20180379 Ver 1_More Info Received_20180509

k 031 c`��:51ciI�
�y 3206
y,
CU4 »�
3401 L `• s ,� ,.
r:•
3
4p® w 2C2 j 204 20 `
p0 #
� 3R<pa {r
115 .6R��
3 1 A1
3204 .
3146
202
�F�Rb PL 311
J
gip 14 Ci
4�
3116SSE
�►e _,.
n ;
i. 7
3114
wx. 318
112 4 1
320
00-01�p 210
31108 `� � 321411,
10
t
3212
44,
3102 e 321
3Yu �
3104, 10
3 1
n • � - MpR
Ap
I Ir
' 7 s 1680 I
W `1F K �Aa Y
x + 00 17 ' !

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN N0, PARCEL ID:
STREET ADDRESS:
X Please print:. �� � 1A & W S UM l -
Property Owner:
Property Owner:
J�
The undersigned, registered property owners of the above noted property, do hereby authorize
Npdi of C-1 EV of W, 15'
(Contractor/ Agent) (Name o consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or_certification and any and all standard and special conditions attached.
Property Owner's Address'(if different than property above):13 5,
XTelephone: 2 51' 1.
We.hereby certify the above Information submitted in this application is true and accurate to the
best of our knowledge.
A00 rized Signature Authorized Signature
Date: Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: 7'n/eS�"S "1` ►/�'
Please print: .
Property Owner: Q.
Property" Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
lAnhPa 5,045 ,of
(Contractor / Agent) (Name of consulting firm),
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
YTeIephone:
We hereby.certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Auth i d Signature Authorized Signature
Date: - . Date:
Th 1-5
9 it e 10 05C.
s�nean proj ee¢ ol)To;S,1o,

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO,
PLAN NO. PARCEL ID:
STREET ADDRESS: 3 2 i I ri fl)d Sa yr, Dry.
Please,print: `
Property Owner: GI Q K d �Un
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
p
Noa ti P "wis of s
(Contractor / Agent) (Name of con (ting firm)
to act on my behalf and take all actions necessary for the processing, issuance and'acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
kelephone: l a Sa' 110 6— 9:0 S 9
i
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
O
Aut ri '3ed Signaatu e/ Authorized Signature
Date: 9 I Date:

AP r. 2. 2018 11: 06AM
„�. � � . � o � �a►�so v� S
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION;
LOT No, PLAN NO. � 'PARCEL ID:
STRE=Er ADDRESS: �b Z Wai-crka
No. 1885 P. 1'
N Please print, L �! C7 oj c -s
1� Property Owher,
Property Owner:
The 6nder9igned, registered properly owners of the above noted property, do hereby authorize
IVPA� �tiPa`�0/1� ,Of
(Contractor/Agent) (Named* consulting firm)
tont on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permitor certification and any and all standard arid special conditions attached.
Property Owner's Address (If different than property above);
°'Telephone: S2� ? ��1 (oS`4
q(! v ---713 q Rgo
We hereby certify the above Information ,submitted In tills application is true and accurate to the
best of our knowledge.
Authorized
ff 11 Signature Authorized Signature
Date: `T L Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID:
STREET ADDRESS: / FI G lsi►-e a r
XPlease print: --�
Property Owner: ,^l iYnm ��� C L L,-C-q,^S
Property Owner: /V a-
The undersigned, registered property owners'of the above' noted property, do hereby authorize
No- R �(5pig i , of d i
(Contractor / Agent) (Name of nsulting firm)
to act on my behalf and take all ,actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: „ �` -7
We hereby certify the above information submitted in this application is true and accurate to the
i
best of our knowledge.
x
4Autrized Signature
Date: //-/3-I

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID;
STREET ADDRESS: J �} e�dS`I�V'ea►� �V i✓G
D(Please_print:-�`
Property Owner: ` gTg`r
Property Owner:
The undersigned, registered property owners of the,above noted property, do hereby authorize
On Varses , of (� �
(Contractor /'Agent) (Name of onsuiting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit -or certification and any and all standard and special -conditions attached.
Property Owner's Address (if different than property above):
VTelephone: ;x- °1 l —
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Si ature ly Authorized Signature
Date: Date:

SAMPLE AGENT AUTHORIZATION FORM
PkOPERTY- LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID:
STRE n Nil . . ... ......
ET'ADDRESS:
\N � \Stio Im (P
Please print:
Property Owner:?
Property Owner:
The undersigned, registered property owners of the above noted. property, do hereby, authorize
of jVJ5-00
(Contractor,/ -Ag6ht) (Name of 6onsulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions,attached.
Property Owner's Address (if different than property above):
-,q to- , 6q o -9 u) tp,
Telephone: ,
We. hereby certify the above information submitted in this application 18 true and accurate to the
best of our knowledge,
Authorized ut rized Signature Authorized Sianature
-Date: Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: �gie�drP.aryt
Please print:
Property Owner:
Property Owner:
M
The undersigned,.registered property owners of the above noted property, do hereby authorize
of
(Contractor / Agent) (Name o consulting firm)
to act on my behalf and take all actions necessary for the ,processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: %7i' -7 d 2
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorize Sig re Authorized Signature
Date: / Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: 31 D_YlesIf if ne Pr
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
IVOa f1 �oY'S®>(15 , of i I S11- Y1
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and.acceptance of
this permit or.certification and any and, all standard and special conditions attached.
Property Owner's Address (if different than property above).
Telephone:
We hereby certify the above information .submitted in this application is true and accurate to the
best of our knowledge.
Au rized Signature Authorized Signature
Date: Date:

SAMPLE AGENT;AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS;
i
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize.
(Contractor / Agent) (Name df consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit'or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
��// 3 ��
"4"elephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
uthorized-Signature
Date:
Authorized Signature
Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
PARCEL ID:.
STREET ADDRESS: , � s
0
Please pr
Property
Property
The undersigned, fegistered property owners i f the above noted property, do hereby authorize
l�
of i
(Contractor / Agent) V (Name o consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all: standard and special conditions attached.
Property Owner's Address (if different than;, property above):
Telephone: 250 Z 6 V J—P _
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Date: 19 /Z
Authorized Signature
Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
X STREET ADDRESS: 3 Z 05 1:%1 e
Please print:
Property .Owner:
Property Owner:
The undersigned, registered .property owners of the above noted property, do hereby authorize
A70 L50d S f of I`onS6
(Contractor / Agent) (Name, of sulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property. above):
kelephone• o� 5 0 627 J ��
We hereby certify the above information submitted ,in this application is true and accurate to -the
best of our knowledge.
Au orized Si ))nature.
Date: v1-
Authorized Signature
Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL.ID:
STREET ADDRESS:,4.* J �) '
�Please print:
Property Owner: f `��?
Z+R R "J'e' s
Property Owner: C T�_'
The undersigned, registered property owners of the above noted property, do hereby authorize
p , of L �V �� ✓�.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
S AMS -As IQ G()Pe-
Telephone: �L 2-- 4
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
1
Authorized Signature Authorized Signature
Date: Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO,
PLAN NO. PARCEL ID:
STREET ADDRESS: Y203-- P'eljsi l am r
r Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
d-0 psY-50 A 5 , of iA�– 1,506
(Contractor J Agent) (Name of c nsulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
✓ Telephone: _�25� —_a ?_
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
��wla-jgalL—
Auth rized Signature Authorized Signature
Date: O? � a ,// �, Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN. NO. ' ' PARCEL ID:
STREET:ADDRESS: 3106_WP S t S k re Dr.
X.Please print:
Property Owner: �`-�I_ V" VA
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
(Contractor / Agent) (Name of cdnsulting firm)
to act on my behalf and take all actions. necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special 'conditions attached.
Property Owner's Address (if different than property above):
)6ephone: 2 s 2 2 410 - S.3 e --i t.
We hereby certify the above information submitted in this application is true and accurate.to the
best of our knowledge.
tho�4&!L,�-?--
gna Authorized Signature
Date: _� �-� �� Date:

SAMPLE AGENT AUTHORIZATION FORM ,
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: `� ,�_� VPny�I✓ P t% e
Please print:
%c Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
, of 1. i 1son
(Contractor/ Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary' for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions, attached. `
Property Owner's Address (if different than property. above):
Telephone: a ' Z
We, hereby certify the above information submitted in this application is true and accurate to the
r
best of our knowledge. .
Authorized Signature
Date:
Authorized Signature
Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: � G>S� S�i �� Dr -
lease 'pr
property
Property
The undersigned, registered property owners of the above noted property, do hereby authorize
Nqal l��$p�P15 r of C,;4-
(Contractor / Agent) (Name of cons ting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this. permit or certification and any and. all standard, and special conditions attached.
Property Owner's,Address'(if different than property above):
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Autho ized Signat re Authorized Signature
Date: Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: 3 I 1 q WeSf S 1're p r
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
NOeh PQ('SO S , of " i -V 1 SO
(Contractor / Agent) (Name df consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
`Telephone: 0.``1A� .u''1
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
-A
Authorized Signature Authorized Signature
Date: �2 ~0` ( F1 Date:

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT N0, PLAN NO, PARCEL ID:
STREET ADDRESS: 3 I kX1'6_J r;y2
�( Please print:
\ Property Owner: i !a& 6. v i� L- a ? M r aI
Property Owner:
The, undersigned, registered property owners of the above noted property, do hereby authorize
Noah Par56115 , of KI' -V 6� k/1'lsdY-1
(Contractor J Agent) (Name of 6nsulting firm)
to act on my behalf and take all actions necessary for the processing, Issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
3 1 o Lj F`i" F- LA, L'.y 7 OrLxV r-
.} Telephone: 3i - D 1 1.9
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
1 Date; S101 / a 1 Date: