NCC224159_FRO Submitted (2)_20221222

346 Merrimon Ave
Asheville, NC 28801
Phone: [phone]
\DVANTAGENC Firm # C-2849
CIVIL ENGINEERING. PA
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
PARCEL ID: 9628-46-7892
STREET ADRESS: 103 North Bear Creek Rd
Asheville, NC 28806
PLEASE PRINT:
PROPERTY OWNER: Aashna Living 1, LLC
PROPERTY OWNER: Stephanie O'Brien (Managing Member Aashna Living 1, LLC)
THE UNDERSIGNED, REGISTERED PROPERTY OWNERS OF THE ABOVE NOTED PROPERTY, DO HEREBY
AUTHORIZE
Brad Howell of Advantage Civil Engineering, P.A.
(REPRESENTATIVE / AGENT) (NAME OF ORGANIZATION)
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):
111 Steu ben St Apt 2f, Brooklyn, NY 11205
TELEPHONE: [phone]
EMAIL: [e-mail]
I/WE HEREBY CERTIFY THE ABOVE INFORMATION SUBMITTED ON THIS AGENT AUTHORIZATION FORM IS
TRUE AND ACCURATE TO THE BEST OF MY/OUR KNOWLEDGE.
SIGN HERE 95O Fte J7 SIGN HERE
AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE
DATE: 12/16/2022 DATE: 12.16/2022