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SJ$NY 15Z TEMPORARY USE/STRUCTURE APPLICATION <br /> r � <br /> 265-14 <br /> Application# sa40/S —�3 <br /> • <br /> 9 Date Received S.1-6. i� <br /> SF ,•FLOP Initials <br /> C,T,Of SUN'NO CI) <br /> 1. Proposed Project Name: )b --d 6 -( + W CLII <br /> 2. Name of Applicant g3v,,nn <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 of one(1)year or more and Property <br /> 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 /> 3. Applicant Mailing Address `12-3 4,),,A,\ Y('4 31J.L 5 <br /> City �, �(ss State �l Zip ?3 ( VM <br /> Tel.#(d u r i n g working hours) '3 s- 9 cf 7 _5(St. Other - .- - --1133 <br /> 4. Name of Property Owner L,n�., �-� <br /> Mailing Address 11 1 of C-\1,„A 4c Tk 14-r <br /> City ;-b State CS Zip331(,1 <br /> Tel.#(during working hours) 3,r 441- (-Iwo Other <br /> 5. Contact Person L., <br /> Mailing Address 3 j-3 g.,r 6 Ir,( Si— 53 t <br /> City S 13 State G't Zip 331 ba <br /> Tel.#(during working hours)3 4 4-ef. 4C-51. Other '11I,. - (1 3 3 <br /> 4. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE <br /> 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 /> 5. Address or location of subject property: &.tt-J l).) hi Ot S7' <br /> Se 9:. ' <br /> ^ ZIE.10.JiSITbVOMEN2111`:dirO dlii5M1707.5,1i£41 tL:IMILT'F.�St�i`Si4J'2ICCULA1WNITNSU IttNAIT:ALSS1..•vacraa.aS'ALLK9S3 S.21 <br /> City of Sunny Isles Beach Planning and Zoning Dep.'Intent <br />