HomeMy WebLinkAboutAffidavitAFFIDAVIT
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Before me, the undersigned, this day personally appeared Tihr r_ T4r 11*
, 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 his/her 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 foregoing petition, E.] including or
❑ not including responses to day to day staff inquires.
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.
Applicant Name Applicant Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this ,/ ; day of "/1 I)
20 7:) h by _-.;' / RO , - L L,
who is a(n) individual/partner/agent/corporation of
a(n)individual/partnership/corporation. He/She is personally known to me or who
has produced as identification and who did (did not) take an oath.
(Stamp)
Rev. 01-06-06
KATHLEEN CROGAN
Notary Public, State of Florida
My Coma Exp'}rree(5 2 26, 2010
No.
5
LA
Signature