20230356 Ver 1_Agent Authorization_20230308

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
PARCEL ID: 8-217-1-109 / 8-217-1-010
STREET ADDRESS: 400 Industrial Drive, New Bern, NC 28562
Please print:
Property Owner: Craven County Representative: Mr. Jeff Wood)
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Ray Bode or Preston Butler, of Johnson Mirmiran & Thompson Inc (JMT)
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.
Property Owner's Address (if different than property above):
406 Craven Street, New Bern, NC 28560
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:
Q 1130 Situs Court, Suite 200 Raleigh, NC 27606 % [phone] % wwwjmt.com