20191587 Ver 1_Signed Agent Authorization_20191115

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AGENT AUTHORIZATION FORM
PROJECT NAME: Sewer Extension to Snowbird Outfitters
PROPERTY LEGAL DESCRIPTION: N/A — Project is within existing road rights -of -way
PARCEL ID. N/A — Project is within existing road rights -of -way
STREET ADDRESS: N/A — Project is within existing road rights -of -way
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Property Owner/Representative: Town of Andrews / Emily Malin
(If Representative) Title: Town Clerk/Chief Finance Officer
The undersigned, registered property owners of the above noted property, do hereby authorize
Jonathan Herman & Jon Swaim of McGill Associates P.A.
(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/Representative's Address (if different than property above):
1101 Main Street
Andrews, NC 28901
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the best of our
knowledge.
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Authorized Sig ture Authorized Signature
Date: l/PT cl`I / �i��q Date:
1013 STATE FARM ROAD, BOONE, NORTH CAROLINA 28607 1 828.386.1920 1 www,mcgillassociates.com