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McKenzie CONSENT FORM
The undersigned, . ja ki t rr, being the owner of the Property commonly known to be located at 0 Cornwall Court, Camtel, IN 46032, parcel number 17-09-34-00-00-008.001 as shown on Exhibit A, which is attached and incorporated herein hereby authorizes McKenzie Collection to file all zoning applications related to Lots 324 & 325 in Jackson's Grant Section 7 & Gallagher parcel including but not limited to filings for a rezone, taxpayer increment financing applications, development plans, primary and secondary plats for the aforementioned property with the Carmel Redevelopment Corporation and/or City of Carmel, Department of Community Services (Planning & Zoning). This consent shall remain in effect until revoked by a written statement filed with the Carmel Redevelopment Corporation and/or the Department of Community Services (Planning & Zoning). By. F . ✓ 12�— (Printed Name) G k h STATE OF INDIANA COUNTY OF HAMILTON Dated: je--r yI'l e g -e vL o ? e Subscribed and sworn to before me, a No ��yy,, Notary Public for the State of Indiana, \d'c ll1 , Who acknowledge the execution of the foregoing Consent form. Witness my hand and Notary Seal this L day of 20 a-) Notary Name Printed: EkVWUQ, Stephanie L Sr Notary Public. Stale of - My Commission expires: ©C bQC5Z., J` l ��� ' Marion County Cnmrr,ssion # NP07 °,.,;r,ofAc+?,••,•'' ` MY County of Residence: Commission Ext October 31, 2( F:� TypogTr RCOASEN't:a«: