HomeMy WebLinkAboutMER21-0003 AGENT AUTHORIZATIONAGENT AUTHORIZATION
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To Butte County, Department of Development Services:
Brien G. Hamilton (Hamilton lnc.
Print Name of Agent
P.O. Bxo 978, Orland, CA 95963
Mailing Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors Parcel Number(s)
062-340-004 & 062-340-005
This authorization allows representation for all applications, hearings, appeals, etc. and to sign all documents necessary for
said processing, including mitigation and conditions of approval, but not including documents(s) relating to title interest.
Owner(s) of Record (sign and print name)
JEFFREY DAVIS
Print Name
Signature
PrintName Print Name
Signature Signature
Print Name of Applicant (if other than owner)Signature of Applicant (if other than owner)
Brien G. Hamilton/Land
Print Name of California Civil Engineer/Land Surveyor
P.O. Box 978, Orland, CA 95963
Please contact Division Staffwith
De L -o?,