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<br />OWNERSIllP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br /> <br />STATE OF 1='"\..O,l,'~ <br />COUNTY OF fI\.AM'...I>I'<~ <br /> <br />Public Hearing No. <br /> <br />Before me, the undersigned authority, personally appeared &1... OEz..E1l. <br />, hereinafter the Affiant (s), who being first duly sworn by me, on oath, deposes and says: <br /> <br />1. Affiant is the manager, or managing member of the ~ ,....c-o e€~,",T'1 L. c... <br />Limited Liability Company with the following <br />. addre'ss: <br />1&00' &o\NI~ "'\,IE.~ , '5' F~OCItL ~~ I~~CCAC-to". F'L. <br /> <br />2. The Limited Liability compan~r lease (circle one) the property, which is the <br />subject of the proposed hearing. <br /> <br />3. The subject property is legally described as: <br />~ ~""t8.-r A <br /> <br />4. Affiant is legally authorized to file this application for public hearing: <br /> <br />5. Affiant understands this affidavit is subject to the penalties of law for perjury and the <br />possibility of voiding of any zoning granted at public hearing. <br /> <br />6. Affiant understands that the matters attached to and made part of the application are <br />honest and true to the best of my knowledge and belief. I llllderstand this application must <br />be complete and accurate before the application can be submitted and hearing <br />advertized. <br /> <br /> <br /> <br />Witnesses: <br /> <br /> <br />~e~rd~ <br />i5e <br /> <br />_l ~~W\ S' reQ,tJtJ..:l:;- <br /> <br />Print Name <br /> <br />Sworn to and subscribed before me on the(Q \ ~ <br />Affiant is personally known to me or has produced <br />Identification. <br /> <br />Affiant's Signature <br />e, II 1)(.~t? <br />Print Name <br /> <br /> <br />Commissic 11~1l''''''':-; GLiNDA.SAI 4RtO <br />~.~ /~ MY COMMISSION # 00809504 <br />"'.'fr~~ EXPIRES August 03. 2012 <br />(407) 398.0153 FloridaNolaryServlce.com <br /> <br />City of Sunny Isles Beach <br /> <br />Community Development Department <br />