Fillable TOWN OF PINE PLAINS PLANNING BOARD OWNER CONSENT (Town of Pine Plains)

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TOWN OF PINE PLAINS PLANNING BOARD OWNER CONSENT (Town of Pine Plains)

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File type: PDF

U.S.A. forms for Town of Pine Plains

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TOWN OF PINE PLAINS PLANNING BOARD
OWNER CONSENT FORM
To be filed when the applicant is not the building or property owner
Date:____________________________
Tax Map No._____________________
Location:_______________________________________________
Owner Name and Address:
________________________________
________________________________
________________________________
Telephone Number:_____________________ Email: _________________________________
Name of Applicant:_________________________________________________________
I hereby give permission to (applicant name)___________________________________________
to submit a Planning Board application on my behalf and to represent me in all proceedings before
the Town of Pine Plains Planning Board concerning said application.
___________________________________
Owner’s Signature
___________________________________
Owner’s Signature
Sworn to me this_______________day of
_______________________,__________.
__________________________________
(Notary Public)
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TOWN OF PINE PLAINS PLANNING BOARD OWNER CONSENT (Town of Pine Plains)

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Completed 14 July 2020

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