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City of Washington
Department of Planning and Development Application for a Variance Page 5: Owner Authorization for Non-Owner Application |
| NOTE: IF THE PERSON WHO IS REQUESTING THE BOARD OF ADJUSTMENT TO TAKE ACTION ON A PARTICULAR PIECE OF PROPERTY IS NOT THE OWNER OF THE PROPERTY OR DOES NOT HAVE A BINDING OPTION TO PURCHASE THE PROPERTY, THEN THE ACTUAL OWNER OF THE LAND MUST COMPLETE THIS FORM. |
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Dear Sir or Madam, I am the owner of the property located at: |
| I hereby authorize: |
| to appear with my consent before the City of Washington Board of Adjustment in order to ask for a variance from: |
| I understand that the variance, if granted, is permanent and runs with the land. I authorize you to advertise and present this matter in my name as the owner of the property. |
| If there are any questions, you may contact me at my address: |
| or by telephone at:_________________________________. |
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Respectfully yours, _______________________________________________ |
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Sworn to and ascribed before me, this the________day of_________, 20___. _______________________________________________ |