20130086 Ver 1_Agent Authorization Letter_20131008

10/08/2013 11:51 8287669247 PAGE 02/02
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
Book 444
Page 2022
PIN: 181400032712` Avery County, NC
STREET ADDRESS: Mud Puppy hock Lane, Plumtree, NC 28664
Property owner'. Natalie Prewitt— Trustee
The undersigned, registered property owners of tke above noted property, do hereby authorize
Derek Goddard of BREC PA
(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 all standard and special conditions attached.
Property Owner's Address (if different than property above);
Natalie Prewitt-- Trustee
PO Box 28
Plumtree, NC 28664
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
Natalie Prewilt - Trustab
Authorized Signature
Date: / 0 '' 1. 1 �