Agent Authorization FormNEW HANOVER COUNTY 230 Government Center Drive
uite
PLANNING &LAND USE Wilmington,NC 28403
910-798-7165 phone
AUTHORITY FOR 910-798-7053 fax
www.nhcgov.comAPPOINTMENTOFAGENT
Please note that for quasi-judicial proceedings,cither the land owner or an attorney must be present for
the case at the public hearing.
The undersigned owner does hereby appoint an authorized the agent described herein as their exclusive agent
for the purpose of petitioning New Hanover County for a variance,special use permit,rezoning request.and/or
an appeal of Staff decisions applicable to the property described in the attached petition.The Agent is hereby
authorized to,on behalf of the property owner:
1.Submit a proper petition and the required supplemental information and materials
2.Appeal at public meetings to give representation and commitments on behalf of the property owner
3.Act on the property owner?s behalf without limitations with regard to any and all things directly or
indirectly connected with or arising out of any petition applicable to the New Hanover County Zoning
Ordinance.
Agent Information
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AY dade Tracking Information (Staff Only)See ireten EBONOATES
Case Number Reference:Date/Time received:Received by:
This document was willfully executed on the 06 dayof__Jun&,20 23
Alan,5.2:
Owner |Signature Owner 2 Signature
09/14