Fillable CONSENT FORM METROPOLITAN BOARD OF ZONING APPEALS PLAT (City of Oakland)

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CONSENT FORM METROPOLITAN BOARD OF ZONING APPEALS PLAT (City of Oakland)

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Consent Form.doc
Revised 12/15/05
METROPOLITAN DEVELOPMENT COMMISSION
METROPOLITAN BOARD OF ZONING APPEALS
PLAT COMMITTEE
HEARING OFFICER
OF MARION COUNTY, INDIANA
CONSENT FORM
The undersigned, ___________________________________, being the owner of the property
commonly known as ____________________________________________, hereby authorizes
____________________________________ to file land development petitions necessary for the
aforementioned address.
This consent shall (check one):
ÿ remain in effect until revoked by a written statement filed with the Planning Division of the
Department of Metropolitan Development.
ÿ remain in effect until ____________________________________.
ÿ remain in effect until these land development petitions are resolved.
Signature(s) of Owner (s) Signature(s) of Owner(s)
STATE OF INDIANA,
COUNTY OF MARION, SS:
STATE OF INDIANA,
COUNTY OF MARION, SS:
Subscribed and sworn to before me this Subscribed and sworn to before me this
day of , 20 day of , 20
Notary Public Notary Public
Printed Name of Notary Public Printed Name of Notary Public
My Commission expires: My Commission expires:
My County of residence: My County of residence:
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CONSENT FORM METROPOLITAN BOARD OF ZONING APPEALS PLAT (City of Oakland)

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Completed 1 January 2022

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