HomeMy WebLinkAbout2021-5-11 Agent Authorization (2)Wheels Leasing, LLC
2590 N. Kings Highway
Fort Pierce, FL 34957
AGENT CONSENT FORM
Project Name: Southern Truss
Parcel ID: 1336-231-0001-000-2 and 1336-240-0000-000-3
BEFORE ME THIS DAY PERSONALLY APPEARE , 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. ��77��
e foregoing instrument was acknowledged before me this 2Z day of r nit/+-' t , 20Z , by
(Name of Person Acknowledging) who is personally known to a or who
has produced (type of identification) as identification and who did
(did not) take an oath.
Notar"Signatu
��Printed Name of Notary
(Notary Seal)
nnMl1N
TINA M. FORGETTE
MY COMMISSION$GG145108
EXPIRES: September 20, 2021
My commission expires
Ownsl Signature
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Owners Name
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Street Address
e FL 64q',�-1
City, State, Zip
-n 2 - % 4-41 t2 D
Telephone / Email