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OWNERSHIP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br />STATE OF FLORIDA <br />COUNTY OF MIAMI DADE <br />Public Hearing N <br />w-herBefore me, the undersigned authority, personally appeared /"t am "d 60Skw- <br />hereinafter <br />einafter the Affiant (s), who being first duly sworn by me, on oath, deposes ands . <br />1. Affiant is the manager, or managing member of the <br />LA PLAYA BEACH ASSOCIATES LLC Limited Liability Company with the following <br />address: <br />18801 COLLINS AVE.,SLINNY ISLES BEACH, FL 33160 <br />2. The Limited Liability Compan owns r 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. PB44-42. S200 OF TR H & TR I LESS S216.66FT & PORT LYING EAST <br />& ADJACENT WEST <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 car <br />advertized. <br />Witnesses: w ' <br />mature <br />TRI DAD RE NA <br />n <br />ur <br />S /INA MARTINEZ BENITES <br />Print Name <br />Sworn to and subscribed before to on the _3day of MAY <br />Affiant is personally known to mI has produced <br />Identification. <br />Commission Expires: % 3 <br />City of Sunny Isles Beach Public Hearing Application Package <br />2023 <br />JEYSELL D MENDOIA <br />Notary Public • State of Florida <br />Commission X HH 386623 <br />My Comm. Expires Apr 13, 2027 <br />ed throuth National Notary Assn. <br />Page 10 of 30 <br />25 <br />