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von Rosenbach - HOAInsight Solar 89 Market St. Northampton, MA 01060 413-338-7555 Homeowner’s Authorization to File Permits I, am the owner of the property located at address: ________________________________________________ I hereby authorize Insight Solar and their subcontracting company , to act as my agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a PV solar electric system located on my property. This authorization includes the transfer/re- administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Homeowner’s Signature: __________________________________________________ Printed Name: __________________________________________________________ Date: _________________________________________________________________ SHELBY VONROSENBACH 66 Emily Lane, Northampton, MA 01060