HomeMy WebLinkAboutDBP-47_Letter_of_Authorization - CorporationButte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone 530.538.7601 Fax 530.538.7785
www.buttecounty.net/dds
FORM NO
DBP‐47
Letter of Authorization ‐ Corporations
___________________
Full Legal Name of Business Corporation Corporation Entity Number
____ __
Address, City, State, Zip Contractor License No., if applicable
________________________________
Phone Number Email
I, ___________________________________________________, have legal authorization to appoint on
Full Legal Name ‐ Printed
behalf of the above‐listed corporation, an agent to conduct business with Butte County Department of
Development Services as noted by the checkmarks below:
☐ Make application and sign for building permits
☐ View documents on file/obtain copies of building files related to the Corporation
☐ Cancel Permits
☐ Apply for refunds when payee is the Corporation.
Name of appointed agent: ________________________________________________________
(Note: Identification required to be shown)
This authorization shall expire on: __________________________________________________, or
(If a date is entered, authorization shall expire on that date)
upon written revocation of this authorization by the Corporation.
______________________________________________ ____________________________
Authorized Corporation Signature – Full Legal name Date
of person whose name is printed above as legally authorized
to sign on behalf of the Corporation