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<br />OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br />STATE OF F I (J{ I~ Public Hearing No. <br />COUNTY OF [/o{fL <br /> <br />Before me, the undersigned authority, personally appeared D, ve [Nf\CC,.'l <br />, hereinafter the ~ant (s), who being first duly sworn by me, on oath, deposes and says: <br /> <br />I. Affiant is thepraic:lent, vice-president-6f-€OO of the Pt<-.{J{lX. <br /> <br />5c.{p'l-r .~ ~ /11/ t/ <br /> <br />f'.o I ~ O.>L- <.fa 1 <br /> <br />~6fat1on, with the following address: <br /> <br />lAdLe ~ ~ ;;t..- <br /> <br />. <br /> <br />S38'oZ- <br /> <br />2. The Corporation owns the property, which is the subject of the proposed hearing. <br /> <br />3. The subject property is legally described as: <br /> <br />f'rh,h~1- k <br /> <br />4. Affiant is legally authorized to file this application for public hearing: <br /> <br />Signature' <br />\c.\~ <br />Print Name <br />tYl <br />Sworn to and subscribed before me on the~day of <br />Affiant is personally known to me or has produced <br />lCJentification. <br /> <br /> <br />5. Affiant understands this affidavit is subject to the penalties of law for peIjury and <br />. the possibility of voiding of any zoning granted at PUbl~. <br /> <br />Wltnesses: () <br />W {J/U1Ac----- <br />Signa , Affiant's Signature <br />,U-&- ~ve~cc"-.,, ( elP <br />Print Name <br /> <br />D-e te m b-e ( <br /> <br />lo <br />,200_, <br /> <br /> <br />f::L~=~;:'::.~.'"-~.~'':'7~':':::'.-::::':;:::~:;~:''::;:':-:-:;:'::'-~~'.:.:::::::-:~''.~':'_ ,::~:n' ~'~ ";]~:. <br /> <br />City of Sunny Isles Beach <br /> <br />-. . ':,; .- ~,~.-':. ~': ';~'~;,c., -::'L':;: :'.,'~~. '.:,:'~'.'.7 ~":=':::';':\:':,";.::i:~~','::~-:-.-:,-~,~":"'''''....;''.:..-:::!:::c !I.::.:.,:,,:,~:: ::'.::. . :<~_.'. <br /> <br />Planning and Zoning Department <br />