Page 2 of 7 Rev. 10/2019
PROJECT MANAGER (Representative for Developer)
Contact Name: E-Mail:
Company Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No: ( )
PROPERTY OWNER
Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No: ( )
If the property is owned by more than one person, attach a separate page that references the application case
number and lists the names, mailing addresses, and phone numbers of all persons having an interest in the real
property or properties involved in this application.
OWNER CERTIFICATION
I CERTIFY UNDER THE PENALTY OF THE LAWS OF THE STATE OF CALIFORNIA THAT I AM THE PROPERTY OWNER OF
THE PROPERTY THAT IS THE SUBJECT MATTER OF THIS APPLICATION AND I AM AUTHORIZING AND DO HEREBY
CONSENT TO THE FILING OF THIS APPLICATION AND ACKNOWLEDGE THAT THE FINAL APPROVAL BY THE CITY OF
MURRIETA, IF ANY, MAY RESULT IN RESTRICTIONS, LIMITATIONS AND CONSTRUCTION OBLIGATIONS BEING
IMPOSED ON THIS REAL PROPERTY.
All signatures must be originals (“wet-signed”). Photocopies of signatures are not acceptable.
PRINTED NAME OF OWNER SIGNATURE OF OWNER
PRINTED NAME OF OWNER SIGNATURE OF OWNER
If the property is owned by a Corporation, Partnership, or Limited Liability Company (“LLC”), provide
documentation that the individual signing is authorized to sign on behalf of the Corporation, Partnership, or LLC.
Written authorization from the legal property owner is required. An authorized agent for the owner must attach a
notarized letter of authorization from the legal property owner.
If the property is owned by more than one person, attach a separate page that references the application case
number and lists the names, mailing addresses, and phone numbers of all persons having an interest in the real
property or properties involved in this application.
See attached sheet(s) for other property owner’s signatures.