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<br />Oi-15-Z0Di 09'22AM <br /> <br />FROM- <br /> <br />T-444 P,008/015 F-S75 <br /> <br />OWNERSHIP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br /> <br />STATE OF Florida PllbJic Hearing No. <br />COUNTY OF Miami-Dade <br /> <br />Before me, lhe undersIgned authomics, personally appeared Bruce Goldstem, herem after the Affiallt, who being <br />duly sworn by me. Oil oath, deposes and SEOYS; <br /> <br />I. Artianl is a Member of Ocean Palm DeveJooment. LLC, a Florida limited Iinbility company authorized to <br />conduct business in Florida (the :Company"), with the following .ddr..o: <br /> <br />2410 Hollvwood mvd.. Hollvwood. Florida 33020 <br /> <br />2. The Company owes the property Ihal is Ihe subject of the proposed hearing. <br /> <br />3. The subject property is legally de.cribed as: <br /> <br />See allached survey <br /> <br />4. Al'liams are legally authorized to file this application for public hearing. <br /> <br />5. Affiants understand Ihat this affidavit is subject 10 Ihe penalties of Jaw lor perjury and the pos.ibiliry of <br />vOiding of any zoning granted at public hearing. <br /> <br />Witnesses: <br /> <br />BY: <br /> <br />Ocean Palm Development, LLC, a Florida <br />limited liability company <br /> <br />( <br />Signature <br /> <br />BY: <br /> <br /> <br />-e n.e -it e. If' e/f-tlL- <br />Prim Name <br /> <br />Signalurc <br /> <br />Pr jot Name <br /> <br />Sworn Lo and subscribed befOre me On lhc B"1'11dayof /11 /tt1 ,2006. Affiants al'e personally known to me 01' <br />have produced as idelllifltfation, <br /> <br /> <br />~P-.- . <br />.' \~l on#DD370155 <br />;;:~" ..;1 Expires:Nov08,2008 <br />Commission Ei,'P.dr~''- Bondod TIl", <br />, .""., Ananuc &II\lIllSCU..I..... <br /> <br />______.----J <br /> <br />2 <br />