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Town of Aurora Special Use Permit 575 Oakwood Avenue Application East Aurora, NY 1405? Owner Authorization AAA townofaurora.com The undersigned, who is the owner of the premises know as: “. & ) Botte Ba Caet Riwagd OY OO KN Oage MON 2. DOSSON OKO cg identified as Tax Map (SBL)f...... cece (address) hereby authorizes ...\C COr an an \MWeve t Maasiiaatis to bring an application for a special use permit ‘ae ? re f eS \ YC « z ‘ : before the Town of Aurora Town Board for review and potential approval. The undersigned further permits the Town or its authorized representative(s) access to the property to review existing site conditions during the review process. Owner (print) Date 312 olan Owner (signature) STATE OF NEW YORK ) SS COUNTY OF ERIE ) On this 2 day of /YJamwcA _. 202, before me, the undersigned, a notary public in and for said state, personally appeared Jordan Li tevtiak , personally known to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (te al [Vit et) (1 erec Notary Public Michelle Cole Notary Public State of New York Qualified in Erie County ; Lic.# 01C06405363 My Commission Expires 03/09/2027