Last update: August 2018
TOWN OF WAKE FOREST
AGENT AUTHORIZATION FORM:
Application #: _________________________ Submittal Date: _________________________
_________________________________ is the owner of the property for which the attached application is
General Use Rezoning or Conditional District Rezoning
Site Master Plan
Subdivision Master Plan
Major Architectural Review
The property is located at: _________________________________________________________________
The agent for this project is: _________________________________________________________________
I am the owner of the property and will be acting as my own agent.
Telephone Number: __________________________________ Fax: _____________________
Email Address: _________________________________________________________________
Signature(s) of Owner(s):
Print or type name(s):
Attach additional sheets if there are additional owners.
*Owner of record as shown on the latest equalized assessment rolls of Wake County. (An option to
purchase does not constitute ownership). If ownership has been recently transferred, a copy of the deed
must accompany this authorization.
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