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<br /> <br />~. <br /> <br />OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br /> <br />Public Hearing No. <br /> <br />, hereinafter the Affiant (s), who being first duly <br /> <br />1. Affiant is the pre . dent, vice president or CEO of the <br /> <br />Corporation, with the following address: <br /> <br />2. The Corporation owns the roperty, which is the subject of the proposed hearing. <br /> <br />3. <br /> <br />4. Affiant is legally authorized to file this ap ication for public hearing: <br /> <br />5. Affiant understands this affidavit is subject to he penalties oflaw for perjury and the possibility of voiding <br />of any zoning granted at public hearing. <br /> <br />Witnesses: <br /> <br />Signature <br /> <br />Print Name <br /> <br />Signature <br /> <br />Print Name <br /> <br />Sworn to and subscribed before me on the day of <br />Affiant is personally known to me or has produced <br /> <br />City of Sunny Isles Beach <br />MIADOCS 2639498 1 <br /> <br /> <br />Affiant's Signature <br /> <br />Print Name <br /> <br />as identification. <br /> <br />Notary (Stamp/ <br />Commission Expires: <br /> <br />7 <br /> <br />Planning and Zoning Department <br />