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OWNER OR TENANT AFFIDAVIT <br /> FOR INDIVIDUAL <br /> STATE OF Florida Public Hearing No. <br /> COUNTY OF Miami-Dade <br /> Before me,the undersigned authority,personally appeared , <br /> hereinafter the Affiant,who being duly sworn by me,on oath,deposes and says: <br /> I. Affiant is the fee owner or tenant of the property,which is the subject of the proposed hearing. <br /> 2. The subject property is legally described as: See Attached. <br /> 3. Affiant understands that the matters attached to and made part of the application are honest and <br /> true to the best of my knowledge and belief. I understand this application must be complete and <br /> accurate before the application can be submitted and the hearing advertized. <br /> 4. Affiant understands this affidavit is subject to the penalties of law for perjury and the possibility of <br /> voiding of any zoning granted at public hearing. <br /> Witnesses: <br /> Signature 4 Signature <br /> g g <br /> I' , <br /> (, @f 1 .r`G� rf` n ?GLSL1 l�11IDI�CI Ca <br /> Print Name Print Name <br /> /`Signatu <br /> s /A.nnh t ili-4o S <br /> Print Name <br /> Sworn to and subscribed before me on the 22 day of -S-LA.L. ,20 16 <br /> Affiant impersonally know90 me or has produced as identification. <br /> *l:.N. REBECCA S.PESSOU5NO Ite_ Q _ PP,AAIV (,6 <br /> * tilt'COMMISSION f FF 053149 otary(Stamp/Seal) <br /> n r EXPIRES:Septer.eer 10,207 <br /> Commission Expires: <br /> ;e0:41°1'. Car.C:d'r'ruB J itti^tai terii <br /> City of Sunny Isles Beach Community Development Department <br />