HomeMy WebLinkAboutOwners AFFIDAVITAFFID"rr
I hereby swear that I am the ownertcontract 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 hest 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. 17.1
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Signed Name:W�'
(Props er, Attorney, or Power of A ey)
Pdnted Name: I II4yl1l. 6 �bl�( Cob per/Y.�1�/j
STATE OF INDIANA
SS:
County of Lt rLfo D,)• Before me the undersigned, a Notary Public
(County in which notarization takes place)
for i1'W ' 1.q 0V-J • County, State of Indiana, personally appeared
(Notary Public's county of re§Wence)
ff! - and acknowledge the execution of the foregoing instrument
(Property ner, Attorney, or o r f o y)
this 9 day of C , 20 ,21- r - .
(date) (month) (year)
Notary Public --Signature
(SEAL)
Notary Public —Please Print
i er My commission expires:
=i toe / ra x
J Yr
Page 3 of 12 Filename: Hearing officer Development Standards Variance Application & Instructions 2021 Revised 2125/2021