ZONING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
614-342-4025
zoning@gahanna.gov
www.gahanna.gov
AUTHORIZATION CONSENT FORM
(must sign in the presence of a notary)
If you are filling out more than one application for the same project & address, you may submit a copy of this form with additional applications.
AUTHORIZATION FOR OWNER’S APPLICANT OR REPRESENTATIVE(S) If the applicant is not the property owner, this section
must be completed & notarized.
I, _______________________________________, the owner or authorized owner’s representative of the subject property listed on
this application, hereby authorize _________________________________________ to act as my applicant or representative(s) in all
matters pertaining to the processing and approval of this application, including modifying the project. I agree to be bound by all terms
and agreements made by the designated representative.
Property Owner Signature: _______________________________________________ Date: ____________________
AUTHORIZATION TO VISIT THE PROPERTY
I, ___________________________________, the owner or authorized owner’s representative of the subject property listed on this
application, hereby authorize City representatives to visit, photograph and post notice (if applicable) on the property as described in
this application.
Property Owner Signature: _______________________________________________ Date: ____________________
Subscribed and sworn to before me on this ______ day of ________________, 20______.
State of _________________ County of __________________
Stamp or Seal
Notary Public Signature: _______________________________________________
AGREEMENT TO COMPLY AS APPROVED
I, ___________________________________, the applicant of the subject property listed on this application, hereby agree that the
project will be completed as approved and any proposed changes to the approved plans shall be submitted for review and approval
to the Zoning Division staff.
Applicant Signature: ____________________________________________________ Date: ____________________
Subscribed and sworn to before me on this ______ day of ________________, 20______.
State of _________________ County of __________________
Stamp or Seal
Notary Public Signature: _______________________________________________
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