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1081 CHESTNUT AVE; ; CBR2023-5024; Permit
(Cityof Carlsbad {_ City of Carlsbad LINDSAY GRIMSHAW November, 13 2023 RESIDENTIAL SOLAR (Property Owner Consent Form) B-13A Community Development Building Division 1635 Faraday Avenue 442-339-2719 or viaemail at Building@CarlsbadCA.gov Form B-13A; August 2022 Page 1 of 1 I hereby authorize the following company/person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain a building permit for the installation of a solar photovoltaic system at my property. AUTHORIZED AGENT Company name: Company address: Representative name: Phone number: Email address: PROJECT INFORMATION Property address: Project description: I declare under penalty of perjury that I am the property owner for the address listed above and have reviewed the above information and certify its accuracy. Property owner (print)Property owner (signature)Date The property owner’s original (wet) signature required. Agent/contractor is not authorized to sign on behalf of property owner. Scott Carcella 11/13/23 {city of Carlsbad SOLAR PERMIT SPECIALISTS 10769 WOODSIDE AVE SANTEE CA 92071 LINDSAY GRIMSHAW 8082864939 LINDSAY@DESIGNS.SOLAR 1081 CHESTNUT AVENUE UNIT B NEW 2.4KW ROOF MOUNT PV SYS WI 6 MODS, 6 MICRO INV :Sebi±~ Property owner (signa {city of Carlsbad