OWNER’S AFFIDAVIT
(Sign and return if property owner is different than applicant)
I,
Sate) ave?
/
_do hereby certify that | am an owner and/or contract purchaser
of property involved in this request and that the foregoing statements, answers and supporting documentation submitted are in all respects true and correct to the best of my knowledge and belief. If this application is granted approval, all actions shall be in accordance with the terms of that
approval.
On behalf of Xerox Corporation
-
John Barrett
/
NAME OF PROPERTY BUSINESS OWNER
JRE/OF PROPERTY/BUSINESS OWNER arch 24, 2025