HomeMy WebLinkAboutADM22-0027 Home Occupation Permit Approved6/10/2022Planning Manager
Butte County Department of Development Services PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965 Planning Center Phone 530.552.370 I Fax 530.538.7785 dsplmming@buttecounty.net
AGENT AUTHORIZATION
To Butte County, Department of Development Services:
FORM NO
DPL-02
t;&-6 ()711
Print Name of Agent IL/ 2 5 � S her t.v �o rJ.. l ; rl It'
Mailing Address
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Phone Number jo�ephCc..J,n C/9 I G>!11,,,q;1.c. ,,_.,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)
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.
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