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<br />, <br />BY: r <br />, <br /> <br />IX. PROPERTY OWNER CERTIFICATION AND ACKNOWLEDGMENT <br /> <br />I HEREBY CERTIFY THAT <br /> <br />1) <br /> <br />THE INFORMATION FURNISHED ON TillS APPLICATION AND THE A IT ACHMENTS <br />IS TRUE <br /> <br />2) <br /> <br />I AM THE OWNER OF RECORD OF THE PROPERTY DESCRIBED IN SECTION (II) (III). <br />(circle applicable number). <br /> <br />3) <br /> <br />IF THE APPLICATION, AS MODIFIED OR AMENDED DURING THE REVIEW AND <br />APPROVAL PROCESS, IS GRANTED, I AGREE, IN CONSIDERATION THEREFORE, TO <br />INDEMNIFY AND HOLD HARMLESS, AND PROMISE NOT TO SUE, THE CITY OF <br />SUNNY ISLES BEACH, INCLUDING ITS OFFICERS AND EMPLOYEES, IN <br />CONNECTION WITH ANY CLAIMS OR OTHER ACTIONS ARISING OUT OF SAID <br />REVIEW AND APPROVAL. <br /> <br />4) <br /> <br />I HEREBY ACKNOWLEDGE AND AGREE THAT IF THE PROPERTY IS APPROVED AS <br />A SENDER SITE, IT SHALL BE CONVEYED TO THE CITY AS VACANT PROPERTY <br />WITHOUT ANY STRUCTURES LOCATED THEREON, UNLESS OTHERWISE <br />APPROVED BY THE CITY MANAGER. THE REMOVAL OF STRUCTURES FROM THE <br />SITE SHALL BE AT NO COST TO THE CITY. <br /> <br />5) <br /> <br />I HEREBY ACKNOWLEDGE AND AGREE THAT, AT THE EXPIRATION OF THE FNE <br />YEAR PERIOD COMMENCING WITH THE DATE OF CITY COMMISSION APPROVAL <br />OF THE PROPERTY AS A SENDER SITE, ANY UNUSED DEVELOPMENT RIGHTS <br />TRANSFERRED FROM THE SENDER SITE SHALL EXPIRE, TERMINATE AND BECOME <br />EXf-INGUlSHED AND UNUSABLE. <br />') ':::\ <br />MA~~nON, L. '.~ <br /> <br />') <br /> <br />BY: <br /> <br /> <br />FLORIDA LIMITED LIABILITY COMPANY '1-- .- . <br /> <br />. Ia- //f O~ <br /> <br />Date <br /> <br />STATE OF FLORIDA <br />COUNTY OF MIAMI-DADE <br /> <br />The foregoing instrument was acknowledged before me this .:./ c.f day of December, 2005, by <br />JERRY KAUFMAN on behalf of LA MANSION, L.L.c., a Florida limited liability company. JERRY <br />KAUFMAN j1i~~onally known to me or has produced <br />(type of identification produced) as identification and did)ake an oath. ,./~ , <br /> <br />-~--,~,},'",-tzz:c~ (,'/2/. ~~ <br /> <br />My Commission Expires: Notary P6 ic, State of FL(:' ",'j LY) <br />\._./ <br /> <br />Print Name: .. <br />~ ,."'f..~II;f.',,"'-'- .-'" '.. ~- <br />w /~?A~'" f.;~,;;,~ ELIZABETH ORTIZ <br />ll~~( . 1 }:f MY COMMISSION # DD 164469 <br />./ ~~i.~...;~l EXPIRES: December 17 2006 <br />." I"OJ: f\,O" -. '. I <br />f ,.~_~\. Bonded I hiU PIC!13rd Insurance A encv <br />''-';.'-''If:'>:GI1~'J:'~.J,,,.~Jn.i....J::?t.1!i 9 ~ <br /> <br />MIAMI 932610.1 7442013896 <br />12/14/053:49 PM <br /> <br />4 <br />