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RECEIVED <br /> s,r,NY 43E TEMPORARY USE/STRUCTURE APP ICATI• <br /> * Jam:^ e� § 265-14 <br /> OCT 8 2019 <br /> Apt ication <br /> Dat;Receiv,s W��� <br /> t T. <br />_ ! ti. Fto ,• ti:� 'MG DEPT <br /> C,ly O,3YN O V <br /> City of Sunny tales Beach,FL <br /> • <br /> l - <br /> I. Proposed Project Name: The Estates at Acqualina <br /> 2. Name of Applicant A3 Develoment,LLC <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_17780 C9llins Avenue,2nd Floor <br /> City Sunny:Isles Beach State FL Zip 33160 <br /> Tel.#(during working hours) (305)933-8301 Other <br /> • <br /> 4. Name of Property Owner A3 Develogn t,LLC <br /> Mailing Address 17780 Collins Avenue,2nd Floor <br /> City Sunny Isles Beach State FL Zip 33160 <br /> • <br /> Tel.#(during working hours) (305)933-$301 Other <br /> 5. Couiact Person Richard Chit*ood <br /> Mailing Address 17780 Collins Avenue.2nd Floor <br /> City. Sunny Isles Beach>' State Fl. Zip 33160 <br /> Tel.#(during working hours) (305)933-8301 Other <br /> 4. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE APPLICATION <br /> a.if subdivided,provide let,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 /> See attached. <br /> -City of Sunny Isles Beach Planning and Zoning Department <br /> 1 <br /> 197 <br />