HomeMy WebLinkAboutUP17-0005 - Agent Authorization & LOA - 05-30-17Scanned by CamScanner
Letter of Authorization
Permission for Filing of Zoning/Building Permit Applications
To: Butte County Planning Department
Re: AT&T# CVL02163 Concow I 13032 Concow-Road Oroville CA 95965 ' '
I/We, the owner(s) of the above described real property, authorize Shore 2 Shore Wireless to act
as an agent on my/our behalf for the purpose of performing all and every act that is required, necessary
or appropriate to prepare, sign, submit, file and present on my/our behalf building, permitting, zoning
and/or land use applications to obtain land use changes, special exceptions, zoning variances, zoning
permits, conditional use permits, special use permits, administrative permits, construction permits,
operation permits, building permits, and other approvals or permits related to AT&T modifications at the
above described real property.
The undersigned hereby certifies to being the fee owner(s) of the real property described above
and that to the best of my/our knowledge the information contained within this authorization is true and
correct.
(Print name) (Print Name)
(Date) (Date)
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AGENT AUTHORIZATION
To Butte County, Department of Development Services:
Sara King (AT&T Agent) (916) 296-2011
Print Name of Agent Phone Number
P.O. Box 6043, Folsom, CA 95763
Mailing Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors Parcel Number(s)
058-230-039
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)
George Cox
Print Name
stfo:/o/
Print Name
Signature
Sara King
Print Name of Applicant (if other than owner)
Brian K. Winslow, Borges Architectural Group
Print Name of California Civil Engineer/Land Surveyor
Meralee Cox
Print Name
Print Name
Signature
Signature of Applicant (if other than owner)
(916) 782-7200
Phone Number
1478 Stone Point Drive, Suite 350, Roseville, CA 95661 brian@borgesarch.com
Mailing Address Email Address
Please contact Planning Division Staff with any questions.
SIGN HERE