| STATE OF NEW
JERSEY |
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| COUNTY OF
MERCER |
} |
______________________________________of full age,
being duly sworn according to law on oath
deposes and says that the
deponent resides at: _______________________________ in the
_____________________________ of ____________________________________,County
of
_______________________and State of __________________, that
_______________________
is the owner in fee of all that certain
lot, piece of parcel of land situated, lying and being in the Township of
Princeton, New Jersey, and known and designated as
Lot(s)
___________________, Block ____________________.
SWORN AND SCRIBED
BEFORE ME THIS
_____________ DAY
OF ____________________, 19_____
___________________________________ Notary Public, State of NJ
POWER OF ATTORNEY
( If anyone other than above owner is making this
application, the following power of attorney must be executed)
TO
THE HISTORIC PRESERVATION COMMISSION
_________________________________________ is hereby authorized to make
the within application.
DATED:_______________________________, 19____.
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__________________________________________
(Owner to sign here
) |
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