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Town of Aurora Special Use Permit 575 Oakwood Avenue Application East Aurora, NY 14052 Owner Authorization www.townofaurora.com The undersigned, who ‘5 is the owner fuof the premises i? A c 7 know ft as: Poe ; : anf ; # LHC Lewd Keb Sect lales, AX (42 Tidentitied as Tax Map (SBLY#...201,00-3-13.132 yf ers ar er ee ee ok ce I ee eIe REL ee eee erePerereraeeey. hereby authorizes .......... GreenSpalk. SOlAM.. ccc eccces to bring an application for a special use permit 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. a H& . + [F1 ——) . \ t Fon TAS - / Fn KOb EET all taverasennee es “a we bee he ie ie - _— a Ak and Owner (print) | Date ‘ ry ae" _ _ et A f j VA eve 7 5 \OAA4 fH are Owner (Signature) STATE OF NEW YORK } | wh bald! $s COUNTY OF-ERIE ) On this PP aay of (| uly , 20C before me, the undersigned, a notary public in and for said state, personally appeared KOKO /.ia 3 4 (n-teuink , 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. No > 1 aL i, seenanaae tacngsinntiaeet [ GAROLEE TUCKE R OF NEW YORK NOTARY PUBLIC, STATE Registration No. Q1TU6112656 Qualified in. Wyoming County 4 Commission Expires Juné 28, 2028