TOWN COUNCIL/AREA PLAN COMMISSION/BOARD OF ZONING APPEALS
FOR THE
TOWN OF NEW CARLISLE, ST. JOSEPH 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):
remain in effect until revoked by a written statement filed with the Town Council /
Area Plan Commission / Board Of Zoning Appeals.
remain in effect until _________________.
remain in effect until these land development petitions are resolved.
By: ___________________________
Printed: ___________________________
Title: ___________________________
Date: ___________________________
STATE OF INDIANA,
COUNTY OF ST. JOSEPH, SS:
Subscribed and sworn to before me this
________ day of ________________, 20________
__________________________________________
Notary Public
__________________________________________
Printed Name of Notary Public
My Commission expires: ______________________
My County of residence: ______________________
(Ord. 1221, Exh. E, passed 1-26-2010)