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I <br /> onf,trF TEMPORARY USE/STRUCTURE APPLICATION <br /> I F°`ri$" °A § 265-14 • <br /> q <br /> ° :1„ 70x13 - 0 <br /> >tE Application# <br /> ;�'a„ o� y Date Received fri4y 7, 7.0/3 <br /> *. '•rw� z Initials C <br /> pyy o..run'4O" <br /> 1. Proposed Project Name: f on1,s(?.cc loat) nj2 re-A -/ ASS d'✓+ 47 Ate,voG'-'Q <br /> 2. Name of Applicant I- ?AA P4✓77-evuwc ,L P <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(I)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. <br /> 3. Applicant Mailing Address / 77 'O a,/keys lee 214 RIn'L <br /> City S '.”.Zit's t 'w ck` State FL Zip g 3/60 <br /> Tel.#(duritYf working hours)_ 3aS- 53?-J s'a / Other <br /> 4. Name of Property Owner t -e. 4.77 4CHee) <br /> Mailing Address <br /> City State Zip <br /> Tel.#(during working hours) nn// Other <br /> • <br /> 5. Contact Person Lick- (. 4 j /;J d a, <br /> Mailin¢Address / 7-2,0 Cot/ 415 Air o?stg no-at- <br /> city SU.ve-1 .ps l-ni ic.,4c4 State: f'L Zip 33/Ca <br /> Tel.#(during working hours) 3a3' S 33230 I Other <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. Address or location of subject property: 210 a5" TCrrO.CC,• <br /> Sunny SSkeS 13e,och, P- 33 u.00 <br /> City of Sunny Isles Beach Planning and Zoning Department <br /> 1 <br />