Rochester, MN · Olmsted County
Authorized Permit Requesters Form
This form lets a contractor authorize named people to act as its agents and bind the contractor to permit terms; the contractor’s owner completes and signs it.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
A contractor uses this form to authorize named people to act as its agents for City of Rochester permits. The authorization allows city officials to accept those people’s actions as the contractor’s official acts and bind the contractor to permit terms and conditions. It takes effect on the date entered and remains effective until revoked. The form says a revocation is not effective until filed with the City of Rochester Public Works Department.
Who needs it
A contractor’s owner completes this form when the contractor wants named people authorized to act as its agents for City of Rochester permits.
Why it needs a notary
The form has a Minnesota state and Olmsted County notarial block stating the owner appeared before the notary; the owner signs in front of the notary.
How to get this notarized
- 1
Download the Form
Get the Authorized Permit Requesters Form from the City of Rochester.
- 2
Fill In the Contractor and Agents
Enter the contractor’s business name, the names of authorized people, and the authorization’s effective date.
- 3
Book an Online Notary
Arrange an online notarization for the contractor’s owner, who must sign before the notary.
- 4
Sign on Video
The owner signs during the online session, and the notary completes the notarial block.
- 5
Submit to the City
Submit the completed authorization to the City of Rochester as needed for permit matters.
Preview the form
The blank PDF straight from Rochester. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Authorized Permit Requesters Form?
- Enter the contractor’s business name, the authorized people, and the effective date. The owner signs before a notary, who completes the notarial block.
- Do I need to sign this form in front of a notary?
- Yes. The form labels the owner’s signature as being in front of a notary and includes a notarial block for the owner’s appearance.
- Can I sign this form with a commissioned online notary?
- Minnesota authorizes remote online notarization for its notaries. Arrange to sign during the online notary session, and confirm with the city if unsure whether it will accept the notarized form.
- How is this authorization revoked?
- The form says the authorization remains effective until revoked by the contractor. A revocation is not effective until it is filed with the City of Rochester Public Works Department.