20220805 Ver 2_PoplarGlen_SignedAgentAuthorization_20220715

AGENT AUTHORIZATION FORM
The undersigned, registered property easement owners (see attached property documentation),
do hereby authorize
Dan Zurlo , of WK Dickson &Co., Inc
(Contractor/Agent) (Name of consulting firm)
to act on behalf of the Town of Indian Trail, NC 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 for the Poplar Glen Stormwater Improvement Project.
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: /r c.ZZ Date: 6/14/22