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HomeMy WebLinkAboutTurner Jr, Kirby ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent tok gg�q pb,4hViL."e, pmr— (Name of Property Owner) property located at e4,;�k , (Lot, BIock, .Road, etc.) on N", lDDrNS Le k , in �:5WI XNA N.C. (Waterbody) (Town and/or County) AppIicant's phone dli ? ( Mailing Address:!,., 3�r� He has described to* me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ---------------_---------------------------------------=--------------------------------=-------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) 1 ------------------- _---' ---' - -�-c------�-'-`--- ------------------------------------------------ (Information for Property Ow er A plying (Riparian Property Owner Information) for Permit) A kj��� Mailing Address Signature City/State/Zip Telephone Number Signature Date Print or Type Name Telephone Number Date