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OWNER OR TENANT AFFIDAVIT <br />FOR INDIVIDUAL <br />STATE OF -TL.0ml,l9A- Public Hearing <br />COUNTY OF �q.k'Dts <br />�91 YlR9l.� C E Pbj� 11Y.,i1A: .itL; <br />NOV I <br />PZ2o <br />7 0 NIP',,,G 1)EP..rr <br />City of Sunny isles <br />Before me, the undersigned authority, personally appeared A SIP," W R8 ark LP f - , <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: LQ*T 20 t i3 LOCtrC 96oz-V EI,( 5 W -S 8 LV <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 Affiant's Signature <br />Print Name <br />Signature <br />Print Name <br />t�RA.) /1 � Cfa /a JE <br />Print Name <br />Sworn to and subscribed before me on the ada�yy olf �� , 20 2- 3 <br />Affiant is personally known tome or has produced <br />t 75 -(-/ -0SG -&s identification. <br />Commission Expires: <br />City of Sunny Isles Beach <br />o.� /D 1 /�oD r-? <br />Public Hearing Application Package <br />Page 7 of 30 <br />21 <br />