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DISCLOSURE OF INTEREST <br />If the property which is the subject of the application is owned or leased by a CORPORATION, <br />list the principal stockholders and principal officers or stockholders consist of another corporation <br />(s), trustee (s), partnership (s) or other similar entities, further disclosures shall be required which <br />disclosures the identity of the Individual (s) (natural persons having the ultimate ownership interest <br />in the aforementioned entity). <br />Corporation Name <br />Name Address and Office Percentage of Stock <br />................................................................................... ............................... <br />If the property which is the subject of the application is owned or leased by a LIMITED <br />LIABILITY COMPANY list the members or stockholders consist of another corporation (s), <br />trustee (s), partnership (s) or other similar entities, further disclosures shall be required which <br />disclosures the identity of the individual (s) (natural persons having the ultimate ownership interest <br />in the aforementioned entity). <br />�f3555. wist.opew -t-, LLf— <br />LLC Name <br />Name Address and Office <br />DELaz F^9-%i" 1"IO/.gINNS F ING. <br />i X001 eU4 -"§/t AvYL '31 Ft-""L <br />SvIJ►wt 1SUEi r3t<.h�H !G- 1 60 <br />Percentage of Stock <br />too �• <br />City of Sunny Isles Beach Community Development Department <br />