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HomeMy WebLinkAbout1 Ver 1_ACOR Agent Form_20230228mcg'" Shaping Communities Together AGENT AUTHORIZATION FORM PROJECT NAME: American Complete Organics Recycling - Compost Facili PROPERTY LEGAL DESCRIPTION: DB: 01712 PG: 0037 PARCELID. 01025001025 STREET ADDRESS: 13761 Airport Road Laurinburg, NC 28364 Please Print Representative: Fred Mussari, NC Organics Recycling (If Representative) Title: Presdident, CEO The undersigned do hereby authorize: Jon Swaim of McGill Associates PA (Contractor / 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 any and all standard and special conditions attached. Representative's Address (if different than property above): 783 County Road 13 S St Auqustine, Florida 32092 Telephone: 772-409-4044 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authorized Signature Date: 2 %n I I Z 3 MCGILL ASSOCIATES 1240 19' Street Lane NNJ Hickory. NC 28601 1828 328 2024 1 MCGILLASSOCIATES COP I