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OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br />STATS OF Voo% Public Hearing No. <br />COUNTY OF, -M"1a*t`Mc <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 president vice-president or CLO of the UOAR?YV 0 hu (j -i ra `lam l ho <br />�►� 04 %} N )US9- __ - Corporation, with the following address: <br />C4l✓)JC AU -0- X1601 SUn �� 3 3 i(- Q <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 />Coylc6_ o& <br />atem 665 <br />Aueaut CcJyk <br />tk?d 30o/ <br />�) Yl U 1 • i C 2 �9 I /► <br />�n7^ da !_t)yn <br />oN 2w 4 5 <br />OFF (zL 295I 19 -25, <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 />Print Name <br />Signature <br />Print Name <br />••• <br />Affiant's Signature <br />4--&JA9,vo 9(lJ k ftz{ b <br />Print Name <br />Sworn to and subscribed before me on the lay of 00 E tW 20 L , <br />Affiant is personally known tome or has produced Aas <br />Identification. <br />No (St /Seal) <br />Commission Expires• � ~ � D � �" �' <br />- -- -- -- -. - --- -- - ------------- <br />CARMIN TILLIT <br />Notary Public • State of Florida <br />Commission # HH 285617 <br />My Comm, Expires Jul 10, 2026 <br />Bonded through National Notary Assn. <br />P e9ot23 <br />City of Sunny Islas Deach <br />Publlc Hearing Application package <br />28 <br />