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HomeMy WebLinkAbout20200922 Ver 1_Agent Authorization_20200527US Owny Corps, of Engineers ' AGENT AUTHORIZATION Property Address: 11571 NC-12, Rodanthe, NC 27968 Parcel PIN: 074200340875 Please print: Property Owner: United. States Government, Dept. of the Interior. Fish & Wildlife Service Property Owner: Cape Hatteras Electric Cooperative (Transmission Easement) The undersigned, registered property owners of the above noted property, do hereby authorize Booth & Associates, LLC — 5811 Glenwood Ave., Raleigh, NC 27612 (Agent / 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): 47109 Lightplant Road, Buxton, NC 27920 Telephone: (252) 995-5616 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authorized Signature Authorized Signature Date: 2 }� Date: Booth & Associates, LLC Consulting Engineers 5811 Glenwood Avenue, Suite 109 Raleigh, North Carolina 27612 Firm License No.: F-0221 19-9212-9005 X ►1(1 0 December2019 „lx