HomeMy WebLinkAboutMER23-0007.2_Agent AuthorizationButte County Department of Development Services FORM NO
PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965
Planning Center Phone 530.552.3701 Fax 530.538.7785
dsplanning@buttccountv.net
DPL-02
Butte County
uC A LI F O K N I A
AGENT AUTHORIZATION
To Butte County, Department of Development Services;
Compass Consulting Inc, Daniel E. Hoagland L.S. 8621 ^530,-210-6398
Phone Number
530-210-6398
Print Name of Agent
14743 Stinson Drive Grass Valley, California 95949
Mailing Address Email Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors
Parcel Number(s)
Apn 062-170-038
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
b
Signature
Print Name
Signature
Print Name
Signature Signature
Print Name of Applicant (if other than owner)Signature of Applicant (if other than owner)
i_L
Print Name of California Civil Engineer/Land Surveyor
14743 Stinson Drive Grass Valley, California 95949
Phone Number
hoagsurv@yahoo.com
Mailing Address Email Address
Please contact Planning Division Staff with any questions.