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RESIDENTIAL SOLAR <br />(Property Owner Consent Form) <br />B-13A <br />Community Development <br />Building Division <br />1635 Faraday Avenue <br />442-339-2719 or via email <br />at Building@CarlsbadCA.gov <br />Form B-13A; September 2022 Page 1 of 1 <br />I hereby authorize the following company/person(s) to act as my agent(s) to apply for, sign, and file the <br />documents necessary to obtain a building permit for the installation of a solar photovoltaic system at my <br />property. <br />AUTHORIZED AGENT <br />Company name: <br />Company address: <br />Representative name: <br /> Phone number: <br /> Email address: <br />PROJECT INFORMATION <br />Property address: <br />Project description: <br />I declare under penalty of perjury that I am the property owner for the address listed above and have <br />reviewed the above information and certify its accuracy. <br />Property owner (print) Property owner (signature)Date <br />The Property Owner's signature is required. An electronic signature, generated through industry standard electronic signature <br />applications such as Docusign and Adobe Sign & Signature, will be accepted. However, the Agent/Contractor is not authorized to <br />sign on behalf of the Property Owner. <br />DocuSign Envelope ID: 17A5DCD9-5076-42CA-B796-D73DE3697B12 <br />6/7/2023Randy Mai <br />2514 S Shelton St <br />08/17/23