HomeMy WebLinkAbout419657 owner authorizationOwner Signature Required
I, owner of the property at:______________
Authorize, the applicant: ____________________________________________________
And/Or General Contractor:___________________________________________________
To apply for a building permit for make changes to either my
o Residence; or
o Commercial Building
20 E Olive Street STE 208 • PO Box 1230
Bozeman, MT 59771-1230
Phone: (406) 582-2375 • permits@bozeman.net
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Owner Signature
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Printed Name:
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Phone number:
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Date:
705 BRIDGER DR BOZEMAN, MT 59715
See LOA attached
6/26/2026
26265 705 Bridger Dr CONR
LETTER OF AUTHORIZATION FOR PERMITTING
Licensee Name:T-MOBILE WEST LLC d/b/a &T-MOBILE
@ ATC Site Name:BRIDGER VIEW MT ATC Site #:419657 Project #15314363
Site Address:705 Bridger Dr.Montana,Montana 59715-2207
Site Coordinates:45.70358858,-111.0269918
Site Acquisition Vendor (Applicant Representative):TEP OPCO LLC
I,Regan Buckley,Vice President,Property Management for American Tower*,owner/operator of the
tower facility located at the address identified above (the "Tower Facility"),do hereby authorize T-
MOBILE,TEP OPCO LLC and their successor(s),assign(s),and/or agent(s),(collectively,the "Licensee")
to act as American Tower's non-exclusive agent for the sole purpose of filing and consummating any land-
use,building,or electrical permit application(s)as may be required by the applicable permitting authorities
for T-MOBILE WEST LLC d/b/a &T-MOBILE's telecommunications'installation on the Tower Facility.
I understand that these applications may be approved with conditions.The above authorization is limited to
the acceptance by Licensee only of conditions related to Licensee's installation and any such conditions of
approval or modifications will be Licensee's sole responsibility.
Signature:
_____________________________________
Print Name:Regan Buckley
Vice President,Property Management
American Tower*
NOTARY BLOCK
Commonwealth of MASSACHUSETTS
County of Middlesex
This instrument was acknowledged before me by Regan Buckley, Vice President, Property Management
for American Tower*, personally known to me (or proved to me based on satisfactory evidence of
identification) to be the person whose name is signed on the preceding or attached document and
acknowledged to me that they signed it voluntarily for its stated purpose.
WITNESS my hand and official seal, this 13th day of May 2025
٭ American Tower is defined as American Tower Corporation and any of its affiliates or subsidiaries.