20230991 Ver 1_P22171-PCN Overview - 20230607_20230711

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AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. N/A PARCEL IDs: 9684-56-8265; 9684-68-5134
STREET ADDRESS: No Assigned Address Timbers Edge Lane off of Brush Creek Road in
Fairview Buncombe County NC
Please print:
Property Owner: Tom Garvey
The undersigned, registered property owners of the above noted property, do herebyauthorize
Warren D. Eadus , of Quible & Associates P.C.
(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 propertyabove):
132 Badin Drive Fletcher NC 28732 H
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Date: