Christina LaBuzettaEmail: BC@miamibeachfl.gov
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2 -22 (4),
as (check (✓) all that apply):
□ I am a resident of the City of Miami Beach for six months or longer.
Home Address:___________________________________________________________
□ I have an ownership interest (for a minimum of six months) in a business established in the
City of Miami Beach (for a minimum of six months).
Name of Business:_________________________________________________________
Business Address:_________________________________________________________
□ I am a full-time employee of a business (for a minimum of six months) and I am based in an
office or other location of the business that is physically located in Miami Beach (for a
minimum of six months).
Name of Business:_________________________________________________________
Business Address:_________________________________________________________
“Ownership Interest” means the ownership of ten percent (10%) or more (including the
ownership of 10% or more of the outstanding capital stock) in a business.
“Business” means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
Signature Date
Printed Name
311 Lincoln Rd, Suite 305, Miami Beach, FL 33139
301 Ocean Dr, #304, Miami Beach, FL 33139
Location Resources, Inc.
Christina LaBuzetta
07 / 08 / 2023
Document Ref: XUTSF-H22DL-KFNZX-OWVZU Page 1 of 1
Signature Certificate
Reference number: XUTSF-H22DL-KFNZX-OWVZU
Document completed by all parties on:
08 Jul 2023 18:21:48 UTC
Page 1 of 1
Signer Timestamp Signature
Christina LaBuzetta
Email: christina@locationresources.com
Sent:07 Jul 2023 21:22:54 UTC
Viewed:08 Jul 2023 18:21:03 UTC
Signed:08 Jul 2023 18:21:48 UTC
IP address: 207.244.186.219
Location: Miami Beach, United States
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