518 <br /> Email: <br /> IRL Project It: <br /> 1 2 <br />