Adjacent Riparian Property Owner Statement(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) | |||
| I hereby certify that I own property adjacent to ________________________________________'s | |||
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| property located at _____________________________________________________________, | |||
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on ____________________________________, in _______________________________, NC | |||
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He has described to me, as shown below, the development he is proposing at that location and I have |
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| no objections to his proposal. | |||
_____ I do not wish to waive the setback requirement. _____ I do wish to waive the setback requirement. |
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| ___________________________________________________________________________ Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) ___________________________________________________________________________ ______________________________ Signature ______________________________ Print or type name ______________________________ Telephone number ______________________________ Date |