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<br />, ~ <br /> <br />" <br /> <br /> <br />PUBLIC HEARING APPLICA nON <br /> <br />Hearing # <br />Date Received <br />Folio Number_:f / c1;J1.;?t70600bO <br /> <br />Name of Applicant Iifft~/VttJ :tY..<:;(7cJr/.,,.;"'::/ ?/fa/'marJ/.u J...I-f!. <br />, <br />a. if applicant is the owner. give name exactly as recorded on deed. <br />@ If applicant is lessee, attach copy of valid lease of one (I) year or more and Owners <br />Swom-to-ConsenL <br />c. If applicant is a corporation. partnership, limited partnership, or trustee. a separate <br />Disclosure of Interest form must be completed. <br /> <br />Mailing Address 9c;.0o /Jr-~/ /Oqf!& "Smp~- ;it: <br /> <br />City Il/ed/~J State1/o;UC/a..- Zip 23 /7 ~ <br /> <br />Tel. # (during working hours) (3pS)(:,:%-779o Other (3[6) 0&-773 ~?> <br /> <br />2. Name of Property Owner ;f,L2)?.e.E: fl/(), It.( hI-(!,. <br /> <br />3. Mailing Address 1105 II/trJ //& Wi SfrfJef <br /> <br />City I'tftCU11..r' &..Ju State l/od/ck___ <br /> <br />Tel. # (during working hours) (3CJ..s)3iPc./-991/b <br /> <br />4. Contact Person mrhr2.Jrt:, ;J;e-?'l1'a-rJ <br /> <br />Mailing Address 9~ () ;t/u/ /0/% Y'ru'Rf! <br /> <br />City /v/P.A.Jj.e~f State .-1Ivd,/ch-- <br />~ <br /> <br />Tel. # (during working hours) (.305)(P,:3(;,-?7OjO Other f--~Jb&-77:3"0 <br />5. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE <br />APPLICATION <br /> <br />1. <br /> <br />Zip .33c/~ <br /> <br />Other <br /> <br />Zip 2.317,f <br /> <br />a. if subdivided. provide lot, block. complete name of subdivision, plat book and page number. <br />b. if metes and bounds description. provide complete legal description (including section, <br />township and range). <br />c. if separate request apply to different areas, provide the legal description of each area covered <br />by a separate request. <br />d. attach a separate. typed sheet if necessary. Verify the legal description is correct. <br /> <br />, ~t 7 'dICcL 1 Go 0-:;;'1 $')O/u<l tV{Jf!a.//l b/~c/ - -' - ' <br />') (/ 0 _ =1 I' e.. ,~'1lJ IJO. .3/ -~~'J.O.SL-OO'- - oO(;:(J, <br /> <br /> <br /> <br />, <br /> <br />City of Sunny Isles Beach <br /> <br />~ <br /> <br />Planning and Zoning Department <br />