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<br />OWNERSHIP AFFIDAVIT <br />FOR LlIMITED LIABILITY COMPANY <br /> <br />STATE OF <br /> <br />Florida <br /> <br />Public Hearing No, <br /> <br />COUNTY OF Miami-Dade <br /> <br />Before me, the undersigned authorities, personally appeared <br />duly sworn by me, on oath, deposes and says: <br /> <br /> <br />hereinafter the Affiant, who being <br /> <br />I, Affiant is a Member of Ocean Palm Develonment LLC. a FI()rida limited liability company authorized to <br />conduct business in Florida (the :Company"), with the following address: <br /> <br />2410 Hollvwood Blvd.. Hollvwood. Florida 33020 <br /> <br />2. The Company owes the property that is the subject of the proposed hearing. <br /> <br />3. The subject property is legally described as: <br /> <br />See attached survey <br /> <br />4. AffianlS are legally authorized to file this application for public hearing, <br /> <br />5. Affiants understand that this affidavit is subject to the penalties of law for peQury and the poSSIbility of <br />voiding of any zoning grnnted at public hearing, <br /> <br />Witnesses: <br /> <br />BY: <br /> <br />Ocean Palm Development, LLC, a Florida <br />limited liability company <br /> <br />BY: <br /> <br /> <br />Signature <br /> <br />1111' <br /> <br />t:!?/Hlt-- <br /> <br />Print Name <br /> <br />Signature <br /> <br />Print Name <br /> <br />Sworn to and subscribed before me on the.l.v.!l day of M <br />have produced as iden . <br /> <br /> <br />eor <br />