Jessica Londono (2)M IA M I BEACH
RECEIVED
JUL 11 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
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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 0 a that apy): \\O0 \(ehp lAf 0\
~a resident of the City of Miami Beach for six months or longer.
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D I have an ownership interest (for a minimum of six months) in a business established in the ."..7"5 E t »a t± a.
suns wore.. (g o o R d , re M 4 33/29
D 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 peDJ+-!declare that l have read the foregoing document and that the facts
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