HomeMy WebLinkAbout2. DPL-02 Agent Authorization FormButte County Department of Development ServicesPLANNING DIVISION
7 County Center Drive, Oroville, CA 95965 Planning Center Phone 530.552.3701 Fax 530.538.7785 d§Planning@wttccOIHJIY.Jl.<l!
AGENT AUTHORIZATION
To Butte County, Department of Development Services:
Rolls, Anderson & Rolls cs3g ags-1422
FORM NO
DPL-02
Phone Number
jrabo@rarcivil.com
Print Name of Agent
115 Yellowstone Drive, Chico, Ca 95973
Malling Address Email Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors
Parcel Number(s)
079-330-002
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
Print Name
Signature
Print Name
Signature
Signature of Applicant (If other than owner}
c539 895-1422
Phone Number
jrabo@rarcivil.com
Print Name of Applicant (if other than owner)
Jeffrey I. Rabo
Print Name of California Civil Engineer/Land Surveyor
115 Yellowstone Drive, Chico, Ca 95973
Mailing Address Emal! Address
Please contact Planning Division Staff with any questions.