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yNY:;s TEMPORARY USEPEIVED <br />_/STRUCTURE AP -I A, _ <br />265-44 <br />. JUN <br />2 7 2019 <br />`mac, ilr� A plicatioh <br />D e.Rece ved <br /><� J <br />f� �FLOa a� Int S G-DEF <br />T rsVN n. <br />City of Sunny Isles Beach, FL <br />L Proposed Project Name: F in �A;wraN 1�I:S1pewf% AT 74 1�,I-AeH <br />2. Name. of Applicant /WNN`i J:9XS. Mori ztt <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 and Property 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 />d. The property owner and/or applicant hereby waive, release, indemnify, hold harmless, <br />and forever discharge the City of Sunny Isles Beach from any and all.claims, losses, <br />demands, contracts,. expenses, cause of action, lawsuits, damages and liabilities, of <br />every kind and nature, whether:known.or unknown, in law or equity; liability as to <br />any claims that may arise from this application. <br />3. Applicant Mailing Address 13o0 5 wr--iL AV6 <br />City MIAMI State Zip 4 3I <br />Tel. # (during working hours) ,, 3017 ) - J b00 Other <br />4. Name of Property Owner I'Ezg?�PV y L✓l�. <br />Mailing. Address WE5ne1d:L'Vk AVE <br />City MIAMI State Zip I ! <br />Tel. # (during working hours) �_7�I - I oon Other <br />5. <br />Contact Person I10'�J L • 6H0;zC 1.;1 <br />Mailing Address -7AMJZ A4 O W NSM <br />City State Zip <br />Tel. # (during working hours) 786 422 ` to Other <br />4. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE 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 />TO "14151T H <br />City of Sunny Isles Beach Planning and Zoning Department <br />