AFFIDAVIT OF JOHN DOE by sdfsb346f

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									                                  AFFIDAVIT OF JOHN DOE

I, JOHN DOE, of the City of Mississauga, in the Regional Municipality of Peel MAKE OATH
AND SAY:

    1) I (am) (was) the registered owner of the property described as 123 My Street,
       Mississauga, Ontario, Plan M-1234, Lot 56 (hereinafter referred to as “the property”);

    2) I (owned) the property on November 16, 1995;

    3) I acknowledge that the current zoning by-law does not permit the property to contain
       more than one (1) dwelling unit;

    4) The property contained two (2) dwelling units on November 16, 1995.

    5) The property contained two (2) kitchens on November 16, 1995.

    6) I will not occupy or permit the occupancy of the basement or any part of the basement as
       a basement apartment or separate housekeeping unit to the property unit all required
       inspection applications and permits have been applied for and issued.

    7) I understand that the occupancy of a second dwelling unit may constitute a material
       change in risk which could obligate me to notify my insurance company and the failure to
       do so may limit or invalidate my insurance policy; and

    8) I make this affidavit conscientiously believing it to be true and knowing that it is an
       offence to swear a false affidavit.


Sworn before me at the                      )
City of Mississauga, in the                 )
Regional Municipality of Peel               )
this 17th day of January, 2005.             )
                                            )
                                            )      JOHN DOE
                                            )
LESLIE LAWYER                               )
Barrister, Solicitor or Notary Public       )
(Stamp / Seal must be affixed)



 THIS IS ONLY A SAMPLE AND IS NOT INTENDED FOR ANY OTHER PURPOSE.
     THE CITY OF MISSISSAUGA ACCEPTS NO RESPONSIBILITY FOR THE
                    IMPROPER USE OF THIS SAMPLE.



                                                                                     April 17, 2005

								
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