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5. Address or location of subject property: l8So 00(.1-1 4-15 �s "OC= <br /> Sc�i-lot'M-Sc c -3E►ACtlr1 R. 33 l( C) <br /> 6. Zoning District: M 1 xE9 Us -/ZES02 i?"-Qt 5112 MU <br /> 7. Determine ty e of temporary use proposed: <br /> 5ta.eLrcS A.“1,1AZQS <br /> 8. Determine length of time of temporary use proposed,starting and ending date(maximum <br /> of one(1)year)per application: <br /> 0416(I (-e tw2_ <br /> 9. Requirements: <br /> a. Site plan drawing showing layout of the intended use/structure along with a <br /> business write-up describing dates of operation,hours of operation,parking, <br /> safety,fencing,etc. <br /> b. Emergency plan layout,if applicable. <br /> c. Non-refundable payment of$2,500.00 made to the City of Sunny Isles Beach. <br /> d. Applicant/contractor must submit Insurance Certificate with City of Sunny <br /> Isles Beach as additional insured. <br /> e. The City of Sunny Isles reserves the right to revoke,modify,and terminate <br /> this approval at any time for any reason. <br /> SIGNATURE OF Ov NER (APPLICANT) DATE <br /> STATE OF FLORIDA <br /> COUNTY OF MIAMI-DADE <br /> The foregoing instrument was acknowledged before me this 14- day of No <br /> 20/x, by ict .J 14-4,A)o /- on behalf of <br /> c(,�[ ,���c�y t�-io �� , a Florida (corporation) (partnership) <br /> (other) He _ - • •- • s, • s• s • u- or has <br /> produced (type of identification produced) as identification <br /> produced and did take an oath. <br /> 4, <br /> My Commission Expires: 41 ve*, <br /> Notary Public, State of Florida at Large <br /> ,y'ow, Notary Public State of Florida Print Name: GK(A- <' r <br /> T. Greta C Hill <br /> My Commission GG 224644 <br /> ' o ^p Expires 09/30/2022 <br /> r zz sSz-Y'.--s,.7—=.742.S:ur.74.75.WATC•.u:`...rT-A:varceszmzx["'sSr==t+Wi':A".�nyitm-is.rr.Mr:,1.5sra: Sien..i13r.s:4–,a3. YWa.7.=.17.7341 <br /> City of Sunny Isles Beach Planning and Zoning Department <br /> 2 <br />