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<br />DJ:. CJE]IHU'ECA nON Oil" RJESO!LlUTI02'\l FOR YOUR ll'RDJFlERTI' AND <br />!NClLUKHJ'\!G ADJACEJ'\!'f lLO!'fS <br /> <br />X. PROPERTIt' OWNER. O::R.1!TFKA TIOJ'\! AND ACKNOWlLEDGEMENT <br /> <br />I HEREBY CERTIFY THAT <br /> <br />I) TIlE INFORMATION FURNISHED ON THIS APPLICATION AND THE <br />ATTACHEMNTS ARE TRUE <br /> <br />2) I AM THE OWNER OF RECORD OF THE PROPERTY DESCRIBED IN SECTION <br />@(III) (circle applicable number), <br /> <br />3) IF THE APPLICATION, AS MODIFIED OR AMENDED DURING THE REVIEW <br />AND APPROVAL PROCESS, IS GRANTED, I AGREE, IN CONSIDERATION <br />TIlEREFORE, TO INDEMNIFY AND HOLD HARMLESS, AND PROMISE NOT TO <br />SUE, THE CITY OF SUNNY ISLES BEACH, INCLUDING ITS OFFICERS AND <br />EMPLOYEES, IN CONNECTION WITH ANY CLAIMS OR OTHER ACTIONS <br />ARISING OUT OF SAID REVIEW AND APPROVAL, <br /> <br />4) I HEREBY ACKNOWLEDGE AND AGREE THAT IF THE PROPERTY IS <br />APPROVED AS A SENDER SITE, IT SHALL BE CONVEYED TO THE CITY AS <br />VACANT PROPERTY WIlROUT ANY STRUCTURES LOCATED THEREON, <br />UNLESS OTHERWISE AAPROVED BY THE CITY MANAGER. TIlE REMOVAL <br />OF STRUCTURES FROM TIlE SITE SHALL BE AT NO COST TO TIlE CITY. <br /> <br />5) I HEREBY ACKNOWLEDGE AND AGREE THAT, AT THE EXPIRATION OF TIlE <br />FIVE YEAR PERIOD COMMENCING WITH TIlE DATE OF THE CITY <br />COMMISSION APPROVAL OF TIlE PROPERTY AS A SENDER SITE, ANY <br />~SE~ DEVELOPEMNT RIGHTS TRANSFERRED FROM THE SENDER SITE <br />,~HALL ,EXPIRE, 1:EID4JNA 1p AND BECOME EXTINGUISHED AND UNUSABLE <br /> <br />j------'-, C/ -- / ;',. / "': ! ('.! i. '/ <br /> <br />SIGNATURE OF OWNER (APPLICMTT) DATE <br /> <br />SIGNATURE OF CO-OWNER (CO-APPLICANT) <br /> <br />DATE <br /> <br />City of Sunny Isles Beach <br /> <br />Planning and Zoning Depanment <br />