APPENDIX 2: APPOINTMENT OF AGENT FORM (OPTIONAL)

I                          owner of property located on                                  ,

      (name)                                          (street name)   

recorded in                       and having a parcel identification number (PIN) of          ,

                 (deed book / page)

located in the Town of Mills River, North Carolina, do hereby appoint                   

                                                 (agent's name)

to represent me in an application for subdivision of land and authorize him/her to act as my agent in all matters, formal and informal except as stated herein, and authorize him / her to receive all official correspondence. I however understand that as the listed property  owner , I must sign all affidavits and statements required by this Ordinance.

Property  Owner                                              date

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   TOWN USE ONLY

Received by:                                  Date:    

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