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NOTE: Attach drawing of land showing Improvements and Proposed,_y <br />Improvements. <br />SUPPORTING DATA: (Here list any reasons for request or otlieri'Q,:), <br />information showing hardship.) <br />A IaG/' a �•T Get ,�. }} L <br />�RRR <br />The above information is true and correct to the best of my <br />knowledge and belief/n!. <br />me of Owners: C7f V`el7rP5Q� (n}.vP•, <br />STATE OF INDIANA ) <br />SS: <br />COUNTY OF MORGAN ) <br />Subscribed and sworn to before me, a Notary Public, in and - <br />for W , ounty of Morgan, State of Indiana, this 27 day of <br />20/_7. <br />M1�pv via ANGELA KATH <br />i n COMMISSION EXPIRES <br />oOG <br />SEAL * DECEMBER19, 2022 Notary ublic <br />•ro„�� RESIDENT OF MORGAN COUNTY Printe <br />My Commission fres: <br />My County of Residence: <br />