AUTHORIZATION CONSENT FORM
(must sign in the presence of a notary)
If you are filling out more than one application for the same project & address, you may submit a copy of this form with additional applications.
IF THE PROPERTY OWNER IS THE APPLICANT, SKIP TO NEXT SECTION
As the property owner/authorized owner’s representative of the subject property listed on this application, hereby authorize
the applicant/representative to act in all matters pertaining to the processing and approval of this application, including
modifying the project. I agree to be bound by all terms and agreements made by the applicant/representative.
____________________________________________________________________________________________________
(property owner name printed)
_________________________________________________________________________ ________________________
(property owner signature) (date)
Subscribed and sworn to before me on this ______ day of ________________, 20_____.
State of _________________ County of __________________
Stamp or Seal
Notary Public Signature: _______________________________________________
AGREEMENT TO COMPLY AS APPROVED As the applicant/representative/owner of the subject property listed on
this application, I hereby agree that the project will be completed as approved with any conditions and terms of the approval,
and any proposed changes to the approval shall be submitted for review and approval to City staff.
AUTHORIZATION TO VISIT THE PROPERTY I hereby authorize City representatives to visit, photograph and post
notice (if applicable) on the subject property as described.
APPLICATION SUBMISSION CERTIFICATION I hereby certify that the information on this application is complete
and accurate to the best of my knowledge.
____________________________________________________________________________________________________
(applicant/representative/property owner name printed)
_________________________________________________________________________ ________________________
(applicant/representative/property owner signature) (date)
Subscribed and sworn to before me on this ______ day of ________________, 20_____.
State of _________________ County of __________________
Stamp or Seal
Notary Public Signature: _______________________________________________
Applicant/Property Owner/Representative
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit