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• <br /> TOR 2011 CH <br /> (PROVIDE CERTIFICATION FROM CITY'S CHIEF CODE INSPECTOR) <br /> IX. CERTIFICATION OF RESOLUTION FOR YOUR PROPERTY AND INCLUDING <br /> ADJACENT LOTS <br /> X.PROPERTY OWNER CERTIFICATION AND ACKNOWLEDGEMENT <br /> I HEREBY CERTIFY THAT <br /> l) THE INFORMATION FURNISHED ON THIS APPLICATION AND THE ATTACHEMNTS <br /> ARE TRUE <br /> 2) I AM THE OWNER OF RECORD OF THE PROPERTY DESCRIBED IN SECTION (II) (III) <br /> (circle applicable number). <br /> 3) IF THE APPLICATION, AS MODIFIED OR AMENDED DURING THE REVIEW AND <br /> APPROVAL PROCESS, IS GRANTED, I AGREE, IN CONSIDERATION THEREFORE, TO <br /> INDEMNIFY AND HOLD HARMLESS, AND PROMISE NOT TO SUE, THE CITY OF <br /> SUNNY ISLES BEACH, INCLUDING ITS OFFICERS AND EMPLOYEES, IN <br /> CONNECTION WITH ANY CLAIMS OR OTHER ACTIONS ARISING OUT OF SAID <br /> REVIEW AND APPROVAL. <br /> 4) I HEREBY ACKNOWLEDGE AND AGREE THAT IF THE PROPERTY IS APPROVED AS <br /> A SENDER SITE, IT SHALL BE CONVEYED TO THE CITY AS VACANT PROPERTY <br /> WITHOUT ANY STRUCTURES LOCATED THEREON, UNLESS OTHERWISE <br /> AAPROVED BY THE CITY MANAGER. THE REMOVAL OF STRUCTURES FROM THE <br /> SITE SHALL BE AT NO COST TO THE CITY. <br /> 5) I HEREBY ACKNOWLEDGE AND AGREE THAT, AT THE EXPIRATION OF THE FIVE <br /> YEAR PERIOD COMMENCING WITH THE DATE OF THE CITY COMMISSION <br /> APPROVAL OF THE PROPERTY AS A SENDER SITE, ANY UNUSED DEVELOPEMNT <br /> RIGHTS TRANSFERRED FROM THE SENDER SITE SHALL EXPIRE,TERMINATE AND <br /> BECOME EXTINGUISHED AND UNUSABLE. <br /> ,per p el, 6I— I � <br /> f`~ SIGNATURE OF OWNER(APPLICANT) DATE <br /> SIGNATURE OF CO-OWNER(CO-APPLICANT) DATE <br /> _ _ _STATE OF FLORIDA J <br /> City of Sunny Isles Beach 4 Planning and Zoning Department <br />