Fillable Printable Authorization Letter Template For Signature
Fillable Printable Authorization Letter Template For Signature
Authorization Letter Template For Signature
LETTER OF AUTHORIZATION FOR SIGNATURE
APPLICATION FOR:
Certificate of Assured Water Supply
Assignment of a Type A Certificate of Assured Water Supply
Assignment of a Type B Certificate of Assured Water Supply
Classification of a Type A Certificate of Assured Water Supply
WaterAdequacy Report
Analysis of Assured Water Supply
Analysis of Adequate Water Supply
Physical Availability Determination
PLEASE COMPLETE ONE FORM PER OWNER OR BUYER!
TheAssuredandAdequateWaterSupplyRules,A.A.C.R12-15-701etseq.,allowa
representative to sign an applicationfor assured or adequate water supply onbehalf of an
applicantiftheapplicantsubmitsaletter,signedbytheapplicantanddatedwithin90
daysofthedatetheapplicationissubmitted,authorizingarepresentativetosubmit
applicationsfor permits regardingthelandtobeincluded intheapplication. Thisform,
when completed correctly, fulfills this purpose.
The applicant listed below hereby authorizes ___________________________________,
Name of Representative
of ____________________________________________________________________,
Representative’s Company, if
applicable
as its representative to submit applications for permits regarding the land to be included
in the application for______________________________________________________,
Name of subdivision, master plan, or area included in the application
and to sign the application on behalf of the applicant.
________________________________________________________________________
Applicant’s printed name
_________________________________ ____________________________________
Applicant’s titleDate
________________________________________________________________________
Additional copies of this page may be made as necessary.
Letter of Authorization for Signature REV 10-26-07
Applicant’s company name or entity name as it appears on the title report or deed
Additional copies of this page may be made as necessary.
Letter of Authorization for Signature REV 10-26-07
