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VNNY IS(FeTEMPORARY USE/STRUCTURE AP �__PEIVED <br />I A <br />§ 265-14 <br />}u �; J U N 4 2021 <br />. = Ap Aicatiop # <br />Iry tiF 9�w � Da eRecceed <br />FL0 IniyWYftCity of Sunny Isles Beach, FL <br />1. Proposed Project Name: Estates at Acqualina <br />2. Name of Applicant__ A3 Development, 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 Collins Avenue, 2nd Floor <br />City Sunny Isles Beach State FL Zip 33160 <br />Tel. # (during working hours) (305 9334301 Other <br />4. Name of Property Owner. <br />City Sunny Isles Beach State FL Zip 33160 <br />Tel. # (during working hours) (305) 933-8301 Other <br />5. Contact Person Rick Chitwood <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 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 />See attached "Exhibit A" <br />c M :c. _,:.r "•._..,_s.. --s ..T_. ;;, ..:.a; ....., ........:;a. -.. --ru a._.,.z , ,..o.It..-,•,..,W,Ws l's r� * 11 <br />City of Sunny Isles Beach Planning and Zoning Department <br />