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STATE OF FLORIDA <br />COUNTY OF MIAMI•DADE <br />OWNERSHIP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br />Public Hearing <br />y \SfLES e <br />� <br />N is bwz <br />\d J <br />2 <br />RECEIVED <br />PZ2025-01 <br />12/6/2024 <br />PLANNING & ZONING DEPT. <br />Before me, the undersigned authority, personally appeared L <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 theLA PLAYA BEACH ASSOCIATES <br />Limited Liability Company with the following <br />address: <br />1300 aRICKELL AVE, MIAMI, FLORIDA 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 />SEE ATTACHMENT <br />4. Affiant is legally authorized to file this application for public hearing: <br />S. 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 />21 <br />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 />Signature <br />Print Name <br />Sworn to and subscribed before me on the Z% day of MAI , 20 Z* , <br />Affiant is personally known to nXt- has produced as <br />Identification. c _ 1 <br />Commission Expires: S•�•�2'S <br />ANA MARIA GIL <br />�`R� A4gi <br />�p: Notary public •Slate of Flat Ida <br />f,"t*+ Commission #r HH 089412 <br />My Comm. Expires May 31, 2025 <br />y'''%.; ;,;:.; `�• Aonoe "! lough Natid, Notary Assn <br />Page 10 of 23 <br />as <br />