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200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax www.anaheim.net/building MAY 2009 B720 CITY OF ANAHEIM PLANNING DEPARTMENT BUILDING DIVISION AUTHORIZATION OF AGENT TO ACT ON BEHALF OF PROPERTY OWNER FORM *Per California State Law, if you, the property owner, will be coming to our office to get a permit, we do not require you to complete this form, however, if you are sending someone on your behalf (your agent), please complete and sign the information below. Also make sure that you have provided your agent with a signed Owner-Builder Acknowledgment and Information Verification Form. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Phone Number of Authorized Agent: Required Forms of Identification Attached: (Please check one of the forms of identification below in addition to the required California State Issued ID) Property Owner’s California State Issued ID with: Property Deed Property Tax Bill Closed escrow document Title Search Mortgage Bill I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner’s Office Use Only. ID Verified Ownership Verified Documents Planning Info Permit #