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AFFIDAVIT
Before me, the undersigned authority, this day personally appeared /nr 1) v L
, who being by me first deposes and says:
1 That he/she is the owner, or the legal representative of the owner, submitting the accompanying
application for a public hearing as required by the Code of the City of Miami, Florida, affecting the
real property located in the City of Miami, as described and listed on the foregoing pages of this
affidavit and made a part thereof.
2. That all owners which he/she represents, if any, have given their full and complete permission for
him/her to act in his/her behalf for the change or modification of a classification or regulation of
zoning as set out in the accompanying petition, 0 including responding to day to day staff inquires;
El not including responding to day to day staff inquiries in which case he/she should be contacted at
Gilberto Pastoriza, 2665 South Bayshore Drive, Suite 420, Miami, Florida 33133 (305)854-0800.
3. That the foregoing pages are made a part of this affidavit contain the current names, mailing
addresses, telephone numbers and legal descriptions for the real property of which he/she is the
owner or legal representative.
4. The facts as represented in the application and documents submitted in conjunction with this
affidavit are true and correct.
Further Affiant sayeth not.
/cl( ,b L•r 1 /ty e
Applicant Name
LUCK
B
ROYAL, INC.
Applica t Si attire(
/Its:
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The fore oing instrument w s acknowledged before me this' day of
2005, by ,( (! whb is a(n)
individu I/partnerla ent/corporation of a(n)
individual/partnership/corporation. He/She is pers nally own t me or who has produced
as identification and who did (did not) take an oath.
(Stamp)
• OFFICIAL NOTARY SEAL
SANDRA JAFFE
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. D0087776
MY COMMISSION_='XP - a I72