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If any contingency clause <br />if a corporation, partnersh <br />if applicable) Percentaae of Interest <br />list all individuals or officers. <br />For any changes of ownership or changes in contracts for purchase subseque-hquo the date of the <br />application, but prior to the (late of final public hearing, a supplemental disclosure interest shall <br />be filed. <br />... .......... ........................................ ................................. A...................... <br />The above is a full disclosure of all parties of interest�il t�Plicaflon tott�ej`�e ff f my knowledge <br />and belief. I I <br />(Appli <br />Sworn to and subscribed before me. <br />This e _day <br />Notary Public, S rida at Large <br />My Commission Expires: q l <br />2 Z5 <br />...ulwl o. <br />L-I!d <br />ANASTASIAKHODUABYANMY COMMISSION # HH 172105EXPIRES: September 1, 2025f F;g"` 9onded Thru Notary Public Undenvritors <br />a <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 Nearing No: <br />City of Sunny Isles Beach <br />Public Hearing Application Package <br />AMBR <br />Page 16 of 30 <br />