CONFIRMATION PAGE
Site Address:
Applicant Name:
Permit Type:
Brief Description:
Date of Application:
I,
as owner of the subject property hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application
*
I do hereby certify under the pains & penalties of perjury that the information provided above is true and correct.
Date
Submit
Exit
Thank You For Your Confirmation.
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