HomeMy WebLinkAboutLU2025-30-01 Authorization of Representation StatementWapp.doc 3 04/18/06
AUTHORIZATION OF REPRESENTATION STATEMENT
I, SOW' to 'S. M m CkuD do hereby authorize
Property owner (print)
�k+(Au✓1 e-- to represent me and my interests in an
Agent/representative (print)
Application for a Land Use Amendment on the following property described below -- include both
legal description and street address.
Legal Description: ,X;e'
Street Address: 31a'a �fc" � n ! `•.yyC ar-
ner's signature date
Ai-A-0, fNwky-
Jgent's signature
I-3-2�Z5
Subscribed and sworn to me, a Notary Public on this day of
My Commission Expires:
date
Notary Public