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OWNERS-HIP AFFIDAVIT <br /> FOR LIMITED LIABILITY COMPANY <br /> STATE OF -Fiorida NEW WOP-1c Public Hearing NO. <br /> COUNTY COtNTYOF P44.91.4-444ite tig_s <br /> Before me,.the undersigned authority,personally appeared _ <br /> hereinafter the Affiant(s),Who being first duly sworn by me,On oath,deli-OS-es ad says: <br /> I. Affiant is-the manager,or managing Member of the 17550 Collins Avenue,J.A..0 <br /> _ _ _ a Florida limitedLiabflity Company with the following <br /> address: <br /> 1135 Kane Concourse,'6th Floor,Bay Harbor Islands, FL 33154 <br /> 2. the Limited Liability Company owns or teak(cirele,Ono)the property,which is the <br /> stibject.of the proposed hearing. <br /> 3. The subject property is legally described as: <br /> See Exhibit"A"artathed. - <br /> 4 tfiant is legally authorized to file this application for puhlic,hearing: <br /> 5: -Affiant understands this afliClay,it is subject to the penalties of law for perjury and the <br /> pOsSibility of voiding of any.zoning granted at publicilearing. <br /> 6. Affiant understands that the matters attached to and made part of the application are <br /> honest and true to the bot.ofpay knowledge and belief.1 understand this application must <br /> be complete and accurate 'ore the application can be subMitted,afidthe hearing <br /> adVertizd. <br /> Witnesses'. <br /> Sign urq Afflant's Siunature <br /> V(a t i,t 5 (O'b k-- d)A Zu AS <br /> Print Narne <br /> -1"-'411T" '7 4. <br /> 1 <br /> Print Name • <br /> $Worn to and subscribed before me on the :4 day of February ,20 16 , <br /> Affiant is personally known to me or has produced OltiVER Lie .57.47E OF f 02/Pus <br /> Identification. a <br /> • , <br /> N tuyMNApg11:1NOMOVAYA <br /> Commission Expires:432/Z'14 20/, Notary Public State of New York <br /> No.01G063.01188 <br /> qualified in Kings,County <br /> My Commission Expires April 14,20 // <br /> City of Suntly Isles'Beath Community Development Department <br /> 1 <br />