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STATE OF_ <br />COUNTY OF <br />OWNERSHIP AFFIDAVIT <br />FOR LIMITED LIABILITY COMPANY <br />Public Hearing <br />Before me, the undersigned authority, personally appeared <br />, hereinafter the Affiant (s), who being first duty sworn by me, on oath, deposes and says: <br />1. Affiant is the manager, or managing member of the <br />J F Sr q Limited Liability Company with the following <br />address: <br />Toot Cor,4,r,v3 AUG 31 A-w-C SAr+NY 'ALA —) ftgt + �+ <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 />S.a'ar 6x r'ff, f <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 th' plication must <br />be complete and accurate before the application can be submitted a the earing <br />advertized. <br />xxr..,,oeePe• <br />Print Name <br />Affiant's Signature <br />Cl it- MtAr •- <br />Print Name <br />Sworn to and subscribed before me on the ,Lj�L-- day of M� �C� 20 122 , <br />Affiant is personally known to me or has produced as <br />Identification. <br />21 �' Notary (Stamp /Seal) <br />Commission Expires: <br />tµr vo BRENDA E FEM MDU <br />CO MMISSXINIEE188089 <br />* EXPIHES:Febin 8,2018 <br />Budedthu6 udpalNOlerl6atoat ...,.. :. .,..::.... <br />City of Sunny Isles Beach Community Development Department <br />