71888D - Littleton

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: JP rr i
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized 'e'- /< I'c-r ('-edS 1 &= cJ 'i� o ck S
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at �� i}h Q ✓ q)!� Q A.,rL
in County.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
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Print or Type Name
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Parcel PIN: 107513132382
Calc. Acreage: 0.13
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Legal Description
L-61 B-21 S-B&C OIB PLAT 6/1
Owner Information
Owner Name:
LITTLETON LARRY L ET
LITTLETON BETTY U
9+ Mailing Address:
APT 16
MATTHEWS, NC 28105-0021
Deed and Plat References
Deed Book: 01368
Deed Page: 0624
Plat Book:
Plat Page:
Parcel Photo
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