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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.
STATE OF INDIANA
SS:
Signed Name:—
ro/�p��erty Ow y, or Power of Attorney)
Printed Name: �'lc��� GC�4 tel4"'"
County of � a,—, L'i /� /'�i ' i� `(S Before me the undersigned, a Notary Public
(County in which notarizatio akes place)
for (4d r Gl G�, //s �(r County, State of Indiana, personally appeared
(Notary Public'9 county o(residence)
c
r �— l'G�G�n i'1 t
and acknowledge the execution of the foregoing instrument
(Property Owner, Attorney, or Pow of Attorney)
this 25 day of March 2019
(SEAL)
Notary'Public—Printed Name
Cindy L Niehus
My commission expires:Notary Public Seal State of Indiana
Marion eounty
My Commission Expires 01/02/2025
Page 3 of 12 Filename: development standards variance application & instructions 2019 Revised 01/10/19