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OWNER OR TENANT AFFIDAVIT <br />FOR INDIVIDUAL <br />STATE OF Florida <br />COUNTY OF Miami -Dade <br />Public Hearing No. <br />Before me, the undersigned authority, personally appeared Martin Lopez <br />hereinafter the Affiant, who being duly sworn by me, on oath, deposes and says: <br />'111 OR <br />\SLESe <br />RECEIVED <br />PZ2026-04 <br />3/6/2026 <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: Golden Shores Ocean Blvd Estates <br />Folio No. 31-2202-006-0150 <br />Property Address:18660 Collins Ave, Suite 100 <br />Sunny Isles Beach, FL 33160 <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,,, (I_ <br />P 'nt ame <br />Affiant's Signature <br />Print Name <br />Sworn to and subscrib me on the _day of L� , 20 2� <br />Affiant i personally known to me r has produced as identification. <br />Commission Expires: L2--7"— <br />Notary (Stamp/Seal) <br />Notary Public State of Florida <br />Jonathan Markowicz <br />My Commission <br />IIII HH 273871 <br />Exp. 8/27/2026 <br />City of Sunny Isles Beach <br />Public Hearing Application Package <br />Page 7 of 23 <br />57 <br />