Laserfiche WebLink
NAME,ADDRESS AND OFFICE(if applicable) Percentage of Interest <br /> Date of Contract: 'if <br /> If any contingency clause or contract terms involve additional parties, list all individuals or <br /> officers, 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 applic tion to the best of my <br /> knowledge and belief. <br /> Signature <br /> (Applicant) M 6 d-C€ <br /> Sworn to and subscribed before me, <br /> p <br /> This '3 day of U 0 ki€YYI�CE,20 1 4 <br /> "!. LAURA ALEJANORA LAUREANO <br /> N.tary ' .e c, S c' lorida at Large �k_ )' MY COMMISSION#FF101178 <br /> 'aR,. EXPIRES March 12,2018 <br /> � 07)398.0163 FlorldallotaryServlce.com <br /> My Commission Expires: S j l 0 <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 /> City of Sunny Isles Beach Community Development Department <br />