20241117 Ver 1_Agent Authorization Letter_20240910

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 111 PLAN NO. PARCEL ID: 7563569405
STREET ADDRESS: 977 New Trillium Way
Cashiers, NC 28717
Please print:
Property Owner: Yacht Club at Signal Ridge
Property Owner: Jared Zimmer
The undersigned, registered property owners of the above noted property, do hereby authorize
Hubert Bryson of Bryson Trucking
(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):
1167 Links Dr Cashiers, NC 28717
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
A rized Signatur Authorized Signature
Date: 9/10/2024 Date: