HomeMy WebLinkAboutHIGGINS BLD GROUP- SIGNATURE AUTHORIZATION.tif i
' RECEIVED 08/18/2011 09:31 8286553304 HIGGINS BUILDING GRP
08/18/2011 09:23 8283226814 CATAWBA COUNTY
PAGE 01/01
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Catawba County Permit Center Authorization Form
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' P.U. Box 389
Newton, NC 28658
Telephone: (828) 465 -8399 Fax: (828) 465 -8962
FULL License Number: (i.e. UL- 12345) �d
License holders name:
Business / Owner Name: P;,; N-- s,
'n '.,tea tg �` (r�. na �a up (AC ,
' r-, certify that the following individuals are authorized to sign for a
iPr{nt Name)
permits for this organization where allowed in the NC Licensing laws.
Name:
Signature:
Name: ,
Signature:
Name:
Signature:
Name:
Signature:
License Holders Signature:
This form will in no way reli ve the s gn f y egal obligations concerning the signing of
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documentation as defined in rth Carolina General Statutes or the North Carolina Licensing laws.
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Updated: 04 /10/08 G: /hld /permctr /forms