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1 <br /> OWNERSHIP AFFIDAVIT <br /> FOR TRUST <br /> STATE OF N/A Public Hearing No. <br /> COUNTY OF N/A <br /> Before me,the undersigned authority,personally appeared N/A <br /> , hereinafter the Affiant(s),who being first duly <br /> sworn by me,on oath,deposes and says: <br /> I. Affiant is the trustee of the N/A <br /> trust,at the following address: <br /> 2. Affiant as trustee is authorized to file this application for a public hearing. <br /> 3. The trust owns the property, which is the subject of the proposed hearing. <br /> 4. The subject property is legally described as: N/A <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: N/A <br /> N/A (Trustee) <br /> Signature Affiant's Signature ' <br /> Print Name Print Name <br /> Signature <br /> Print Name <br /> Sworn to and subscribed before me on the_day of ,20 , <br /> Affiant is personally known to me or has produced as <br /> Identification. <br /> Notary(Stamp/Seal) <br /> Commission Expires: <br /> City of Sunny Isles Beach Community Development Department <br /> . <br />