Fill and Sign the Form Aoc Cr 914m Affidavit to Obtain Administrative

(Over)The program of inspection referred to covers the areawhich naturally includes the property owned or possessed by This inspection program is a legal function ofand is being conducted for the purpose of checking or revealing the following:duly sworn and examined under oath, state under oath that there is a program of inspection authorized by STATE OF NORTH CAROLINACountyAFFIDAVIT TO OBTAIN ADMINISTRATIVE INSPECTION WARRANT FOR PERIODIC INSPECTIONI,In The General Court Of JusticeAOC-CR-914M, Rev. 7/2000 IMPORTANT: Attach the Affidavit to the WARRANT if not on reverse side., being(name and position)(identify statute or regulation authorizing inspection)(precisely describe the property to be inspected)and described as follows: (indicate town, county, or portion thereof, or other specific territory covered by inspection program)(state conditions, objects, activities, or circumstances covered by inspection program)(name owner or possessor)(name agency)and is under the supervision of(identify person responsible for inspection program)Assistant CSC District Court JudgeSignature Date Deputy CSC MagistrateClerk Of Superior Court Superior Court JudgeSignature Of ApplicantSWORN AND SUBSCRIBED TO BEFORE ME:2000 Administrative Office of the Courts(TYPE OR PRINT IN BLACK INK)Name Of Applicant (Type Or Print) The applicant named on the accompanying affidavit, being duly sworn, has stated to me that the property described in that affidavit is to be inspected as part of a legally authorized program of inspection which naturally includes that property. I have examined this applicant under oath or affirmation and have verified the accuracy of the matters in the affidavit establishing the legal grounds for this Warrant. YOU ARE HEREBY COMMANDED TO INSPECT THE PROPERTY DESCRIBED IN THE ACCOMPANYING AFFIDAVIT. This inspection is authorized to check or reveal the conditions, objects, activities, or circumstances indicated in the accompanying affidavit as a purpose of the inspection program. This Warrant must be served upon the owner or possessor of the property described in the accompanying affidavit. If the owner or possessor is not present on the property at the time of inspection and you have made reasonable but unsuccessful efforts to locate the owner or possessor, you may instead serve it by affixing this Warrant or a copy to the property. THIS WARRANT MAY BE EXECUTED ONLY BETWEEN THE HOURS OF 8:00 A.M. AND 8:00 P.M. AND ONLY WITHIN 24 HOURS AFTER IT WAS ISSUED. IT MUST BE RETURNED WITHIN 48 HOURS AFTER IT WAS ISSUED. Signature AOC-CR-914M, Side Two, Rev. 7/2000STATE OF NORTH CAROLINACountyADMINISTRATIVE INSPECTION WARRANT FOR PERIODIC INSPECTION In The General Court Of Justice G.S. 15-27.2 IMPORTANT: Attach the Affidavit to the WARRANT if not on reverse side.2000 Administrative Office of the CourtsFile No.Signature Of Inspecting OfficialOFFICER'S RETURNI certify that this WARRANT was executed on the date and time shown below.Date Of ExecutionTime Of ExecutionPMAMTO ANY LAWFUL OFFICIAL EMPOWERED TO CONDUCT THE INSPECTION AUTHORIZED BY THIS WARRANT:Assistant CSC District Court JudgeDate IssuedDeputy CSC MagistrateClerk Of Superior Court Superior Court JudgeTime IssuedPMAM(TYPE OR PRINT IN BLACK INK)Name Of Inspecting Official (Type Or Print)Deputy CSCClerk Of Superior CourtAssistant CSCSignature CLERK'S ACCEPTANCEThis WARRANT has been returned to this office on the date and time shown below.Date Of ReturnTime Of ReturnPMAM