20231643 Ver 1_Site Plan_20231206

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AGENT AUTHORIZATION FORM
Please note that multiple forms may be necessary if there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTION:
STREET ADDRESS OF EXISTING HOME or LATITUDE/LONGITUDE OF NEW CONSTRUCTION:
9 Four Seasons Trail Cullowhee, NC 28723
Parcel I D : 7563-39-9600
Property Owner Name(s) -- please print:
Property Owner
Property Owner:
3015 EUCLID LLC (Todd & Carol Schweitzer)
The undersigned, registered property owners of the above noted property, do hereby authorize
-F,ogc 2 T Wgzj— of RT Ward Inc. Builders
(Contractor/Agent) (Name of company)
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 Owners Mailing Address (if different than properly address above):
1002 S Road. Tampa, FL 33629 [e-mail]
Property Owner(s) Telephone: [phone] Todd Schweitzer
We hereby certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date Date