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OWNERSHIP AFFIDAVIT <br /> FOR LIMITED LIABILITY COMPANY <br /> STATE OF Public Hearing No. <br /> COUNTY OF <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 /> I. Affiant is the manager, or managing member of the Parque Towers Developers <br /> Limited Liability Company with the following <br /> address: <br /> 3211 Ponce de Leon Blvd., Suite 301, Coral Gables, Florida 33134 <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 /> 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 /> Wiinesse <br /> Si re _, _Affi(antt's Sig re <br /> rec-X h BA/QKE/e —/O �N i'of/ <br /> P nt Name Print Name <br /> Signature , <br /> hynrthcct Garnet <br /> Print Name <br /> Sworn to and subscribed before me on the Z:day of 0 . 20%" , <br /> Affiant is personally knoµm m me or has produced Aile as <br /> Identification. <br /> {t <br /> Commission Expires: r . :_ u <br /> ne 17 <br /> iirclemties <br /> City of Sunny Isles Beach Community Development Department <br />