HomeMy WebLinkAboutMISC23-0004 3. Agent AuthorizationButte County Department of Development Seivices FORM NO
PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965
Planning Center Phone 530.552.3701 Fax 530.538.7785
d.soianniin;@butteconntv.net
DPL-02
i Butte County
U iJCALIFORNIA
AGENT AUTHORIZATION
To Butte County, Department of Development Services;
Wesley Gilbert (530) 809-1315
Print Name of Agent Phone Number
140 Yellowstone Drive, Suite 110, Chico, CA 95973 wes@wgilbertengineering.com
Mailing Address Email Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors
Parcel Number(5)
018-010-051
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)
Ryan T. Olson, Trustee Stefanie M. Olson, Trustee
Print Na
Signature
Quinn M. Olson
Print Name Print Name
Signature Signature
Print Name of Applicant (if other than owner)Signature of Applicant (if other than owner)
Wesley Gilbert (530) 809-1315
Print Name of California Civil Engineer/Land Surveyor Phone Number
140 Yellowstone Drive, Suite 110, Chico, CA 95973 wes@wgilbertengineering.com
Mailing Address Email Address
Please contact Planning Division Staff with any questions.