HomeMy WebLinkAboutLLA22-0002 02. Agent AuthorizationButte 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
AGENT AUTHORIZATION
To Butte County, Department of Development Services:
Thomas E. Harris, LS c539 865-5567
FORM NO
DPL-02
Print Name of Agent
908 6th Street, Orland, CA 95963
Phone Number
tom@harrislandsurveying.com
Mailing Address Email Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors
Parcel Number(s)
04 7-006-041 , 04 7-006-064 and 04 7-006-065
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
Signature
\<ATHLE.€:N A.':(vHN~
Signature
Print Name of Applicant (if other than owner)
Thomas E. Harris, LS
Print Name of California Civil Engineer/Land Surveyor
908 6th Street, Orland, CA 95963
Mailing Address
Print Name
Signature
Print Name
Signature
Signature of Applicant (if other than owner)
5t30 ) 865-5567
Phone Number
tom@harrislandsu rveyi ng. com
Email Address
Please contact Planning Division Staff with any questions.