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�SVNNY /SFJ <br />pP r <br />FL0Q\ 4 <br />C'TY OF SUN PNO <br />TEMPORARY USE/STRUCTURE <br />§ 265-14 <br />RSC Iv® <br />A PLIC <br />AUG 6 2021 <br />pplicat on # <br />Date Re <br />I LANN44G Bt Zn- DEPT. <br />City of Sunny Isles Beach, FL <br />1. Proposed Project Name: M ( I � i`l`l t D L"_�(z <br />2. Name of Applicant S _r T 6®4-e 9-eAC14 b--eyeLL� C. <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 AUCe le le,)o <br />City G6PAL Cea fKeS State PC Zip <br />Tel. # (during working hours) 4/6 ° (. 364 Other <br />4. Name of Property Owner SAV-4iC- A S APQ<< CAIJ-k_ <br />Mailing Address <br />City State Zip <br />Tel. # (during working hours) Other <br />5. Contact Person ' O s l 611 <br />Mailing Address '3 `,).1-f fOpze 5c t ---,o( <br />City CarA4- (.-1 State FL Zip 3 (3 <br />Tel.#(during working hours)--J05-y6,u (.:-•7oa Other 71oS -7'78-39aO <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 />Ulu <br />,. -mom Q ., �,., .. _ Wim...: �• <br />City of Sunny Isles Beach ' Planning and Zoning Department <br />