Sample Letter 2 - List of Landowners Form
[Name of local agency]
[Street Address]
[City]
Subject: Certified List of Record Fee Title Owners for [Site Name and Address]
Fill out item 1 if there are multiple site landowners. If you are the sole site landowner, skip item 1 and fill out item 2.
- In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, I, [name of primary responsible party], certify that the following is a complete list of current record fee title owners and their mailing addresses for the above site:
- In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, I, [name of primary responsible party], certify that I am the sole landowner for the above site.
Sincerely,
[Signature of primary responsible party]
[Name of primary responsible party]
