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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 is the owner of the premises know as: rr re a er a a ec re ee ee ek cr ae ar rer er area aes ee Re eg Et rE PRET PN Ch OF ta EME CARS | Naat bet bee PTD cence ea Ba wee eee see eee ee ( address} hereby authorizes Kehanca Ber 1 4 ham coca 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. “Votrick Dotty C1 o> Row. Owner (print) - Owner (signature) tf STATE OF NEW YORK ) SS COUNTY OF ERIE ) On this 3F> day of wily, . 20 Ab, before me, the undersigned, a notary public in and for said state. personally appeared “Rosereye Drtu, , 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/then signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. | 5, } 4 i! he) — 1) , on ee NOTARY Pu BLIC, seeST, SAMULSKK otary Public Notary Public ~ () ERIE COUNTYOF y EW YORK STATE LIC. # 01SA63 92 C OMM. Exp 06 645 /03/2027