20190176 Ver 1_Agent Authorization Form_Odyssey Drive_SD-2018-01_20181212-signed_20190208

AGENT AUTHORIZATION FORM
Project Name: Odyssey Dr. Culvert
Project Location: Odyssey Dr., Durham, NC
Date: June 2018
City of Durham, undersigned, does hereby authorize:
The Professional Engineers and Scientists
of
Ecological Engineering, LLP
(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.
Dana Hornkohl
101 City Hall Plaza
Durham, NC 27701
I hereby certify the above information submitted in this application is true and accurate to the
best of my knowledge.
�a�ra � tfo�nl�ol�G
12/12/2018
Property Owner Date