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OWNER OR TENANT AFFIDAVIT <br /> FOR INDIVIDUAL <br /> STATE OF 417 A Public Hearing No. <br /> COUNTY OF 4447,.--.Je <br /> ,4e/ id <br /> Before me,the undersigned authority,personally appeared �� Q 6o7 <br /> hereinafter the Affiant,who being duly sworn by me,on oath,deposes and says: <br /> 1. Affiant is the fee owner or tenant of the property,which is the subject of the proposed hearing. <br /> 2. The subject property is legally described as: S62 4/ta ce I <br /> Sf/��4p/f�ilg do,u� .t <br /> 3. Affiant understands that the matters attached to and made part of the application are honest and <br /> true to the best of my knowledge and belief. I understand this application must be complete and <br /> accurate before the application can be submitted and the hearing advertized. <br /> 4. Affiant understands this affidavit is subject to the penalties of law for perjury and the possibility of <br /> voiding of any zoning granted at public hearing. <br /> Witness-:. 1 :' ) l <br /> 1/ t <br /> Signature Affiant's Signature <br /> �' itni/?� �Jl d . - <br /> V �1.� z� 7vc�-c� <br /> Print Name Print Name <br /> Signs e <br /> ILIUPfl • Lovenio <br /> Print Name nn ++ L ' <br /> Sworn to and subscribed before me on the J day of IV U VQ lbCde ,20 14 <br /> Affiant is personally known to me or has produced as identification. <br /> tee- <br /> •'*I6' „ LAURAALEJANDRALAUREANO <br /> lJ <br /> Commission Expires: 1 G I R(' gip MY COMMISSION#FF101176 <br /> �q;;;•, EXPIRES March 12,2018 <br /> 44Q7)$80163 FloridallotaryService.com <br /> City of Sunny Isles Beach Community Development Department <br />