HomeMy WebLinkAbout10-11 Owner AffidavitLANDOWNER AFFIDAVIT
As per y -65-204.19, 7), of the rndken,b Coon ?cr�n Ordinance the ,.ndersigned, AS -
Joseph H. Dacey, Sr., owner of Parcel 59-A-6 located at 3392 Back Mountain Road in
Winchester, Virginia 22602, hereby acknowledges that they may be held responsible for the
removal of the commercial telecommunications facility proposed on this site.
Mr. Jo eph H. Racey, Sr., Owner
Ir
e State/Commonwealth of Q L je7 'j I !�! 1 , in the City/County of
4 iZ I_Joseph H. Racey Sr., state that the above information is accurate and
true.
1, A- Q1 —6eCQ qya Notary Public of the County and State aforesaid, hereby
certify that Mr. Joseph H. Racey, personally known to me to be the affiant in the for Q916,
affidavit, personally appeared before me this day and having been by me duly swo�ti��v�5•p.,��
and says that the facts set forth in the above affidavit are true and correct. o �� %��
MY `'fie
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Witness my hand and official seal this the day o , 2011. a Ntl�'SSI
: �'?� % 318568
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Notary Public
My Commission expires:
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