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OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br />STATE OF TQC'91041 Public Hearing No. <br />COUNTY OF (J-+09- <br />Before <br />J-+0c <br />Before me, the undersigned authority, personally appeared f <br />hereinafter the Affiant (s), who being first duly sworn by rne, on oath, deposes and says: <br />1. Affiant is the president, vice-president or CEO of the LOC IL Ue(Ft ►� <br />Le 1414lSayudu euVe wo V%cCorporation with the following address: 'Fqu x3w-o <br />1--100 A, - ao4 TZa44n 3i' ld.� S,,A," -yr le Few <br />2. The Corporation owns the property, which is the subject of the proposed hearing. <br />3. The subject property is legally described as: <br />LF HAIsoNNeUVf Cc3A.,aa H i rvt-V1t1S TNC- <br />iv . 9O -q T�Jq SUIV U --ps (es <br />4. Affiant is legally authorized to file this application for public hearing: <br />5. Affiant understands this affidavit is subject to the penalties of law for perjury and the <br />possibility of voiding of any zoning granted at public hearing. <br />33160 <br />6. Affiant understands that the matters attached to and made part of the application are <br />honest and true to the best of my knowledge and belief. I understand this application must <br />be complete and accurate before the application can be submitted and the hearing <br />adver•tized. <br />Print Name <br />xIJ <br />Aff ant'srgnat)ure r <br />J OWL u r. R 1 1� <br />Print Name <br />Sworn to efore me on the av day of -� , 20 l <br />Affiant ' ersonally know to me or has produced 4 4 a <br />Identification. LCg-' <br />Commission Expires <br />City of Sunny Isles Beach <br />MY COMMISSION k GO 918225 <br />EXPIRES: January 31,202A <br />Bonded ihru Notm Pum, r rnrinn-v- <br />Public Hearing Application Package Page 9 of 23 <br />19 <br />