Building Permit Example

Page | 006

I hereby depose & say that all the above the papers submitted herewith are true.
in the
Swom to before me this day of, No{ary Public,
L9¿02 rdx3 uorssrruuro3 Á¡n¡ urpotltleno 86¿e I e9nu t0'oN
tsx. Jtl8nd ossnu') llllt{3t!\t^uv10N
ITO BE COMPLETED IF APPÐLLANT IS NOT TI{E PROPERTY OWNER IN FEE]
State of New York
County of Westchester ) rs
)
Being duly sworn, deposes and say that he resides at
County of Westchester, in the State of New York, that he is the owner in fee of all that certain lot, piece or parcel of land situated, lying and being in the Village of Mount Kisco, County of \üestchester aforesaid and known and designated as number
and that he hereby authorized to make the annexed application in his behalf and that the statements contained in said application
are true.
to sign here)
in the
4
ZBA Application
(sign
4rtF. )