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<br />( <br /> <br />OWNERSHIP AFFIDAVIT <br />FOR TRUST <br /> <br /> <br />undersigned authority, personally appeared <br /> <br />1. <br /> <br />Public Hearing No. <br /> <br />, hereinafter the Affiant (s), who being first duly <br /> <br />2. Affiant as trustee is aut orized to file this application for a public hearing, <br /> <br />3. <br /> <br /> <br />The trust owns the prope <br /> <br />which is the subject of the proposed hearing. <br /> <br />4. <br /> <br />5. Affiant understands this affidavit is subje to the penalties of law 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 I <br /> <br /> <br />(Trustee) <br /> <br />Affiant's Signature <br /> <br />Print Name <br /> <br />,200_. <br />as identification. <br /> <br />Notary (S mp/Seal) <br />Commission Expires. <br /> <br /> <br />10 <br /> <br />Planning and Zoning Department <br />