I, , owner of the subsurface rights for the subject property, am aware of this application and consent to it. _________________________________________________ _____________________________________ (signature) (date) ______________________________________________________________________________________________________ (address) _________________________________________________ ______________________________________ Telephone Number Facsimile Number
I, , owner of the subsurface rights for the subject property, am aware of this application and consent to it. _________________________________________________ _____________________________________ (signature) (date) ______________________________________________________________________________________________________ (address) _________________________________________________ ______________________________________ Telephone Number Facsimile Number
2018-OPA-ZBAApplic.docx