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• <br /> • <br /> • <br /> OWNERSHIP AFFIDAVIT <br /> FOR LINIITED LIABILITY COMPANY <br /> • <br /> STATE OF 'l.•ol1dlt Public Hearing No. <br /> • <br /> COUNTY OF MIAMI 17ACe <br /> Before me,the undersigned authority,personally appeared at251ARIao PEFQRTUNA <br /> • <br /> ,hereinafter the Affiant(s),who being first duly sworn by me,on oath,deposes and says: <br /> I. Affiant is the manager,or managing member of the NINNY .TSLe6 $E.AGN <br /> A÷SCICIATer4 LLC... Limited Liability Company with the following <br /> address: <br /> 13v0 aftIG.Xte4.L Ave 111.644 i.) FLoR ip,A, a3131 <br /> • <br /> 2. The Limited Liability Compan •owns ,r lease(circle one)the property,which is the <br /> subject of the proposed hearing. <br /> 3. ThelubjegreitetAy is Bally described as: <br /> LOT. I of tA9UM k OCeaN PARK 't1$G"V!Sion1. <br /> PLAT E3oo14 to AT PAd Coo A4 FI)R'IHel4 Le4Ata.Y <br /> 'C:lYsc-RIBP_17 IN ZWa, A'RdGHMGNI <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 <br /> honest and true to the best of my knowledge and belief.I understand this application must <br /> be complete and accurate before e application can be submitted and the hearing <br /> adv rtized. <br /> • <br /> ICJ .. g <br /> Si u •tore A tent: Signature <br /> i *. —1 10 Q s - . R MA <br /> Print Nam Print Name • <br /> Signature <br /> 13,cane r Cprd coL <br /> Print Name <br /> Sworn to before me on the_Lday of AiOd eJ L'1.e 12 ,20 /Z-: , <br /> ant is '-rsonally known to e r has produced as <br /> Identi cation. 4WfOrt <br /> Notary(Stamp/S- • • <br /> Commission Expires: 2 1 4 <br /> O;H,, SUDIAN PEREZ <br /> •,�'t+ Notary Public-State of Florida <br /> • My <br /> Comm.Expires Mar 2,2016 <br /> City of Sunny Isles Beach Co lc,. a. <br />