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<br />P,H,# <br /> <br />Owner's Sworn-to-Consent <br />Permitting Tenant to File for a Hearing <br />(Corporation) <br /> <br />. J "- - . <br />On behalf of /Jf'1.I/Vel:: ri)F t'7tIAlAll/ .L-S,,-ES. ;; , a lie <br />(state) corporation, '.~- / . being first duly sworn, deposes <br />and says that as the Presiden ice-PresidenJt or CEO (circle one) of the aforesaid Corporation, <br />which is the Owner of the property ega y eS'Cfibed below and which is the subject property of the <br />proposed hearing, does hereby grant consent to .'5t::.tN~ .~5~i?5 !:Jh1YC79/f1j: Q.J~Cas <br />Tenant to file this application for a public hearing. <br /> <br />Legal Description: <br />,iZ()L/~9.' 51 - R:f?/I - LQJJ"Y -tJJ:2..-2L <br /> <br />Witnesses: <br /> <br />S. t (~u~~?(.,Z <br />Igna ure'~ , <br />Print Name /19t/ /-i /v19 <br /> <br />') <br />altf.tl <br /> <br />PR , J-\ L i? (\ F 5.1J H N -; ~J LE-S · <br />Name of Corporation ( <br />Address: <br /> <br />(~/fEAI <br /> <br />('7'')qr- I~' f)A-f ~I.J >f)}lf!/ tJL/?J' <br />, /'{ , <br />By c;f'!2/~~.~,!:?LI <br />Preside , Vice-President 0 CEO* (circle one) <br /> <br />Signature ~.-?;~?/ <br />Print Name /yi";7/jf 6j'LJ.I?.?/.- <br /> <br />STATE OF _ Tl.iJ/~j.~ 0/9 <br />COUNTY OF lIi/J /1' f-D;9t))~ <br /> <br />[*Note: All 6thers r: quire attachment of <br />original corpo ate resolution of <br />authorization] <br /> <br /> <br />before me by <br />, CtJ.E corporation, on <br />or' has produced <br /> <br />Witness my <br /> <br />Ui~ <br /> <br />signature t1 and official seal this ..3l day <br />9(.0/;1 , in the County and State aforesaid. <br /> <br />(;;P?/#m..;? C;V4;7'U <br /> <br />of <br /> <br />Notary Public-State <br /> <br />- ~ <br /> <br />1LOAi i.? /)- <br />(J /}t/ L/N /J (V /-1 i.3 N <br />Print Name <br /> <br />My Commission Expires: .;2/1l/do.l5" <br /> <br />. MIll. COHEff ~ <br />.., PICIftc . Stilt Of AafWI <br />· · My Comm. e.... ftCI11. 2015 <br />,) Commllllon " ee 5110aa . <br />· I~ " toIlIIId ~ NlllOIIII ffollfV .. <br /> <br />~ <br /> <br />It:torms/Owne~s Sworn-to-Consent for Corporation.doc (2/28/0611 <br />