Owner Authorization Form5/20019
Owner Authorization
Name: _______________________________________________________________________________________________________________
Company Name: ___________________________________________________________________________
Address: _________________________________________________________________________________
Telephone: Email: _______________________________________________________________________
CHECK ONE OF THE FOLLOWING:
I will represent the application myself; or
I hereby designate (name of project representative) to act in the
capacity as my agent for submittal, processing, representation, and/or presentation of this development
application. The designated agent shall be the principal contact person for responding to all requests for
information and for resolving all issues of concern relative to this application.
I am the owner of the property and further confirm that the information provided on this form is true and
correct. By signing below, I agree that the City of Denton (the “City”) is authorized and permitted to
provide information contained within this application to the public. The City is also authorized and
permitted to reproduce any information submitted in connection with the application, if such
reproduction is associated with the application in response to a Public Information Request. By signing
this application, staff is granted access to your property to perform work related to your case.
Owner's Signature: ____________________________________________ Date: _________________________
City of Denton Development Services
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One Place Serving Denton’s Development Needs
215 E McKinney St., Denton, TX 76201 • (940) 349-8541