Zoning Application, Petitions And Affidavits Packet Page 11

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AFFIDAVIT RELATED TO REZONING REQUEST
FORM G
Required when the Person Signing the Consent Petition is Not the Person(s) Listed as Owner(s) of the Property
from Which Consent is Sought
Your affiant(s), _________________________ (print name(s)), being duly sworn, affirm(s) as follows:
I am authorized thereby to consent, and do so consent, on behalf of the following property,
_________________________ (property address), _________________________ (property ID number) to
rezoning of the property identified below to the _____ zoning district.
ADDRESS OF PROPERTY TO BE REZONED
PROPERTY ID NO. OF PROPERTY TO BE REZONED
I am authorized to provide this consent because (include information regarding power of attorney, change of
ownership, or other basis for your authority to consent to rezoning):
If there has been a change of ownership, please attach supporting documentation.
Affiant’s signature
Subscribed and sworn to before me this _______ day
of _________________________________________
Affiant’s signature
Notary Public:
County of:
My commission expires:
11

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