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;fir .�, i . -. - - .oVyU.i- •1y+ . <br />TDR 1011 GH <br />(PROVIDE CER'T'IFICATION FROM CITY'S CHIEF CODE INSPECTOR) <br />IX, CERTIFICATION OF RESOLUTION FOR YOUR PROPERTY AND INCLUDING <br />ADJACENT .LOTS <br />X. PROPERTY OWNER CERTIFICATION AND ACKNOWLEDGEMENT <br />I HEREBY CERTIFY THAT <br />1) THE INFORMATION FURNISHED ON THIS APPLICATION AND THE ATTACHEMNTS <br />ARE TRUE <br />2 I AM THE OWNER OF RECORD OF THE PROPERTY DESCRIBED IN SECTION I III <br />circle appl cehle nunriber)r <br />3) .IF THE APPLICATION, AS MODIFIED OR AMENDED DURING THE REVIEW AND <br />APPROVAL PROCESS, IS GRANTED, I AGREE, IN CONSIDERATION THEREFORE, TO <br />INDEMNIFY AND HOLD HARMLESS, AND PROMISE NOT TO SUE, TETE CITY OF <br />SUNNY ISLES BEACH, INCLUDING ITS OFFICERS AND EMPLOYEES, IN <br />CONNECTION WITH ANY CLAIMS OR OTHER ACTIONS ARISING OUT OF SAID <br />REVIEW AND APPROVAL, <br />4) I HEREBY ACKNOWLEDGE AND AGREE THAT IF THE PROPERTY IS APPROVED AS <br />A SENDER SITE, IT SHALL BE CONVEYED TO THE CITY AS VACANT PROPERTY <br />WITHOUT ANY STRUCTURES LOCATED THEREON, UNLESS OTHERWISE <br />AAPROVED BY THE CITY MANAGER. THE REMOVAL OF STRUCTURES FRONT THE - <br />SITE SHALL BE AT NO COST TO THE CITY. <br />5) I HEREBY ACKNOWLEbGE AND AGREE THAT, AT THE EXPIRATION OF THE FIVE <br />YEAR PERIOD COMMENCING WITH THE DATE OF THE CITY COMMISSION <br />APPROVAL OF TI4E PROPERTY AS A SENDER SITE, ANY UNUSED DEVELOPEMNT <br />RIGHTS TRANSFERRED FROM THE SENDER SITE SHALL EXPIRE, TERMINATE AND <br />RECO TINGUISHBD AND UNUSABLE, <br />SIGNATURE OF OWNER (APPLICANT) DATE <br />SIGNATURE OF CO-OWNER (CO -APPLICANT) DATE <br />STATE OF FLORIDA <br />�*ItlNYIC111rN_:01tr01t1{OarNYfRGtXxEtn4aa0Y Vtlaw`xfeRrMICClV�n1aN10f11 WNI'nMvrinanevllv,11h6'iwR1fI1N/snetarMtrow VATIa1uP%iAMfRtarFa:l<rnl•MLNaWx'a�v>!pt/+'4'G�F�11 <br />Clty of Sunny Islas beach 4 Planning and Zoning Department <br />144 <br />