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<br />~, <br /> <br />STATE OF --R6Cl,tOl'( <br />COUNTY OF '))-PrD[.__ <br /> <br />OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br />Public Hearing No. <br /> <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 /> <br />~K t'lss-oceJwfrz. lAIC <br /> <br />QAltrJ t1N k nz <br /> <br />1. Affiant is the president, vice-president or CEO of the <br /> <br />Corporation, with the following address: <br />"lOb UJU_l#J ~ / 'b?S"( SVi\Vlt 6~{ n <br /> <br />2. The Corporation owns the property, which is the subject of the proposed hearing. <br /> <br />3. The subject property is legally described as: <br />)hr.?O~/N'f <br /> <br />~ <br /> <br />4. Affiant is legally authorized to file this application for public hearing: <br /> <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 /> <br /> <br />~~-/ <br /> <br />Xffiant' Signaturek..?- <br />~q VI C{ <1 <br />Print Name <br /> <br /> <br />,2001-, <br />as <br /> <br />Commiss' <br /> <br />';? <br />~" r~ . ~ ~~ <br />~ c;. ~. <br />41 ,--:J,. Q. ,~, <br />. ,qll; '7-0 W'" q. ~ <br />"'... ~ ;~'O <br />'-1~t?a~ <br />.~a .~ ~ ~ <br />~~ ~ ~<&" <br />~.-;. it,..... <br /> <br />City of Sunny Isles Beach <br /> <br />