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HomeMy WebLinkAbout2011/06/06 RESOLUTION DESIGNATION OF APPLICANT'S AGENT NC DIV OF EMERGENCY MANAGEMENTRESOLUTION DESICNAIION OF AFFLICANT'S ACIWr Nurlh Cnrolizin Divimun of limb •IaY;v Mtlnd tiyncRl OrgmPiat Na Q awn d znm Dilasl Ru r. 4«)J on ApOlemifa Slate Cot mm Aganay Ibr Singlc Audir pur)toaaA (11 CopMoal Agency iA not aaaigned, please indicate); AMWicanfa Fiscal Year(IY) \Imt ,f Applicant's Paderd RmpiuyueN idcnulicatiun Number tS - 06304' Applicmll Fdcrd Inlbmntinn pmcom6ng Standards (1'n':i) Numbs PRIMARY ACKNT SECONDARY AGENT Agam's Namc Agent's ,r Wr/1' /ig OrRm'YUian _ Ar e & LME t'r'dL ✓S• Orgam [ion ,, J"1 —A e,41 SAS. Official Puy "on OOicinJ- Ibvitinn JJi P. E eaCr MmlcnN ss Meiling d ,e) 41 Pei A6 Cily.S(Nu, Y.ip / • Ar • NC s Caty,S e, %c "• a! .7j- 6 Uayfimc- l'dcpltotm �• �s-8� 1)uytimo'I' lophccne n•83�3 Fa:tumilu Number o . 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GZ0rGp0r Z CERTIFYLYGOFRICCAL lr e P amoa TUc o tceall actin, 11 wain uml lido ( Wv inwT (.O O N r CERTIFICATION I. Q )', (Nano) duly aMoirged and C /e I^ k (Tide) of litd Clownting D y, J v horr yy ex ifv (haF IRc a{(ow !e n tau; apdpLw=l cop. of a rc 1ufan pawd n1 a dta Covdrnir 13ud of (OrGaro7rGoR) un lhu .. ._� . Date: I Rw. Of✓02 J APPLICARTASSURANCES T�h nsptms In1lymw�m aamlDim ad Iwl mnpy wih etu FbMA Icgu uasa, poyca,t µlldanu wW lOgJbtllenm Ifn7doro OMB'D CbaMOW ND. 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