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Docusign Envelope ID: 9199AF63-50A4-442C-AE7A-7B4C4273688F <br />STATE OF <br />COUNTY OF <br />OWNERSHIP AFFIDAVIT <br />LIMITED FOR PARTNERSHIP <br />Public Hearing No. <br />Before me, the undersigned authority, personally appeared , <br />hereinafter the Affiant (s), who being first duly <br />sworn by me, on oath, deposes and says: <br />1. Affiant is the general partner of the <br />limited partnership, at the following address: <br />2. Affiant as general partner is authorized to file this application for a public hearing. <br />3. The limited partnership owns the property, which is the subject of the proposed hearing. <br />4. The subject property is legally described as: <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 />Sworn to and subscribed before me on the day of <br />Affiant is personally known to me or has produced — <br />as Identification. <br />Commission Expires: <br />City of Sunny Isles Beach <br />Public Hearing Application Package <br />(General Partner) <br />Affiant's Signature <br />Print Name <br />Notary (Stamp/Seal) <br />20 , <br />Page 12 of 23 <br />29 <br />