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Home My WebLink AboutOwner Cert-Auth Letter - Lot Line Mod fillable OWNERS AUTHORIZATION & CERTIFICATION LETTER Lot Line Modifications Town of Ithaca Town Engineer Town of Ithaca Public Works Department 106 Seven Mile Drive Ithaca, New York 14850 Dear Town Engineer: I/We hereby affirm that I/we/am/are the owner(s) of the property located below, for which an application for a lot line modification has been submitted: Property Address/Location(s):_____________________________________________________ City: ________________________ State: ____________________ Zip: __________________ Tax Map and Parcel Number(s): ___________________________________________________ I/we also certify that I/we have caused the land to be surveyed and divided; that I/we agree and guarantee to divide the property as shown on the finally approved subdivision plat and all related application documents; and that I/we make any dedications indicated on the final subdivision plat. __________________________ ________________________________ ______________ Name (print) Signature Date __________________________ ________________________________ ______________ Name (print) Signature Date __________________________ ________________________________ ______________ Name (print) Signature Date _________________________ ________________________________ ______________ Name (print) Signature Date