HomeMy WebLinkAbout2. LLA25-0001 Agent AuthButte County Department of Development Services FORM NOPLANNINGDIVISION
7 County Center Drive,Oroville,CA 95965
Planning Center Phone 530.552.3701 Fax 530.538.7785
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AGENT AUTHORIZATION
To Butte County,Department of Development Services:
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Print Name of Agent Phone Number
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Mailing Address Email Address
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Parcel Number(s)
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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)
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Prin^ame Print Name
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Signature Signature
Print Name Print Name
Signature Signature
Print Name of Applicant (if other than owner)Signature of Applicant (if other than owner)
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Print Name of California Civil Engineer/Land Surveyor Phone Number
Email AddressMailingAddresscX7
Please contact Planning Division Staff with any questions./