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OE SUNNY IS(FfB <br />?F 's• `p a� <br />• OP Oh <br />�� <br />TEMPORARY USE /STRUCTURE <br />§ 265 -14 <br />i�.i�i1E C I V E j j� <br />4pplicatio 2015 <br />Date Rece e <br />Initials <br />01 nnlnuta , t, IIidG DEPT. <br />I. Proposed Project Name: � t o/�t%(/ZA S' `cis/ �F0101i Lc <br />2. Name of Applicant s S✓ c��� �s )m� L.-6_._C- <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. y <br />3. Applicant M 'ing Addr /v� <br />City `' t� 6 - , ; .f Zjp .� 5`7. d cif <br />Tel. # (during r ing hours�) 341 2 2 Other f <br />4. Name of Property O er <br />Mailing � Address5 A /�C , h cpci o f D J,_, <br />City r�4� %IR Rd0A 1S�}n S State Zip <br />Tel # YI ring working hours) Other <br />in <br />5. Contact Person 4--AA 12 <fei4 /k 1.77, r <br />City A 1-111A <br />Tel. # (d4ring working <br />4. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE <br />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 <br />each area covered by a separate request. <br />d.attach a separate, typed sheet if necessary. Verify the legal description is <br />correct. <br />5. Adc�ess or locate o subject <br />C <br />City of Sunny Isles Beach Planning and Zoning Department <br />