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OWNER OR TENANT AFFIDAVIT <br />FOR INDIVIDUAL <br />STATE OF Public Hearing No. <br />COUNTY OF <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 proposed hearing. <br />2. The subject property is legally described as: <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 />Signature <br />Print Name <br />Signature <br />Print Name <br />Sworn to and subscribed before me on the day of <br />Affiant is personally known to me or has produced <br />Commission Expires: <br />Affiant's Signature <br />Print Name <br />-520 <br />as identification. <br />Notary (Stamp/Seal) <br />City of Sunny Isles Beach Public Hearing Application Package Page 6 of 30 <br />