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<br />UU-IO-'UUU US :liAM FROM- <br /> <br />T-444 P015/015 H75 <br /> <br />~-' <br /> <br />--...' <br /> <br />OWNERSHlP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br /> <br />STAlE OF Florida <br /> <br />COUN'IY OF Miami.Q~de <br /> <br />Before me, the undersigned authorities, personally appeared <br />duly sworn by me, on oath, deposes and says:, <br /> <br />Public Hearing No, <br /> <br />~ <br /> <br />.. ..,., hereinafter the AlIianl, who being <br /> <br /> <br />I. Affiant is a Member at Ocean Palm DeveloDment. LLC a Florida Iimiled liability company authori;ccd 10 <br />conduct business in Florida (the :Company"), with the following address; <br /> <br />2410 Hollvwood Blvd, HoIlvwood, Florida 33020 <br /> <br />2, The Company owes the property that is the subject ofIlle proposed hearing. <br />3. The subject property is legally described as; <br /> <br />See attached SUlVev <br /> <br />4, AreanlS lll'e legally authorized to file tlns application for public hearing, <br /> <br />S. Affiants undersland Ullll this affidavit is subject to the penalties of law for perjlllY and \he possibility of <br />voiding of any zoning gnmted at public hearing, <br /> <br />Wilnesscs: <br /> <br />BY: <br /> <br />Ocean Palm Development, LLC, a Florida <br />limited liability company <br /> <br />J~s /.k~ <br />SignanlTC <br /> <br />BY; <br /> <br /> <br />de '1-, 'eI/'1-(/.t.-T <br />Print Name <br /> <br />Signalure <br /> <br />Print Name <br /> <br />Swonl to and subscribed before me on the ~ day of M ~ ,2006. Affiants III rsonally known 10 <br />have prodUCed as idenl; cmion. ,..,L <br />~S/~~a <br />,~.i~l <br />,'If. - 370IS) <br />~~" ,:..-J' plIes. o~. 2008 <br />,''Ii,..'..". BondodThru k /. <br />Conunis~i~'f!~ir65JU>ricBoodlllgq,f, ~ If ~ <br />, / <br /> <br />e or <br />