Laserfiche WebLink
OWNERSHIP AFFIDAVIT <br /> FOR LIMITED LIABILITY COMPANY <br /> STATE OF Florida Public Hearing No. <br /> COUNTY OF Miami-Dade <br /> Before me,the undersigned authority,personally appeared <br /> ,hereinafter the Affiant(s),who being first duly sworn by me,on oath,deposes and says: <br /> 1. Affiant is the manager,or managing member of the <br /> La Playa Beach Associates. Limited Liability Company with the following <br /> address: <br /> 1000-East-Ha lla ndale-Beach-Blvd-Su ite-B-H a lla ndale-Be ach-FL-33009 <br /> 2. The Limited Liability Company owns or lease(circle one)the property, which is the <br /> subject of the proposed hearing. <br /> 3. The subject property is legally described as: <br /> See Attached <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 /> i jjIPIP <br /> • r gnature <br /> G Evtuordo— , <br /> Print Name <br /> \lam,v 1a Tic <br /> . Print Name <br /> Sworn to and subscribed before me on the LI day of M n h ,20 1 , <br /> Affiant is personal y jsnmin to me or has produced _ i as <br /> Identification. nen n,N <br /> Notary(Stamp/Seal)Commission Expires: l 12`4 LI 5 <br /> - y` ♦♦!g, SABRINA FERREIRA- <br /> .4 )• MY COMMISSION FFF086874 <br /> Non/ EXPIRES January 27.2018 <br /> City of Sunny Isles Beach Comm mr- :•eS <br /> v l men epartment <br />