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M <br />N <br />OWNERSHIP AFFIDAVIT <br />FOR CORPORATION <br />STATE OF FLORIDA Public Hearing No. <br />COUNTY OF MIAMI DADE <br />Before me, the undersigned authority, personally appeared <br />CITY OF <br />ISLES e <br />0_1 :;M411-1 <br />RECEIVE® <br />PLANNING & ZONING DEPT. <br />hereinafter the Affiant (s), who being first duly sworn by me, on oath, deposes and says: <br />1. Affiant is the president, vice-president or CEO of the CHATEAU BEACH <br />CONDOMINIUM Corporation, with the following address: <br />17475 COLLINS AVE SUNNY ISLES FL 33160 <br />2. The Corporation owns the property, which is the subject of the proposed hearing. <br />3. The subject property is legally described as: <br />CHATEAU BEACH CONDO. TATUMS SUB GOVT LOT 6 PB 1064 N 100 FT TR 3 E OF STATE RD 140 PB 4585 AS PER DESC IN DECL OR 29720-3594 <br />& PORT LYING EAST 7 ADJACENT WEST OF EROSION LINE PER PB 10562 LOT SIZE 43941 SQ FT W/L FAV 31 2211 0010160 <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 the application can be submitted and the hearing <br />advertized. <br />Witnesses:- <br />rr', Signatti �eA <br />�I(tiUlU Mecozz cb <br />Print Name <br />1 Signature <br />L/ch/('/ /5.6IlI )SCA <br />Print Name <br />Aifia t' Signatu <br />Print Name <br />Sworn to and subscribedefore me on the ! day of m CM G � , 20j S_ , <br />Affiant is personally known to me or has produced as <br />Identificatton: -----' <br />CSL! 0 <br />Notary (Stamp/Seal) <br />Commission Expires: /) 1 <br />vm <br />LORIJAVORSKE <br />Notary Public <br />'State of Florida <br />Comm# HH361527 <br />Expires 2/13/2027 <br />City of Sunny Isles Beach Public Hearing Application Package Page 9 of 30 <br />