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
being submitted:
General Use Rezoning or Conditional District Rezoning
Site Master Plan
Subdivision Master Plan
Construction Drawings
Variance
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.
Name: ______________________________________________________________________________
Address: ______________________________________________________________________________
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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