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OWNER OR TENANT AFFIDAVIT <br />FOR INDIVIDUAL <br />STATE OF 14 <br />COUNTY OF <br />9? 1 <br />Public Hearing No. <br />Before me, the undersigned authority, personally appeared <br />hereinafter the Affiant, who being duly sworn by me, on oath, deposes and says: <br />1. Affiant is the fee owner or tenant of the property, which is the subject of the iproposed phearing, <br />2. The subj ct property Ts legally described as: ``d � � ' tS IV tl <br />3. Affiant understands that the matters attached to and made part of the application are honest and <br />true to the best of my knowledge and belief. I understand this application must be complete and <br />accurate before the application can be submitted and the hearing advertized. <br />4. 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 />Witnesses: <br />Sigdature <br />Print N ne <br />Si t re <br />P' N <br />Affiant's Signature <br />Print Na e <br />rr ame /l <br />Sworn to and subscribed before me on the day f 20 <br />Affiant is personally known to me or has produced (� - 5 u' �id nti� cation. <br />;` ". "•Y• "�� N. BARMAIAZEEMAN <br />* MY COMMISSION# 00 844VA ^Q,/ <br />s EXPIRES: February 15, 2013 iUf <br />��FOr FIOP� Bonded Thru Budget Notary' Serdoe5 <br />Notary (Scam eal) <br />Commission Expires:Od_A _1_3 <br />City of Sunny Isles Beach Community Development Department <br />