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<br />.. ' <br /> <br />For any changes of ownership or changes in contracts for purchase subsequent to the date of the <br />application. but prior to the date of fmal public hearing, a supplemental disclosure of interest <br />shall be filed. <br /> <br />The above is a full disclosure of all parties of interest in the application to the best of my <br />knowledge and belief. <br /> <br />~ ~ <br />(Applicant) il4t1--..f-~~ ~(~ . ..u-hN'A{~tlP...{. <br />I <br /> <br />Swom to and subscribed before me, <br /> <br />This \ "l-n" day of N()"Q..r1\~ <br /> <br />, 20dlD <br /> <br /> <br />(Seal) <br /> <br />NOTARY PUBUC-STATE OF FLORIDA <br />:....,..,"'... Marielena Marquez <br />~ ~ ECommission #DD818504 <br />....." ./ Expires: OCT. 17, 2012 <br />BONDED TBRU ^TLANTlC BONDING co., INe. <br /> <br />My Commission Expires: /0//7 / ~Ol;)'" <br />I / <br /> <br />* Disclosure shall not be required of any entity; the equity interest is which are regularly traded <br />on an established securities market in the United States or other country; or any entity, the <br />ownership interest of which are held in a limited partnership consisting of more than 5,000 <br />separate interest and where no one person or entity holds more than a total of 5% of the <br />ownership interest in the limited partnership. <br /> <br />City of Sunny Isles Beach <br /> <br />15 <br /> <br />Planning and Zoning Department <br />