"Property Owner's Endorsement" - Town of LaGrange, New York

Property Owner's Endorsement is a legal document that was released by the Building, Zoning and Fire Prevention Department - Town of LaGrange, New York - a government authority operating within New York. The form may be used strictly within Town of LaGrange.

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TOWN OF LAGRANGE
PROPERTY OWNER’S ENDORSEMENT
(To be completed if the person applying for this permit is not the property owner)
State of New York
County of ____________________
I hereby certify that I ________________________________ am the Homeowner/Owner in fee
(Name)
of property at _____________________________________________in the Town of LaGrange.
(Address)
I also hereby authorize ___________________________ of _____________________________
(Agent)
(Company)
To make application for a permit to perform said work in the foregoing application.
____________________________________ ________________
(Owner in Fee)
(Date)
I ________________________________ being duly sworn, deposes and says that he/she is
(Agent)
Representative of _______________________________________ and is authorized by the
(Company)
owner to obtain permits and perform said work in the foregoing application and plans that all statements
contained therein are true to the deponent’s own knowledge.
_________________________________________
(Applicant/Agent)
Sworn to before me this ________ day of _____________ 20_______
TOWN OF LAGRANGE
PROPERTY OWNER’S ENDORSEMENT
(To be completed if the person applying for this permit is not the property owner)
State of New York
County of ____________________
I hereby certify that I ________________________________ am the Homeowner/Owner in fee
(Name)
of property at _____________________________________________in the Town of LaGrange.
(Address)
I also hereby authorize ___________________________ of _____________________________
(Agent)
(Company)
To make application for a permit to perform said work in the foregoing application.
____________________________________ ________________
(Owner in Fee)
(Date)
I ________________________________ being duly sworn, deposes and says that he/she is
(Agent)
Representative of _______________________________________ and is authorized by the
(Company)
owner to obtain permits and perform said work in the foregoing application and plans that all statements
contained therein are true to the deponent’s own knowledge.
_________________________________________
(Applicant/Agent)
Sworn to before me this ________ day of _____________ 20_______