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<br />e <br /> <br />e <br /> <br />OWNERSHIP AFFIDAVIT <br />LIMITED FOR PARTNERSHIP <br /> <br />STATE OF <br />COUNTY OF <br /> <br />Public Hearing No. <br /> <br />Before me, the undersigned authority, personally appeared , <br />, hereinafter the Affiant (5), who being first duly sworn <br /> <br />by me, on oath, deposes and says: <br /> <br />] . Affiant is the general panner of the <br /> <br />limited pannership, at the following address: <br /> <br />2. Affiant as general panner is authorized to file this application for a public hearing. <br /> <br />3. The limited pannership owns the propeny, which is the subject of the proposed hearing. <br /> <br />4. The subject propeny is legally described as: <br /> <br />5. Affiant understands this affidavit is subject to the penalties of law for perjury and the <br />poss ibility of voiding of any zoning granted at public hearing. <br /> <br />Wil.1lesses: <br /> <br />Signature <br /> <br />(General Panner) <br />Affiant's Signature <br /> <br />Prim Name <br /> <br />Prim Name <br /> <br />Signature <br /> <br />Prim Name <br /> <br />Sworn to and subscribed before me on the _day of <br />Affiant is personally known ro me or has produced <br />Identification. <br /> <br />,200_, <br />as <br /> <br />Notary (Stamp/Seal) <br />Glrnmission Expires: <br /> <br />10 <br /> <br />PH2005 n.l <br />