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City of Everett <br /> Permit Services <br /> 3200 Cedar St. <br /> Everett,WA 98201 <br /> (425) 257-8810 <br /> RE: New Cingular Wireless PCS, LLC(AT&T) <br /> SN05 Paine Field <br /> Building and Land Use Application(s) <br /> Site Address: 1118 801h St SW <br /> Parcel M 003922000011700 <br /> I/we, C4'��XNI\ )A ,the-twner(wewll�fls) <br /> -� representativ 'A of the subject property, understand that by completing this form I/we hereby authorize <br /> �W 1 Glotel, Inc. and its employee Gibran Hashmi—acting as agent for New Cingular Wireless PCS, LLC(dba <br /> AT&T),to submit for any required Building and Land use applications, associated with AT&T's proposed <br /> modification of its SNOS Paine Field site, located at the above listed address. I/we also understand that <br /> all submittal, review and issuance fees are to be paid by AT&T and/or Glotel, Inc., and once an <br /> application has been submitted all correspondence will be directed to the agent Gibran Hashmi with <br /> Glotel, Inc. <br /> Landlord Consent Provided by: <br /> Name: t <br /> Title: 1 V;�1 � <br /> Signature: <br /> Date: �C _� <br />