HomeMy WebLinkAboutICC_Business Owner FormLETTER OF AUTHORIZATION
Business Owner/Agent Address Site Address Information
Company Name:
Integrated Cancer Care
_____________________ 11380 N. Illinois St.
__________________ Carmel, IN 46032
Contact Name, Telephone, & Email:
_______________________
________________________
________________________
I, _________________________ business owner/representative of Integrated Cancer
Center located at 11380 N. Illinois St., Carmel, Indiana gives STALEY SIGNS, INC.
authorization to submit sign permit application for signage at the above-mentioned
property.
Date: _________________________
Business Owner/Rep (signature): _________________________
Please complete form and fax or email to Staley Signs, Inc.
317-221-0123 (fax)
dstaleyjr@staleysigns.com
Laurie Snyder
832-741-4009
laurie.snyder@mckesson.com
Laurie Snyder
9/4/2024