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er. If the applicant is not V. SIGNATURES (This application must be signed by the applicant/petition pg. 5 ) must be submitted — see the owner of the property, a separate owner authorization form Signature of Applicant/Petitioner Christine 6, Elu ews Print name of Applicant/Petitioner — } State of New York; County of Erie On ine-T day of MovenbF the year FOAS before me, the above individual appeared, personally known to me on the ... _ -basis-of satisfactory-evidence.to..be.the.individual.whose....... : name is subscribed to the within instrument and the same acknowledged to me that he/she/they executed for the purposes therein stated. 0 Notary Public SHERYLA. MILLER a . Reg. #01Mie128663. York __ Notary Public, State of New (Notary stamp) 7 QualifiedIn Erie County: Commission Expires June 13, 20A> Office Use Only: _—Date received: Receipt #:_ “Application reviewed by: | ECDP ZR-1 formsenttoEC: 0 Hearing publication date: PREVIOUS APPEAL(S): | | A previous appeal to the Zoning Board of-Appeals ( ) has (. )-has not been made with respect to this property. Previous appeals: | | Granted Denied Date: 7 Type of Appeal: Type of Appeal: ‘Granted Denied Date: