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HomeMy WebLinkAbout20210865 Ver 1_Ledford Cane Ck - Agent Auth_202109137 Samuel Ashe Drive, Asheville, NC 78805 1 919-6W-4790 I gregf2jenningsemr@gme!I.tom AGENT AUTHORIZATION FORM Project Location: Cane Creek. Buncombe unto [Coordinates: 35.48290,_-82.431281 The undersigned, registered property owner(s) of the above noted property, do hereby authorize Jennings Environmental PLLC to act on the property owner's behalf and take all actions necessary for the processing, issuance, and acceptance of the permit or certification and any and all standard and special conditions attached. The property owner(s) hereby certify that the information submitted in this application is true and accurate to the best of our knowledge. Property Owner(s): h cv C- ; `"L l —BLP"3 {+&!;M C-T k g -n P-+`' t-� 2'8-70i Owner(s)Address lct)'+J1i—t.—)cJT "0pu.) [�+--� L• �=WrsE� 1�� � C- ki r. C- Owners) Phone: 9�-? -T 13 — Oa1l1 t - l Z 2-39,- Owner(s) Email: (sA CD'-J - -a4- 0Sc :) 1-2-1 Date Jennings Environmental PLLL is licensed with the North Carolina board of Examiners for Engineers and Surveyors and is authorized to hrarNce engineering under the provisions of Chapter 89C and 558 of the General Statutas of Werth Carolina. License Number P-M2.