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Town of Aurora Special Use Permit
575 Oakwood Avenue Application
East Aurora, NY 14052 — Qwner Authorization
www.townofaurora.com
The undersigned, who is the owner of the premises know as:
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hereby authorizes .......... GreenSpalk SOMALI... cscs cece 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.
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‘Owner (Signature)
STATE OF NEW YORK )
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COUNTY OF-ERIE- )
On this cay of «| uly , oan before me, the undersigned, a notary public in and for said state,
personally appeared Kobe“ A) | (nteing . 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.
CAROLEE TUCKER
NOTARY PUBLIC, STATE OF NEW YORI
Registration No. Q1TU6 112056
Qualified In. Wyoming County 4
Commission Expires June 28, 2028