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TENANT CONSENT FORM <br />STATE OF FLORIDA <br />SS: <br />COUNTY OF MIAMI-DADE <br />BEFORE ME, the undersigned authority, personally appeared <br />who after first being duly sworn, deposes <br />and states as follows: <br />1. My name is <br />tenant of the property located at <br />in the City of Sunny Isles Beach (the "Property"). <br />and I am the existing <br />2. I am the tenant to an existing lease with the owner of the Property. <br />3. I hereby consent to the proposed project for the Property which is the subject of a <br />pending application for certificate of appropriateness <br />4. I am over eighteen (18) years of age and the information contained herein is based <br />on my own personal knowledge, information and belief. <br />FURTHER AFFIANT SAYETH NAUGHT. <br />STATE OF FLORIDA ) <br />) SS: <br />COUNTY OF MIAMI-DADE ) <br />I HEREBY CERTIFY that on this day, before me, an officer duly authorized to <br />administer oaths and take acknowledgments, personally appeared, <br />who took an oath and who produced <br />driver's license number as identification, or who is <br />personally known to me and known to be the person described in and executed the foregoing <br />instrument, and who acknowledged that they did the same as their free act and deed. <br />WITNESS my hand and official seal in the County and State last aforesaid on this <br />day of 1201—. <br />Printed Name of Notary <br />Notary Public Serial Number (if any) <br />My Commission Expires: <br />Signature of Notary Public <br />Page 8 of 8 Page 55 of 98 <br />66 <br />