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SUPPORTING DATA: (List here any reason for request or other information showing <br />hardship). <br />None <br />The above information is true and correct to the best of my knowledge and belief. <br />Name of Owners: <br />Eugene & Barbara Perry <br />POBox 175 <br />Mooresville IN 46158 <br />nature of plicant/Agent for Applicant <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF MORGAN ) <br />Subscribed and sworn to before me, a Notary Public, in and for said County of Morgan, State of <br />Indiana, this 2nd day of October a 12017 <br />.n <br />2 of 3 <br />of Notary Public <br />Sandra L. Christie <br />Printed Name of Notary Public <br />My Commission Expires: 5/31/2023 <br />County of Residence: Morgan <br />�Qaf-, <br />OCT 2 `` `, <br />