SW6200303_Consent forms - Boykin Utility Easement_4/2/2020

ecoplexus
BILLING ADDRESS:
3901 Arlington Highlands Blvd
Ste. 200
Arlington, TX 76018
OWNER'S CONSENT FORM
Project:
OWNER'S AUTHORIZATION
101 Second Street, Ste. 1250
San Francisco, CA 94105
T 415 6261802
F 415 449 3466
Submittal Date:
807 East Main Street, Ste. 6-050
Durham, NC 27701
www.ecoplexus.com
I HEREBY GIVE N1Y CONSENT to Ecoplexus, Inc (by and through its officers, directors, managers, employees
and agents) to act on my behalf, to submit or have submitted this application and all required material and
documents, and to attend and represent me at all meetings and public hearings pertaining to the application( s)
indicated above. Furthermore, I hereby give consent to the party designated above to agree to all terms and
conditions that may arise as part of the approval of this application.
I hereby certify that I have full knowledge of the property's anticipated use as a solar power generation facility and.
that I have an ownership interest in the subject of this application. I understand that any false, inaccurate or
incomplete information provided by me or my agent will result in the denial, revocation or administrative
withdrawal of this application, request, approval or permits. I acknowledge that additional information may be
required to process this application. I f irther agree to all terms and conditions, which may be imposed as part of
the approval of this application.
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Signatur of Owner Print Name Date
I hereby certify the statements or information made in any paper or plans submitted herewith are true and correct
to the best of my knowledge. I understand this application, related material and all attachments become official
records of the Planning Department, and will not be returned.
Signature of Ecoplexus Print Name Date
Ecoplexus Japan Ecoplexus Mexico Ecoplexus Vietnam
2-28-4 Sendagaya Pasco de la Reforma 350, 10' Floor 16/F Saigon Tower
Inui Building 4t^ Floor Colonia Juarez, CP 6600 29 Le Duan Street, District 1
Shibuya-Ku, Tokyo, Japan Mexico City, Mexico Ho Chi Minh City