20230201 Ver 1_Agent Authorization Letter_20230302

mcgdl
AGENT AUTHORIZATION FORM
PROJECT NAME: Dodge's Convenience Store
Shaping Communities Together
PROPERTY LEGAL DESCRIPTION: D13:001464, 000675, 000993, 000703, 000615 PG:00521,00059, 00352,
00029, 00457
PARCELID. 9652673798,9652673975,9652674962,9652684005,9652684073
STREET ADDRESS: 4175 Hendersonville Road, Fletcher, North Carolina 28732
Please Print
Representative: Perfection Oil Company
(If Representative) Title: Nat Leathers (Senior Vice Presiden
The undersigned do hereby authorize:
Jon Swaim , of McGill Associates P.A.
(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):
447 East Main Street
Tupelo, Mississippi 38804
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the best of our
knowledge.
01,
Authorized Signature
Date: 3/ /)-/.,-)--3
MCGILL ASSOCIATES 1240 19`h Street Lane NW, Hickory, NC 28601 / 828.328.2024 / MCGILLASSOCIATES.COM