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TOR 3011 CH <br />(PRO'V'IDE CERTIFICATION FROM CITY'S CHIEF CODE INSPECTOR) <br />IXC CBRTIVICATION OF RESOLUTION FOR YOUR. PROPERTY AND INCLUDING <br />ADJACENT LOTS <br />X. PROPERTY OWNER CERTIFICATION AND ACXNOWLEDGEIVIENT <br />I II nBY CERTIFY THAT <br />1) THE INFORMATION FURNISHED ON THIS APPLICATION AND THE ATTACHEMMS <br />ARE TRUE <br />2) I AM THE OWNER OF RECORD OF THE PROPERTY DESCRIBED IN SECTION (11) (III) <br />(circle applicable number). <br />S) IF THE APPLICATION, AS MODIFIED OR AMENDED DURING THE REVIEW AND <br />APPROVAL i'ROCESS; TS GRANTED, I AGREE, IN CONSIDERATION THE' E*' ' x T6 <br />1NDEMNIF` AND SOLD HARMLESS, AND PROMISE.NGT TO SUE, THE, QTY OF <br />SUNNI ISLES BEACH, INCLUDING ITS OFFICERS AND EMPLOYEES., <br />CONNECTION �WI'TH ANY CLAIMS OR OTHER ACTIONS ARISING (7UT O:1< SAM <br />REVIEW AND APPROVAL, <br />4) I HEREBY ACKNOWLEDGE AND AGREE THAT IF THE PROPERTY IS APPROVED AS <br />A SENDERSITE, IT SHALL & . 14;'Vi ED TO THE CITY' AS VACANT PROPERTY' <br />WITHOUT ANY STRUCTURES LOCATED THEREON, UNLESS OTHERWI�E <br />AAPROVED BY THE CITY MA.NAGER., THE REMOVAL OF STRUCTURES FR6M TIM <br />S)TE SHALL BE AT NO COST TO THE CITY. <br />5) I HEREBY ACKNOWLEDGE, AND AGREE THAT, At THE EXPIRATION GF THE FE <br />YEAR .PERIGD . COMMENCING WITH THE DATE OF THE CITY COMMLSSION <br />APPROVAL OF THE P' ROPERTY AS A SENDER. SITE,, <br />ANY UNUSED DEVELOPEMNr <br />RIGHTS TRANSI RRED FROM THE SENDER SITE SHALL EXI?IRE, '1'$RMINAT$ AN <br />BECO 11 ;TINGUISHED AND UNUSABLE. <br />yq i'' ..bw~LLQ <br />.hk <br />SIGNATURE Oi Q' NER (APPLICANT) DA's. <br />R,'��A4: IN arm r <br />SIGNATURE, OF CO-OWNER (CO -APPLICANT) IiATB <br />STA11i OF FLOMA <br />'d* a ounny Ilea peaoh 4 Ono owwrq 000*R <br />122 <br />