HomeMy WebLinkAboutOwners AffidavitNOTE: Three modes of public notice are required.
LEGAL NOTICE shall be published in the newspaper according to the Chart on page 5 a MANDATORY 10 days prior to the public
hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for inspection the night of the
hearing. Published Notice is not required for renewal applications.
LEGAL NOTICE to all adjoining and abutting property owners is also MANDATORY, two methods of notice are recommended:
1) FIRST CLASS MAIL with CERTIFICATE OF MAILING sent to adjoining property owners. (The white receipt should be
stamped by the Post Office at least 10 days prior to the public hearing date.), OR
2) HAND DELIVERED to adjoining and abutting property owners (A receipt signed by the adjoining and abutting property owner
acknowledging the 10 day notice should be kept for verification that the notice was completed)
LEGAL NOTICE via a Notice of Public Hearing SIGN posted on the property is also required; see page 8.
REALIZE THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT.
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. A
Signed Name:
Printed Name:
STATE OF INDIANA, COUNTY OF SS:
The undersigned, having been duly sworn, upon oaths th the above ' formation is true and correct- as he
is informed and believes.
ignature of Petitioner)
Subscribed and sworn to before me this 2-4 day of A I y , 20 Z�
Notary Pulfi i -}}Signature
Notary Public — Printed Name
My Commission Expires: -� � 1-�
SEAL
NOTARY PUBLIC, STATE OF INDIANA
HENDRICKS COUNTY
JOHN DELOUGHERY
COMMISSION NUMBER 67873S
My tOMMISSION EXPIRES MARCH 13, 2024
Page 3 of 12 Filename: special exception application $ instructions 2021 strr Rev. 12/15/2020