20151103 Ver 1_Agent Authorization Letter_20151021

9 C'..V a.Gt E:
AGENT AUTHORIZATION
This form authorizes state employees, federal employees, and all entities performing
site assessments by or on behalf of Cypress Creek Renewables (the foregoing,
collectively, "Contractors ") to perform site assessments, site verifications, and
permitting exercises at the property identified by the parcel ID referenced below.
This form must be completed in full. A list of Contractors is available upon request.
Property Address: % 2a Ive Clrt f,, a.ti' iC t>SkrrJ
Parcel ID Number: 2 'reoc-1•s �57� /( 3d oll.z -SIC) 9.3.531= /k-Y�SC�('YoAC�
Owner Name: Au A
Address: lo 0 1 ,LV tj ai t_ C�>,A t<&s4a -,- za A) C. 3
Telephone Number:
9t9--73.i — X63
E -mail:
Fax (optional):
Owp r Signature Dace Signed