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<br />PARCEL <br />SIZE IN <br />ACRES <br /> <br />DEPARTMENT, BOARD OR OFFICIAL <br />RESPONSIB~~ FOR THIS <br />DEVELOPMENT ACTION APPROVAL <br /> <br />~,3 <br /> <br />/ 6ry n=- ~y 7i.L.U ~ <br />C ,A-~e:J;.. ') <br /> <br />/ <br /> <br />/ <br /> <br />I HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION FORM IS <br />TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT NO DEVELOPMENT ACTIO~ <br />PERMIT OR APPROVAL SHALL BE ISSUED UNTIL THE SHORELINE DEVELOPMENT REVIEW <br />HAS BEEN COMPLETED OR TERMINATED, ~ <br /> <br />SIGNED: EL- W-' <br /> <br />NAME (PLEASE PRINT): ~~ tJ ~A."V~ <br /> <br />Note: When this application form is completed and signed, the applicant is <br />required to send it along with the required application fee to: <br /> <br />Shoreline 'Development Review Coordinator <br />Developmental Impact Committee, Suite 1210 <br />Metro-Dade Center <br />III N,W. First Street <br />Miami, FL 33128-1973 <br />(305) 375-2589 <br /> <br />,. <br />