HomeMy WebLinkAboutProperty Owner AffidavitAFFIDAVIT
I, hereby swear that I am the owner /contract purchaser of property involved in this application and that the
foregoing signatures, statements and answers herein contained and the information herewith submitted are in all
respects true and correct to the best of my knowledge and belief. I, the undersigned, authorize the applicant to act
on my behalf with regard to this application and subsequent hearings and testimony.
Signed:c�� I ( /
(Property Owner, Attorney, or Power of Attorney) ate
STATE OF INDIANA
County of
for
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my in which notarization takes place)
(Notary Public's county residence)
this (Property Owner, Attorney, or Power of A`ttQrney)
day of
(SEAL)
L 01
Before me the undersigned, a Notary Public
County, State of Indiana, personally appeared
and acknowledge the execution of the foregoing instrument
Notary Pu1Qc -- Signature
Notary Public-- PleasXPrint
My commission expires:
Page 3 — filename: development standards variance 2015.docx rev. 12/30/2014
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of RIVERSIDE )
On JUNE 111 2015
before me,
A. OLVERA - NOTARY PUBLIC
(insert name and title of the officer)
personally appeared CAROL ANN SMITH
who proved to me on the basis of satisfactory evidence to be the person() whose nameV) is /afe --
subscribed to the within instrument and acknowledged to me that .hefsheAfleyexecuted the same in
_b+sfher /tfroir authorized capacity(ies), and that by hiS /her /tP�ffi"r signatur%s) on the instrument the
person), or the entity upon behalf of which the persons) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
A. OL M
WITNESS my hand and official seal. Commission # 2105167
Notary Public - California
Riverside County
Comm. Expires Mar 29 2019
Signature (Seal)