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STATE OF 'I <br />COUNTY OF Mmmi- k <br />OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br />Public Hearing No. <br />Before me, the undersigned authority, personally appeared 41 A- 4*40' 7 Wkl hereinafter the Affrant(s), who <br />being first duly swom by me, on oath, deposes and says: <br />1. Affiant is the president, vice - president or CEO of the Sunny Isles Daycare Corporation, with the <br />following address: 17395 N. Bay Road, #102, Sunny Isles Beach, FL 33160, <br />2. The Corporation leases the property, which is the subject of the proposed hearing. <br />3. The subject property is legally described as: Unit 102 of the property more particularly described in <br />Exhibit A. <br />4. Affiant is legally authorized to file this application for public hearing. <br />5. 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 />6. Affiant understands that the matters attached to and made part of the application are honest and true to the <br />best of my knowledge and belief. I understand this application must be complete and accurate before the <br />application can be submitted and the hearing advertized. <br />Pril'ol.N.anic / <br />Signature <br /><; , &0 L6;-, <br />Print Name <br />Sworn to and s <br />known to me or <br />Commission <br />City of Sunny Isles Beach <br />MIAMI 2911619.1 7957936929 <br />Affia4s Signaturb <br />Print Name <br />me on t to e� day of <br />as ids <br />at a�1@J <br />20 l?v• . Affiant is personally <br />Notary Publlo State of Florida <br />Claudia C Ne0Bu6 <br />7/2013 <br />Community Development Department <br />