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 />Signature: <br />(Applicant) <br />Sworn to and subscribed before me, <br />This day of S(A Y .20 Z3 <br />RAN LEE <br />*, *1 MY COMMISSION # GG 956135 <br />as P�: FJ(PIRE$ <br />; February 6, 2024 <br />���FOR11, OP ,, Bonded TIMU Nolary PubUc Und'Wdlers <br />ti <br />11 � <br />Notary Public, State of Florida at Large <br />R'ASs,ar F6%5!;rei- <br />My Commission Expires:2/ 6 <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 <br />Public Hearing Application Package <br />Page 16 of 23 <br />35 <br />