20211559 Ver 1_Monge-Authorization Form Signed_20211026

PROPERTY LEGAL DESCRIPTION:
LOT NO. 530 PLAN NO. 21-E135 0236548
Real Estate ID:
STREET ADDRESS: 206 Ketrick Ct Cary NC 27519-8383
Please print:
Property Owner: Christpher & Rebeccca Monge
Property Owner: Christopher & Rebecca Monge
The undersigned, registered property owners of the above noted property, do hereby authorize
Adrian Harkey
of CORE Remodeling Inc
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
919-771-5396
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature eAz,. - Authorized Signature RMM
Date: October 25, 2021 Date: October 25, 2021