HomeMy WebLinkAboutZMA201900015 Certification That Notice of the Application Has Been Provided to the Landowner 2019-11-19CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany this zoning application if the application is not signed by the owner of theproperty.
I certify that notice of the application for,
[Name of the applicatiot type & if known the assigned application #]
was provided to James A. Dettor, Jr. or Peggy W. Dettor
[Name(s) of the record owners of the parcel]
the owner of record of Tax Map and Parcel Number
78-58K
by delivering a copy of the application in the manner identified below:
0 Hand delivery of a copy of the application to
on
Date
QZJMailing a copy of the application to
on hb4wm to the following address
Date
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the
recipient of the record and the recipient's title or office
for that entity]
[Name of the record ownek threcord owner is a
person; if the owner of re orl is an entity, identify the
recipient of the record and the recipient's title or office
for that entity]
olnef�vi
[Address; written notice mailed to the owner at the last
known address of the owner as shown on the current
real estate tax assessment books or current real estate
tax assessment records satisfies this requirement].
Sig ture o Applicant
Jennifer Slack
Print Applicant Name
11 /5/2019
Date
Zoning Map Amendment Application Revised 2/28/2019 Page 6 of 6