HomeMy WebLinkAboutTPM21-0008_Agent_Authorization Butte County Department of Development Services
PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965
Planning Center Phone 530.552.3701 Fax 530.538.7785
dsplanning@buttecounty.net
To Butte County, Department of Development Services:
( )
Print Name of Agent Phone Number
_______________________________________________________________________________________________________________________
Mailing Address Email Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors
Parcel Number(s)
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)
_________________________ _________________________
Print Name Print Name
_________________________ _________________________
Signature Signature
_________________________ _________________________
Print Name Print Name
_________________________ _________________________
Signature Signature
_____________________________________________ ___________________________________________
Print Name of Applicant (if other than owner)Signature of Applicant (if other than owner)
( )
Print Name of California Civil Engineer/Land Surveyor Phone Number
Mailing Address Email Address
Please contact Planning Division Staff with any questions.
AGENT AUTHORIZATION
FORM NO
DPL-02
Signature
______________________________________________________________________________________________________________________________________________________________________________________
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115 Yellowstone Drive, Chico Ca 95973 ljmcswain@rarcivil.com
047-440-036
David Woods
Lauren J. McSwain
115 Yellowstone Drive, Chico Ca 95973 ljmcswain@rarcivil.com
Rolls Anderson & Rolls - Lauren J. McSwain 530 895-1422
Lauren J. McSwain - Rolls Anderson & Rolls 530895-1422
7/8/2021