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OWNERSHIP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br />STATE OF FLORIDA <br />COUNTY OF MIAMI-DADE <br />Public Hearing No. <br />Before me, the undersigned authority, personally appeared <br />hereinafter the Affiant (s), who being first duly sworn by me, on oath, deposes and says: <br />1. Affiant is the manager, or managing member of the LA PLAYA BEACH ASSOCIATES <br />Limited Liability Company with the following <br />address: <br />1300 BRICKELL AVE - MIAMI, FL 33131 <br />2. The Limited Liability Company owns or lease (circle one) the property, which is the <br />subject of the proposed hearing. <br />3. The subject property is legally described as: <br />AMD PLAT OF NO BISCAYNE BEACH PB 44-42 S200 OF TR H & TRI LESS S216.66FT & <br />PORT LYING EAST & ADJACENT WEST OF EROSION LINE PER PB 105-62 LOT SIZE 205424 SQ FT M/L <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 />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 />advertized. <br />Witnesses:: <br />Signature <br />CA-7-1,ilmA VA20l)ZZ <br />"_1Ant Name <br />Signature <br />..5�'3�-STfnctDtl S�l�/ah%IC1�1Jc3� <br />Print Name <br />6 � �' <br />Affiant's Signature I <br />Print <br />Manuel G <br />Print N <br />Sworn to and subscribed before me on the i_day of `Dtep,.,,_ber , 203L , <br />Affiant is personally known to me or has produced as <br />Identification. <br />Notary ( mp/Seal) <br />Commission Expires: &&:. 15,1-o z3 ' `" " �— .4t <br />V- ':'TRY PGq'., MARITZA GON7.ALEZ•ORTIZ <br />Notary Public - State of Florida <br />Commission "GG 327338 <br />My Comm. Expires Aug 15, 2023 <br />Bonded through National Notary Assn. <br />��xer•�vrr ■ssaaer-'��vaa�ti <br />Page 10 of 23 <br />44 <br />