HomeMy WebLinkAboutOwners AffidavitAFFIDAVIT
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 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
C
Signed Name
(Property Owner, Attorney, or P wer of Attorne )
Printed Name _KA-::1 C-S I+ o C) � -)A
f ZPrSl�NNA pp>L?v6)OTS
STATE OF INDIANA
SS
County of P&-pr\t 41.1
(County in which notarization takes place)
Before me the undersigned, a Notary Public
for �D__,C__ County. State of Indiana, personally appeared
(Notary Public's county of residence)
v`�J5011 and acknowledge the execution of the foregoing instrument
(Property
GOwner, Attorney, or Power of Attorney)
this c day of _ & U 5 U20 2Y
AUL H SLOAN• In
Notary Public • Seal
Boone County - State of Indiana
Commission !lumber NP0572999
My Commission Expires Sep 15. 2031
Page 8 of 12
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Notary Public --Signature
Notary Public —Printed Name
My commission expires ` e E ( IZo3