Affidavit—Proof of service of notice by applicant for variance on other property owners concerning hearing by zoning board of appeals.

State of _________
	ss
County of _________

 

_________, being duly sworn, deposes and says that:

1. _________[He or She] is over _________ years of age and resides at _________[address], _________[city], _________ County, _________[state].

2. _________[He or She] is the applicant in a proceeding before the Zoning Board of Appeals of the City of _________, being an application under the Zoning Ordinance, and which has Calendar No. _________ and relates to premises situated at _________[address], _________[city], _________ County, _________[state].

3. _________[He or She] gave notice of this proceeding to each and all of the persons named on the list of owners of property affected supplied to _________[him or her] by the Zoning Board of Appeals of the City of _________, by mailing a copy of such notice on _________[date], by registered mail, to each of the owners on the above-mentioned list. A true copy of the notice is attached to this affidavit.

[Signature]

[Jurat]

[Attachment]