Shasta Lake, CA · Shasta County
Statement of Agency
Property owners use this statement to appoint an agent and specify the agent’s authority for a proposed project in Shasta Lake.
What this form is
A record-title property owner uses this statement to appoint an agent for a proposed project and choose which project matters the agent may handle. The listed choices include submitting applications and related information to the Planning Division and representing the owner before the Planning Commission or City Council. The owner also agrees to be bound by the agent’s project representations, drawings, and statements.
Who needs it
A record-title property owner who wants an agent to act for them on matters related to a proposed project may use this statement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This statement is signed and dated without a notary; it lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Statement
Download the Statement of Agency PDF for the proposed project.
- 2
Complete the Statement
Identify the agent and check the project matters the agent may handle. The owner signs and dates the statement.
- 3
Gather Related Information
The statement refers to applications and related project information but does not list required attachments.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Statement of Agency?
- No. The statement calls for the owner’s signature and date, and it lists no notarized or sworn attachment or related step.
- How do I submit the Statement of Agency?
- The document does not give submission instructions for this statement. Submit it to the city department named on the form and check the city website for current contact details.
- What authority can I give my agent?
- You can select authority to submit applications and related information, represent you before the Planning Commission or City Council, consent to conditions, or represent you in a City Council appeal.
Need something notarized?
This Statement of Agency doesn’t need a notary — but if you have another Shasta Lake form that does, a commissioned online notary can help.