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The document is a Certificate of Occupancy Authorization Form that allows a business owner to designate individuals to act on their behalf in applying for a Certificate of Occupancy in Washington, D.C. It must be signed in ink before a notary and is valid for 180 days from the application date. The form includes sections for the business owner's information, property address, and authorized agents, emphasizing the legal implications of false statements.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field, certifying that you are the true owner of the business or property.
Fill in the proposed address of the property where your business will operate.
Next, provide the name of your business intended to operate at this location.
In the section for authorized individuals, list those who are permitted to act on your behalf. Do not pre-fill this section; it must be completed during a notarization.
Include addresses for each authorized individual as required, ensuring accuracy for processing.
Finally, prepare to sign in ink in front of a notary public. Remember that electronic signatures are not acceptable for this document.

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