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HomeMy WebLinkAboutLetter of AuthorizationAgent Authorizatlon Forrns l/we, the undersigned owner(s) of the following described real property located in Garfield County, Colorado hereby authorizel Agent: Name;KC þlê¡qtêr Phone: 970 1188 E-Mail: Narne of Business or EntitY:Konper C.rpek Buildins. Addressl 18786 qqo City:MÕntrose $tate:Zip: 81403 t0 act in my/our behalf in applying for permits from the County of Garfield. Legal Property Description: Parcel or Account Number: 2¡8334300q58 Section; 34 Township; 6 Range: cFc I \¡/2qE qFqF qFC 14 W2NE. Ë2W ? qws\iv. sË Parcel or A(count Number 3 Section: 2 Township: J Range: 90 çFr a I nTc 1 111 ¿E Aal ) t11 17 Áal ? 110 81 Ac).¿. f 1n 4rt ACì ç2N? -çW.qF. ? W7çW Permit(s)Applied For Ft¡ ril¡lino i. ¡¡l¡l¡acc âa¡acc Signature(s) applications of Property Owners of Record: By my signature I hereby certify thät I hâve read any and other materials completely ancl that all information provided is correct to the best of my knowledge. Date;r8'å. 5ignature: Printed Na Signature: mel out' 8'/8'âA Þ"I¡i ,SorrPrinted Nãme