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a <br />NOTE: Attach drawing Of land showing Improvements and Proposed <br />Improvements. <br />SUPPORTING DATA: (Here list any reasons for request or other <br />information showing hardship.) <br />The above information is true and correct to the best of my <br />knowledge and belief. <br />Name of Owners: <br />l� <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF MORGAN ) <br />Subscribed and sworn to before me, a Notary Pu 1c, in and <br />f th County of Morg OL State of Indiana, this <br />( C day of <br />DEBRA L MONTS <br />Notary Public -Seal Notary <br />State of Indiana Printed 1� W <br />My0ommissfonExplresJun21,202D My Commission Expires:_ <br />My County of Residence: 0 <br />