20230489 Ver 1_Agent Authorization_20230404

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 8 PLAN NO. F/1674 PARCEL ID: P54-317
STREET ADDRESS: LOT 8 (0 HUSKEY POINTE MILL SPRING NC) JACKSON COVE SUBDMSION
LAKE ADGER
Please print:
Property Owner: MIKAEL ANDERSON
The undersigned, registered property owners of the above noted property, do hereby authorize
WARREN EADUS of QUIBLE & ASSOCIATES. P.C.
(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.
Property Owner's Address (if different than property above):
3410 DELAMERE DRIVE MAITHEWS, NC 28104
Telephone: P/? - 6L r-717
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
4WIZ
Authorized Signature Authorized Signature
Date: _J/3y 23 Date: