Manor No.<\/p>\n
Village de Laguna Woods<\/p>\n
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER\u2019S BEHALF<\/p>\n
The following authorization form is required to be completed by the property owner when<\/p>\n
designating an agent of the property owner to apply for a mutual consent for any manor<\/p>\n
alteration(s) value. For all alterations valued over $1,000, this form must be notarized.<\/p>\n
I, the undersigned, do hereby authorize the following person(s) to act as my agent(s) to<\/p>\n
apply for, sign, and file the documents necessary to obtain a mutual consent for manor<\/p>\n
alterations. | understand that | am responsible for all work performed under this<\/p>\n
authorization and hold Laguna Woods Village harmless.<\/p>\n
Scope of improvements (or description of work)<\/p>\n
Manor address<\/p>\n
T\u00e9l\u00e9phone<\/p>\n
Name of authorized agent<\/p>\n
Address of authorized agent<\/p>\n
E-mail<\/p>\n
| declare under penalty of perjury that | am the property owner for the address listed above and<\/p>\n
personally filled out the above information, and | certify its accuracy. A copy of the owner’s driver\u2019s license<\/p>\n
or other verification acceptable to Laguna Woods Village is required to be presented with this form. A copy of<\/p>\n
the form notarization or acknowledgment is required to be presented when an application for mutual<\/p>\n
consent for Manor Alterations with a value over $1,000 is submitted to the Manor Alterations Division.<\/p>\n
Property owner signature<\/p>\n
Date<\/p>\n
Print
\nACKNOWLEDGMENT<\/p>\n
A notary public or other officer completing this certificate verifies only the identity of the individual<\/p>\n
who signed the document to which this certificate is attached, and not the truthfulness, accuracy<\/p>\n
or validity of that document.<\/p>\n
State of California<\/p>\n
County of<\/p>\n
On<\/p>\n
before me,<\/p>\n
(insert name and title of the officer)<\/p>\n
personally appeared<\/p>\n
'<\/p>\n
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is\/are<\/p>\n
subscribed to the within instrument and acknowledged to me that he\/she\/they executed the same in<\/p>\n
his\/her\/their authorized capacity(ies), and that by his\/her\/their signature(s) on the instrument the<\/p>\n
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.<\/p>\n
| certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing<\/p>\n
paragraph is true and correct.<\/p>\n
WITNESS my hand and official seal.<\/p>\n
Signature<\/p>\n
(Seal)<\/p>","protected":false},"author":2,"featured_media":0,"template":"","document_category":[1127,1083],"document_type":[53],"class_list":["post-48691","document","type-document","status-publish","hentry","document_category-manor-alterations","document_category-resident-services","document_type-other"],"acf":{"document":70156,"resolutions":null,"legacy_id":"1810","pdf_extracted_text":""},"yoast_head":"\n