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<br />e <br /> <br />e <br /> <br />OWNERSHIP AFFIDAVIT <br />FOR TRUST <br /> <br />STATE OF <br />COUNTY OF <br /> <br />Public Hearing No. <br /> <br />Before me, the undersigned authoriry, personaUy appeared , <br />, hereinafter the Affiant (s), who being first duly sworn <br /> <br />by me, on oath, deposes and says: <br /> <br />1. Affiam is the trustee of the <br /> <br />trust, at the following address: <br /> <br />2. Affiam as trustee is authorized to file this application for a public hearing. <br /> <br />3. The trust owns the property, which is the subject of the proposed hearing. <br /> <br />4. 'me subject property is legally described as: <br /> <br />5. Affiant nnderstands this affidavit is subject to the penalties of law for perjury and the <br />possibiliry of voiding of any zoning granted at public hearing. <br /> <br />WItnesses: <br /> <br />(Trustee) <br /> <br />Signature <br /> <br />Affiant's Signature <br /> <br />Prim Name <br /> <br />Print Name <br /> <br />Signarure <br /> <br />Print Name <br /> <br />Sworn to and subsClibed before me on the _day of <br />Affiant is personally known to me or has produced <br />Identification. <br /> <br />,200_, <br /> <br />as <br /> <br />i <br /> <br />Notary (Stamp/Seal) <br />Conunission Expires: <br /> <br />II <br /> <br />PH200S C'C <br />