20190530 Ver 1_Signed Agent Authorization_20190425

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Project i��rr��: f�asonbor� L��p Rda
Proje�t L��atior�: P�lon� f�a�snborc� L�o� Rd., Wolr�in�ton, fV�
��te: Jan�aary 20�7
The City o� �/ilmin�ton, undersigned, does h�reby authorize:
ih� Pr�f�s.si���l ���ir���rs ��d S�i�n�is�s
(�ontractc�r / Agent)
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�c�i��ic�c�1 �r�gin��rir�g, ��P
((�ame of consulting firm)
t� act on my behalf �nd take a!I actions necessary for ihe prc�cessin�, issuance �nd acceptance of i:his
permit or certificaiion and any and �II siandard and spcci�l conditions �ftached.
City t�f V1/ilmington
Anthony Geafhers
P.O. Box 1810
Wilmington, NC 28402
910-341-5889
[e-mail]
I hereby certify the above information submitted in this application is true and accurate to the
best of my knowledge.
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Anihon��e��� rs Date
Construction Project Manager