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r.r <br />NOTE: Attach drawing of land showing Improvements and Proposedt' j/;;3-y,.,y <br />Improvements. <br />f k- <br />SUPPORTING DATA: (Here list any reasons for request or otherA.�. <br />informat`ion showing hardship..) _ <br />UgfR <br />The above information is true and correct to the best of my <br />knowledge and belief. <br />me of Owners: (91- <br />STATE <br />fSTATE OF INDIANA ) <br />SS: <br />COUNTY OF MORGAN ) <br />Subscribed and sworn to before me, a Notary Public, in and <br />for e , ounty of Morgan, State of Indiana, this 7 day of <br />20/'7. <br />tear "�s ANGELA KATH !/ <br />i �a COMMISSION EXPIRES <br />DECEMBER 19, 2022 Notary ublic <br />RESIDENT OF MORGAN COUNTY Printe %/�LG� ij�'J"✓) <br />My Commission ires:1 Z ,ZD7z <br />My County of Residence: V <br />