1917 Beach Avenue ZVAR-2008-02 Exhibit 4C_Authorized AgentJ. s- is hereby authorized to act
on behalf of "-r ee& V 91atex the owner(s) of those lands described
within the attached application, and as described in the attached deed or other such proof of
ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an
application related to a Development Permit or other action pursuant to a:
❑ Zoning Variance ❑ Comprehensive Plan amendment
❑ Use -by -Exception ❑ Fence or Pool Permit
❑ Rezoning ❑ Sign Permit
❑ Plat, Replat or Lot division ❑ Other
BY: `''` .
�Si a�e of O jer ^�
_ 111 ice/(/' '.z
Print Name
Print Name
r` -
Telephone Number
State of Florida
County of Duval
i C dvAdt I
Signed and sworn before me on this 4-r K day of, 2008.
$y(2AAd'rgA ffMv7H Y- k Ori g,9v7h1
Identification verified: V4.
1
Oath sworn: Yes No
Notary Signature
o�P"' '& Kathleen A. Skoblow
.
Commission* DD451782
;; P'a Banded Troy Fain - Insurance, Inc. 800-385.7019