Owner authorization AFFIDAVIT OF PERMIT AUTHORIZATION
This affichavil cerfi f es that 1lre partv lisle(l, Ktha is »01 a lessee, licensed alrhllect,
enWirteer, or• eortlraeloi; has been granle(l authorization to ohluin n 17cyrinfl(s) are behalfof
a piY)1)ei*tv owner. 1 i »nist befilled on1 comlVetely kv the 1)iv1)er1y owner if another party
is srihmirting an application(s) on the o►slner's behalf.
"owner of the property listed below certify that I
have granted, Stratus, and their permit expeditor Expedite The Diehl, my duly authorized
agent, permission t�� obtain the sign Permits and related documents necessary for the
construction (or installation) of signs at the follo%ving address:
276 HIGHLAND AVE SALEN1, MA 019711
Ada,ews of f► ioca,i,,ii
111I1dCfSIaI1d Ci18t I aIll aUi}1(1T1l.111g 1hC1I1 t0 apply for necessar}r permit and related permit
documents. This is linutcd to what is necessary for sign permit projects to be completed
sipecuar of Pr Owner Date
I