The undersigned understands this application must be complete and accurate prior to
advertising a public hearing:
I am the owner of the subject property, or if corporation, I am the officer of the
corporation authorized to act on this request.
I am the legal representative of the owner of the subject property of this application.
(Notarized Authorization to Act must be submitted with application)
An approval of this application does not entitle the owner to a development permit.
For Variances, I understand that building permits will not be approved until 30 days after
the date the order is signed, in order to comply with the appeal procedure.
I certify that the information in this application and all sketches and data attached to and
made part hereof are true and accurate to the best of my knowledge.
Signature of Property Owner or Date
State of ___________________
County of ________________________
Subscribed and sworn before me, by _____ physical presence or _____ online notarization,
this ______ day of, _________________, 20 ____, personally appeared
__________________________________, who is personally known to me or produced
_________________________ as identification, and who did / did not take an oath.
Notary Public Signature Seal