Free 18748.xls - Indiana

INDOT ZONING AFFIDAVIT
State Form 18748 (R / 3-08) INDIANA DEPARTMENT OF TRANSPORTATION

ZONING AFFIDAVIT
I, I am the in , being first duly sworn, depose and say: for the County, Indiana. In this capacity, I have custody of

and am responsible for the zoning records for the I have inspected the records and find that the sign located

is in an area zoned , 20 , pursuant to

, effective on

The documents attached hereto, specifically

are true and accurate copies of the records; and referenced above contained in the files and business records of The matters sworn herein are made from my personal knowledge, and I am competent to testify thereto. Further affiant sayeth not. Signature STATE OF INDIANA COUNTY OF
Before me the undersigned personally appeared
(Name & Title of Person)

}

And acknowledge the execution of this instrument this

day of

INTESTIMONY WHEREOF, I
(Notary)

have hereunto set my hand and official seal, this

day of

,

Signature of Notary

Printed Name of Notary