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Town of Aurora Zoning Board of Appeals 575 Oakwood Avenue Application East Aurora, NY 14052 Owner Authorization .townofaurora.com representative(s) access to the property to review existing site conditions during the review process. Mare R Gemone Owner (print) s|2 pore Date | Owner (signature) STATE OF NEW YORK ) Ss COUNTY OF ERIE ) On this O na day of March , 20 BIE before me, the undersigned, a notary public in and for said state, personally appeared Mark R ben ereK , persgnally known to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subsécibed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capadity(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. LaureaHe Mornin Notary Public LAURIE NM Notary Public, St otk New York - LAURIE H MONIN Registration No. ONV06304887 | ts) NB te af Naw ae sh ve York 454887 valified in Erie ount Commission Expires Jun yACLAY 20 @ in Efe Goun GOREN a Lane aa! oe . 5