Kalamazoo County, MI · Kalamazoo County
Designated Agent Form
Property owners use this form to authorize a designated agent to obtain a soil erosion and sedimentation control permit under the owner's name.
At a glance
- Issued by
- City of Kalamazoo County · Kalamazoo County, Kalamazoo County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- kalcounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
A property owner uses this form to give a designated agent permission to obtain a soil erosion and sedimentation control (SESC) permit under the owner's name. It asks for the owner's name and mailing address, the parcel number and work site address, and signatures and dates from both the property owner and agent. The owner acknowledges responsibility for the work and accountability under Part 91 permitting regulations.
Who needs it
A property owner who wants a designated agent to obtain an SESC permit under the owner's name needs to complete this form.
How to submit it
The form does not specify a submission department, address, or email. Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the property owner and designated agent just sign and date it.
How to submit this form
- 1
Download the Form
Download the Designated Agent Form for Kalamazoo County.
- 2
Complete the Owner and Property Details
Enter the property owner's name and mailing address, parcel number, and work site address.
- 3
Authorize the Agent
Complete the authorization naming the person permitted to obtain the SESC permit under the owner's name.
- 4
Sign and Date
The property owner and designated agent each sign and date the form. No notary is required.
- 5
Submit to the County
Submit the form to the county office named on it; check the county website for current contact details.
Frequently asked questions
- What does the Designated Agent Form authorize?
- It gives a designated agent permission to obtain an SESC permit under the property owner's name. The owner acknowledges responsibility for the work and accountability under Part 91 permitting regulations.
- What information and signatures does the form ask for?
- It asks for the property owner's name and mailing address, parcel number and work site address, and the signatures and dates of both the property owner and designated agent.
- Do I need a notary for the Designated Agent Form?
- No. The document is signed without a notary; the property owner and designated agent just sign and date it.
- How do I submit the Designated Agent Form?
- The form does not specify a submission department, address, or email. Submit it to the county office named on the form; check the county website for current contact details.
