AGENT.AUTHORIZATION.FORM.SIGNED.ALL.PARTIES.pdf

Docusign Envelope ID: B98A94B9-7CC6-4AB5-93E5-9A8DE47CCD35
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO.
STREET ADDRESS: 8840 DOG LEG RD
Catawba County, NC
PARCEL ID: 461902757576
SHERRILLS FORD, NC, 28673
Please print:
Property Owner: Gregory B Grigsby
Property Owner: Pasquale T Calaiaro
The undersigned, registered property owners of the above noted property, do hereby authorize
Robert L. Morgan, Jr. , of R. Morgan Homes, LLC
(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
Gregory B Grigsby
411 Main Street 2
uale T Calaiaro
peon For Ct
76
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
DocuSigned by: DocuSigned by:
b f j �Vl S�t1 Gregory B Grigsby 494e T Calaiaro
AutNorizedF!tg°nature Aut orize Ignature
Date: 7/11/2024
DIoIc, ulS�igned by: �� �"
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kt, ( b. Auirr ai Ir.
7866CA1746414B5... (/
Date: 7/11/2024
Robert L. Morgan Jr.
7/15/2024