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<br />010 9sed OJ9~lnbS UOJJea z~e~-ol <br /> <br />POPEZPEvS6-WOJ:I <br /> <br />01: II 800Z-01-01 P9^!9:l911 <br /> I <br /> / <br />" <br />, <br />l <br /> <br /> <br />OWNERSHIP AFFIDAVIT <br />FOR INDIVIDUAL <br /> <br />STATE OF Public Hearing No. ;) <br /> <br />COUNTY OF "- /.//' <br /> <br />Before me, the Unde~ign~~UthOrity, personally appeared . . /. / <br />hereinafter the Affiant, who being duly sworn by me, on oath, deposes and say, . : <br />\c~, ' <br />~ ~ . <br />1. Affiant is the fee owner of tfie property, which is the subject of the prq sed hearing. <br /> <br />2. The subject property is legaIlY\~ as: .. . . <br /> <br />'\- <br />"- <br /> <br />3. Affiant understands this affidavit is SUbj~~~ penalti . of law for perjury and the possibility of <br />voiding of any zoning granted at public hearing. ' <br />t" <br />~, <br /> <br /> <br /> <br />Witnesses: <br /> <br />Signature <br /> <br />\\ <br />\\. <br />~ <br />~ <br /> <br />\ <br /> <br />Affiant's Signature <br /> <br />Print Name <br /> <br />Print Name <br /> <br />Commission Expires: <br /> <br /> <br />Signature <br /> <br />Print Name <br /> <br />day of <br /> <br />own to me or has produced <br /> <br />City of Sunny Isles Beach <br /> <br />7 <br /> <br />Planning and Zoning Department <br /> <br />,..,. _ ,n-rn r=;h <br /> <br />UnTT'"lnVTC"un..... '\TTJT'\T <br /> <br />~n~P?~p~re VV.T ?~.nT ~nn_'ft~'nY <br />