Yountville, CA · Napa County
Authorization to Act as Agent (Land Use Permit)
Property owners use this form to authorize another person to apply for, sign, and file documents for a Yountville land use permit.
What this form is
The form authorizes a named person to act for the property owner in applying for, signing, and filing documents needed to obtain a land use permit. The Town requires it before issuing a permit when someone other than the owner submits the application, and it must accompany all applications filed by an authorized agent. It asks for project, agent, and owner details, plus the owner’s signature and date.
Who needs it
A property owner needs this form when someone other than the owner will submit a land use permit application to the Town.
How to submit it
Submit the completed form to the Town of Yountville Planning & Building Department. The form lists [email protected] as its email contact.
About notarization
This document has no notary block; the owner signs and dates it and declares the information accurate under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Authorization to Act as Agent form for a land use permit.
- 2
Complete The Form
Enter the project and application details, authorized agent information, and property owner information.
- 3
Sign And Date
The property owner signs and dates the form and declares the information accurate under penalty of perjury.
- 4
Submit To The Town
Submit the form to the Planning & Building Department; the form lists [email protected] as its email contact.
Frequently asked questions
- Do I need a notary for the Authorization to Act as Agent form?
- No. The form has no notary block; the owner signs and dates it and declares the information accurate under penalty of perjury.
- When is this authorization form required?
- The Town requires it before issuing a land use permit when someone other than the owner submits the application. It must accompany all applications filed by an authorized agent.
- What information does the form ask for?
- It asks for the project location and application description, authorized agent details, owner details, and the owner’s signature and date.
- How do I submit the Authorization to Act as Agent form?
- Submit it to the Town of Yountville Planning & Building Department. The form lists [email protected] as its email contact.