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<br /> <br />AUTHORIZATION FOR MOSQUITO CONTROL <br />FOR <br />LARVAL AERIAL APPLICATIONS IN BRADLEY WOODS <br />SIGNING AND RETURNING the copy of this authorization form will authorize the <br />Clarke Environmental Mosquito Management, Inc. to perform Larval Control within the <br />stipulated limits found on this cost estimate unless otherwise stated. <br />CONTACT FOR AUTHORIZATIUN: <br />NAME: <br />ADDRESS: <br />PHONE: <br />CITY/STATE/ZIP: <br />FOR CLARKE ENVIItONMENTAL MOSQUITO MANAGEMENT, INC.: <br />SIGNATURE: ? 7! TITLE: Control Consultant DATE: / J), d-7 <br />Brian P. Deenihan <br />FOR THE CUYAHOGA COUNTY BOARD OF HEALTH: <br />SIGNATURE: <br />FOR TFIE CITY OF WESTLAKE: <br />SIGNATURE: <br />TITLE: DATE: <br />TITLE: DATE: <br />FOR THE LORAIN COUNTY HEALTH DEPARTMENT: <br />SIGNATURE: TITLE: <br />FOR THE CLEVELAND METRO PARK 5YSTEM: <br />SIGNATURE: <br />TITLE: <br />DATE: <br />DATE: <br />FOR THE CITY OF NORTH LMSTED: <br />kL: TITLE: DATE: ???? <br />SIGNATURE. <br />