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Name: MILL SPRING Location: 035.335783' N, 082.187670' W
Date: 08/09/23 936 HAWK RIDGE DRIVE MILL SPRING NC
Scale: 1 inch = 600 ft. SITE VICINITY/PROJECT LOCA77ON MAP
C Copyright 2016, Trimble Navigation Limited
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AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 2 Deed. 421/1665 PARCEL ID: P55-239
STREET ADDRESS: 936 Hawk Ridge Dr. Mill Spring NC 28756
Please print: c"y-
Property Owner: �m rrc'-Constance Yoe
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):
Telephone/email: miamidan5l(dyahoo.com
woos rcf,We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date: Date: