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SIGNATURE OF OWNER (APPLICANT) C DATE <br />STATE OF FLORIDA <br />COUNTY OF MIAMI-DADE <br />TN - <br />The foregoing instrument was acknowledged before me this �� day of ITANU <br />20 ? , by on behalf of <br />a Florida (corporation) (partnership) <br />(other) He/She is personally known to me or has <br />produced (type of identification produced) as identification <br />produced and did take an oath. <br />My Commission Expires: <br />Notary Public, State of Florida at Large <br />Print Name: Ac►Jr'I? AN Qr-i<w�j <br />Andrew A. K2hn <br />44.° Comm.: HH 339475 <br />g."' fExpires:0ecember7,2626 <br />'� Notary Public -State of Flarlda <br />City of Sunny Isles Beach Planning and Zoning Department <br />2 <br />20 <br />