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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 /> 1. Affiant is the manager, or managing member of the St. Tropez Beach 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 /> Wimesse <br /> �- <br /> ignature .-Affiant's S' re <br /> j? O • act r t e.r �/MIOc' Care/6-2 <br /> P .nt me ' Print Name <br /> Signature <br /> PrrOST13c . Gonnet <br /> Print Name �/ <br /> /� <br /> Sworn to and subscribed before me on the G "-day of Gf 20_/0 <br /> Affiant is personally known to me or has produced / as <br /> Identification. <br /> Commission Expires: 6 / 2015 <br /> Gs6z nni Mdaf°utic Uedm.1ius <br /> City of Sunny Isles Beach Community Development Department <br /> 1 <br /> • <br />