HomeMy WebLinkAboutOwner's Affidavit AFFIDAVIT
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 Name: /1.---)a-/ -
(Property�rt Owner,Attorney,or Power of Attorney)
Printed Name: f"-tka kl Lev (:,
STATE OF INDIANA
SS:
County of ��� (�;l!tJ Before me the undersigned, a Notary Public
(County in which notarization takes place)
for I ''G ;ON County, State of Indiana, personally appeared
(Notary Public's county of residence)
N ditA( 1\J kIAJ'1 and acknowledge the execution of the foregoing instrument
(Property Owner,Attorney,or Power of Attorney)
this day of �.,-.1 u c•r,,, . 20
I II. u�1
1 r blic—Signature
(SEAL)
holl ‘1.l2-�`r'J Stet;1i
,lettrey 3 Sc Notary bc—
liPrinted Name
Public
Seal
Notary
State of Indiana
Marion County t j2029 My commission expires: v - . Li
Commission Expires u 31
My Commission No.NP073i372
Page 3 of 12 Filename.development standards variance application&instructions 2021 Revised 2/25/2021