Laserfiche WebLink
NAME, ADDRESS AND OFFICE (if applicable) Percentage of Interest <br />Date of Contract: <br />If any contingency clause or contract terms involve additional parties, list all individuals or officers, <br />if a corporation, partnership or trust. <br />For any changes of ownership or changes in contracts for purchase subsequent to the date of the <br />application, but prior to the date of final public hearing, a supplemental disclosure of interest shall <br />be filed. <br />The above is a full disclosure of all parties of interest in the application to the best of my knowledge <br />and belief. <br />ignature: rL <br />' 1 , <br />(Applicant) J O @.� TUB R� N <br />Sworn to and subscribed before me, <br />of Oe-lali✓eix , 20-� I <br />?C�4C-, �� ,•'iY!''., FRANCOISMACLELLAN <br />MY COMMISSION It 00 918226 <br />Public, State of F ►da at Large �i�,Q� EXPIRES: January 31,2024 <br />.P.::., °• � Bonded Thru Notary Public UndwAei <br />My Commission Expires: <br />* Disclosure shall not be required of any entity; the equity interest is which are regularly traded on <br />an established securities market in the United States or other country; or any entity, the ownership <br />interest of which are held in a limited partnership consisting of more than 5,000 separate interest <br />and where no one person or entity holds more than a total of 5% of the ownership interest in the <br />limited partnership. <br />Public Hearing No: <br />City of Sunny Isles Beach Public Hearing Application Package Page 16 of 23 <br />22 <br />