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OWNERSHIP AFFIDAVIT <br /> FOR LIMITED LIABILITY COMPANY <br /> STATE OF <br /> COUNTY OF <br /> Public Hearing No. <br /> Before me,the undersigned authority, personally appeared, David Martin <br /> hereinafter the Affiant (s), who being first duly sworn by me, on oath, deposes and says: <br /> 1. Affant is the manager, or man.,jng m•mber of the Terra Beachwalk,LLC, Limited <br /> Liability Company with the following address: 2665 SOUTH BAYSHORE DRIVE,SUITE 1020, <br /> MIAMI,FL 33133 <br /> 2. The Limited Liability Company owns or lease (circle one)the property, which is the <br /> subject of the proposed hearing. <br /> 3. The subject property is legally described as: <br /> SEE ATTACHED <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 <br /> possibility of 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 <br /> and true to the best of my knowledge and belief I understand this application must be <br /> complete and accurate before the application can be submitted and the 'earing a vertised. <br /> Witnesses: e / • <br /> i <br /> 8 f$ig� dve ture Affiant's Signature <br /> K <br /> Print Name Print Name <br /> Signature <br /> Print Name / �( <br /> Sworn to and subscribed before me on this / Scay of NaVC/1t.bU'20 Lzt Affiant is personally <br /> known to me or has produced _as Identificatio <br /> SANDRA RAMOS �' <br /> * _„ = Commission H EE 178548 1,o • (Stamp/Seal) <br /> I„ ;.vi My Commission Expires <br /> 1,,,,,,,, <br /> ,, ,, April 30, 2016 <br /> 4 Commission Expires:4/30// <br /> City of Sunny Isles Beach Community Development Department <br />