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Consent of Owner Form
PROPERTY OWNER(S) / AUTHORIZED AGENT: By signing below, I/we certify under penalty of perjury
that I am/we are the owner(s) of the property that is the subject of this application and that I/we have
authorized this application and consent to its filing.
PLEASE NOTE:
• Property Owners: Attach additional info/documentation if necessary.
• Authorized Agents: If signing on behalf of a Property Owner, a letter from each Property Owner must be
provided indicating that the agent is authorized to act on their behalf.
____________________________________________________________________________________
Associated Project (required field)
Property Owner 1:
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 2: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 3: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 4: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
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