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SUNNY Isle <br />s <br />~ N n <br />a s9 4cf <br />VOID er <br />yP �* FLOS <br />c t r o f S T4 nNo <br />R IMOT01 T. Ii <br />I W - • „ <br />5-18-1 <br />SEP 1 5 2022 <br />r 0 <br />PLANNING & ZONING DEPT. <br />City of Sunny Isles Beach, FL <br />Project Name: LAS Girt nA-5 <br />2. Name of <br />3. Applii <br />City_ <br />Tel. # <br />TION APPLICATION <br />Application # f ?T%070� " 09 <br />Date Received q , 16 - 2 2. <br />Initials <br />0 <br />a. If applicant is the ownef, give name exactly as recorded on deed. <br />b. The property owner and/or applicant hereby waive, release, indemnify, hold harmless, <br />and forever discharge the City of Sunny Isles Beach from any and all claims, losses, <br />demands, contracts, expenses, cause of action, lawsuits, damages and liabilities, of <br />every kind and nature, whether known or unknown, in law or equity, liability as to <br />any claims that may arise from this application. <br />t Mailing Address PO B69 150 <br />working <br />4. Name of Property Owr <br />Mailing Address PO <br />City—IJ A&.1 <br />Tel. # (during working <br />5. Contact Person <br />Mailing Address64 <br />City <br />Tel. # (during wdrking <br />6. Address or location of <br />7. Requirements: <br />as'- 9606 Other <br />u Jar As5oe,,,4,-,c , UP <br />hours) L01 - W V - 7 L[ 2-(1 Other <br />property. <br />a. Letter of Intent explaining the proposed minor modification to a previously <br />approved plan. <br />b. Site plan drawings showing the details of the proposed minor modification. <br />c. Non-refundable payment of $4,000.00 made to the City of Sunny Isles Beach. <br />8. Information about site plan/public hearing previously approved: <br />Applicant's name. <br />Date of hearing z- Ito <br />Nature of hearing 9,4e- <br />Decision <br />,4e Decision of hearing rUu e-1 <br />Resolution # 17 - 2 - (o <br />City of Sunny Isles Beach Planning and Zoning Department <br />