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3 <br />PUBLIC HEARING APPLICA <br />RECEIVED <br />DEC C 2021 <br />DEPT. <br />City of Sunny Isles Beach, FL <br />Proposed Project Name: I41a S I p oc, kr k QOPVOAA UW4 1 10 <br />Name of Applicant W is -y SnV0S%_1'rsJp (o o #term+ ci I&A ei ale Le. <br />a. If applicant is the owner, give name exactly as recorded on deed. <br />b. If applicant is lessee, attach copy of valid lease of one (1) year or more and Property <br />Owners Sworn -to -Consent. <br />C. If applicant is a corporation, partnership, limited partnership, or trustee, a separate <br />Disclosure of Interest form must be completed. <br />Applica Mailing Address 1-'1ua WWC, �kUe 4V1ID1 <br />City UAW State R_ zip t 3 bQ <br />Tel.#(during working hours){'4glb +q0• 131 e-mail ShOW W .ISrai(hCD �lu4�� • <br />4. Name of Property Owner rJl}AV ka�T S5�A L <br />Mail' Address 4a1SAqp It <br />Ci unw State zip 3.316o <br />Tel. # (during working hoursji I t 6 *� aQ0 - 413'7 e-maiRj;1 ,y kaC . 1 SrGI�( 1���• fAl� <br />5. Contact Person 0 Ir Irl 1 t X14 <br />Mailing Address 07- QA &W L, (o <br />City � )AnAA TTS Je< Statezip 3,61 b O <br />Tel. # (during working hours ) -1S 4 - qZ3 - 203 e-mailcArymirl @ oxs- 4colllas , M1 <br />6. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE APPLICATION <br />a. if subdivided, provide lot, block, complete name of subdivision, plat book and <br />page number. <br />b. if metes and bounds description, provide complete legal description (including <br />section, township and range). <br />c. if separate request apply to different areas, provide the legal description of each <br />area covered by a separate request. <br />d. attach a separate, typed sheet if necessary. Verify the legal description is <br />correct. <br />7. Address or location of sub'ect property: «'_' y a l V (,ui 101 <br />��nhu S�es a: '33 1 too <br />8. Size of property: ft. x ft. acres <br />City of Sunny Isles Beach Public Hearing Application Package Page 4 of 23 <br />14 <br />