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i <br /> 1 <br /> OWNER OR TENANT AFFIDAVIT <br /> FOR INDIVIDUAL <br /> STATE OF c/t /QA Public Hearing No. <br /> COUNTY OF 17?I2/h/ •- 1)a2[/F`. <br /> Before me,the undersigned authority,personally appeared Ci•jejfiu)Cc- (1i•ti_f;Ki-/CIi` y , <br /> hereinafter the Affiant,who being duly sworn by me,on oath,deposes and says: <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 legallydescribed as: Lcf 44,B/Lyik_i,-, Cis'/ilii ShCKEJ <br /> Lp <br /> et ?iiLt12jt '.LL.'leEi-4dzefrww1!; zupeci e/in j -i PL T <br /> t/jr: ze{, 11.E 1",7, t114zi ii) P1A 131v. _57, "Pe csF,_.DA'93, DI74h� <br /> 2ithl, - £C'1t� IC!S G=/TCcnU -_bC:rlr 6 SI J ttinA <br /> P9rt..'r'/ 7.L B# 3/-0„.1., --LI. -trek- t 30 <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 Affant's Signature <br /> / . <br /> "7/ P e Print Name <br /> Sign. ure <br /> 6S <br /> Print Name <br /> Sworn to as. a 'a:a .:fore me on the 45 day of 00708E8 ,20 11 <br /> Affiant i• personally known o me or has produced as identification. <br /> l?1 ZoO <br /> /� /� /� /o Notary(Stamp/Seauiiiii <br /> Commission Expires: MaAapg 24 2w `���`'\``No T�i%i,��� <br /> ....;,;;;Q-44::..I <br /> ;?Q 24,400;c.•. <br /> 6FF 105670 /..a <br /> ,y <br /> Cityof SunnyIsles Beach Public Hearing Application Package " N44A K\`\ <br />