HomeMy WebLinkAboutAffidavit 01-28-19AFFIDAVIT
1, 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: la—
(Property Owner, Attorney, or Power of Attorney)
Printed Name: /J. 0
County of H wMl /to Before me the undersigned, a Notary Public
(County in which notarization takes place)
for
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Public's county of residence)
Pcv✓( 0 we n
(Property Owner, Attorney, or Power of Attorney)
County, State of Indiana, personally appeared
and acknowledge the execution of the foregoing instrument
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this day of Jon ��y 201 oi
Notary Public --Signature
(SEAL) I jj
PC...iI AhreAd+-
rrrr PAUL AHRENDT Notary Public—Printed Name
\J pY PV i
;o?.•••.,a�%Notary Public, State of Intliene
=�:SEAL, �= HemiitonCounty
�•. •.; Commlealon A696378 M commission expires:
My commission Eapirae y p
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artuary 18, 2025
Page 3 of 12 Filename: development standards variance application & instructions 2018 Revised 01/02/2018