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Home My WebLink About2.PROJ-25-0012 Agent Authorization Butte County Department of Development Services PLANNING DIVISION 7 County Center Drive, Oroville, CA 95965 Planning Center Phone 530.552.3701 Fax 530.538.7785 dsplanning@buttecounty.net To Butte County, Department of Development Services: ( ) Print Name of Agent Phone Number _______________________________________________________________________________________________________________________ Mailing Address 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) _________________________ _________________________ Print Name Print Name _________________________ _________________________ Signature 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. AGENT AUTHORIZATION FORM NO DPL-02 PO BOX 2493 PARADISE CA 95967 support@townsurveys.com 039-120-041 & 042 SAME bh@townsurveys.com BRIEN HAMILTON LS 8484 530-433-4324 TOWN SURVEYS INC 530 433-4324 Macy Wilson Butte County Department of Development Services PLANNING DIVISION 7 County Center Drive, Oroville, CA 95965 Planning Center Phone 530.552.3701 Fax 530.538.7785 dsplanning@buttecounty.net To Butte County, Department of Development Services: ( ) Print Name of Agent Phone Number _______________________________________________________________________________________________________________________ Mailing Address 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) _________________________ _________________________ Print Name Print Name _________________________ _________________________ Signature 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. AGENT AUTHORIZATION FORM NO DPL-02 PO BOX 2493 PARADISE CA 95967 support@townsurveys.com 039-120-041 & 042 SAME bh@townsurveys.com BRIEN HAMILTON LS 8484 530-433-4324 TOWN SURVEYS INC 530 433-4324 Macy Wilson Robyn Wallerich