Owner Authorization Form

Date(Required)

Property Information

Name of Property Owner(Required)

First Last

Property Address(Required)

Street Address City Postal Code

Phone(Required)

Email(Required)

Agent Information

Name of Agent(Required)

First Last

Name of Business(Required)

First

Phone(Required)

Email(Required)

Owner Consent

As the registered owner of the above referenced property, I hereby authorize the agent to act on my behalf in all matters relating to the property, including applying for a building permit and completion of any projects within the Village of Anmore.

Please upload a PHOTO ID for signature confirmation(Required)

Max. file size: 512 MB.

Signature of Registered Owner(Required)

Personal information requested on this form is collected under the authority of Section 26 of the Freedom of Information and Protection of Privacy Act, as amended. The information gathered will be used to deliver or evaluate the program or activity of the Village of Anmore that is associated with this form. Questions about the collection, use, and disclosure of this information should be directed to village.hall@anmore.com