Orange County NC Website
7 <br />Agent Authorization Form <br />Property Legal Description: OC P/N 9874 -68 -7542 and 9874 -68 -9620 <br />Property Owner: Thomas L Merritt <br />The undersigned registered property owners of the above noted property do hereby authorize Summit <br />Design and Engineering Services (project contact Michelle Kempinski) to act on my behalf and take all <br />actions necessary per the conditions outlined in the Professional Services Contract for the processing, <br />issuance and acceptance of this rezoning application. <br />Property owner's address: 220 Stagg Road, Hillsborough, NC 27278 <br />Phone: 919- 732 -3250 <br />We hereby certify that the above information submitted in this application is true and accurate to the <br />best of our knowledge. <br />Date: AK <br />Authorized Signature: A %�%�Z- <br />