20230339 Ver 1_AGENT_AUTHORIZATION_FORM_20230301

DocuSign Envelope ID: 785F219F-5B9B-4EA1-AFC8-AE604D7F4062
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
Property Deed:
Book:
Page:
PIN:
Street Address:
Property Owner: Contentment Holdings, LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
Agent of and/or Agent of BREC, PA
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):
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
DocuSigned by:
LIA�IA. "L
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Authorized Signature
Date: 9/20/2022
Kevin Hall owner rep
Print — Name, Title
Print — Name, Title