STATE OF INDIANA )
) SS:
COUNTY OF MARION )
AFFIDAVIT OF NOTICE OF PUBLIC HEARING
METROPOLITAN DEVELOPMENT COMMISSION
METROPOLITAN BOARD OF ZONING APPEALS
HEARING OFFICER
PLAT COMMITTEE
INDIANAPOLIS-MARION COUNTY, INDIANA
I (we) _____________________________________________________ do hereby certify that
notice of public hearing to consider, case no. _____________________________________________
was sent by certified, registered or first class mail to the last known address of each of the following persons,
they being all persons to whom notice was required to be sent by the Rules, Regulations and Order of the
Metropolitan Development Commission, Metropolitan Board of Zoning Appeals, Hearing Officer and Plat
Committee of Marion County, Indiana:
OWNER’S NAME ADDRESS
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
And that said notices were mailed by certified, registered or first class mail on ______day of _____________,
20____ being at least twenty-three (23) days prior to the scheduled public hearing (10 days, if petition goes
before the Hearing Officer).
I (we) further certify that the notice required by said Rules, Regulations and Order to be posted in a conspicuous
place on the property described in the petitioner’s petition was posted on __________ day of _____________,
20 _______ being at least twenty-three (23) days prior to the scheduled public hearing (10 days, if petition goes
before Hearing Officer).
_____________________________________________
Petitioner, Attorney, or authorized agent
STATE OF INDIANA,
COUNTY OF MARION, SS:
Subscribed and sworn to before me this ________ day of _______________________, 20 _________.
__________________________________________________
Notary Public
___________________________________________________
Printed Name of Notary
My commission expires: _____________________________
My County of Residence: ____________________________