HomeMy WebLinkAboutAGENT CONSENT FORMSCANNED MISSIONARY FLIGHTS AND SERVICE, I RpE
BY 3170 Airmans Drive RECEIVEDST LUCIE rr""^'T` Fort Pierce, FL 34946
MAR 0 S 2018
AGENT CONSENT FORI}A
ST. Lucie County. Pe,
Project Name: MISSIONARY FLIGHTS AND SERVICE
Parcel ID: 1430-311-0002-000-3
BEFORE ME THIS DAY PERSONALLY APPEARED /-a uJ+'�h C I CaMP b'e, WHO
BEING DULY SWORN, DEPOSES AND SAYS THE FOLLOWING:
I hereby give CONSENT to Engineering Design & Construction. Inc. to act on my behalf,
to submit or have submitted applications and all required material and documents, and
to attend and represent me at all meetings and public hearings pertaining all City,
County and State permits for completion of the project indicated above. Furthermore, I
hereby give consent to the party designated above to agree to all terms and conditions
which may arise as part of the approval of this application for the proposed use of a
commercial development.
FURTHER AFFIANT SAYETH NOT.
The foregoir�g instrument was acknowledged before me this ><� day of Nq 116� 20 16, by
l awrer,C aAWbe,/J(Name of Person Acknowledging) who is personally known to me or
who has produced HL. ID, C.. • (type of identification) as identification and who
did id not) take an oath}}.
(Signature of Person Tacking �{Acknowledgement) L/Owner's Sioature
t CL n-J C/l A
(Name of Acknowledger Typed, Printed or Stamped) Owner's Name (Print)
(Title or Rank)
r-F--983Y/4
(Serial Number, if any)
300 ��
Street Address
rt' ?1irce It 5Y5TG
City, State, Zip Code
Fabida M. sesta -fl L
(Notary's Sea]) NOTARY PUBLIC Telephone
STATE OF FLORIDA
C*Tdya FF993414