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<br />DISCLOSURE OF INTEREST <br /> <br /> <br />C If the property which is the subject of the application is owned or leased by a CORPORATION, <br />list the principal stockholders and principal officers or stockholders consist of another <br />corporation (s), trustee (s), partnership (s) or other similar entities, further disclosures shall be <br />required which disclosures the identity of the individual (s) (natural persons having the ultimate <br />ownership interest in the aforementioned entity). <br /> <br />elt'! Of:" .tv/NIl /:;kJ. ~~~~ <br /> <br />Corporation Name <br /> <br />Name, Address and Office <br /> <br />Percentage of Stock <br /> <br />f/; bJ./c <br /> <br />bhry <br /> <br />~ <br /> <br />If the property, which is the subject of the application, is owned or leased by a TRUSTEE, list <br />,..... the beneficiaries of the trust and the percentage of interest held by each. {Note: where the <br />~ beneficiary (s) consist of corporation (s), another trust (s), partnership (s) or other similar <br />entities, further disclosure shall be required which disclosures the identity of the individual (s), <br />(natural persons) having the ultimate ownership interest in the aforementioned entity}. <br /> <br />Trust Name <br /> <br />Name and Address <br /> <br />Percentage of Interest <br /> <br />If the property, which is the subject of the application, is owned or lease by a <br />PARNERTSHIP or LIMITED PARTNERSIllP, list the principals of the partnership, <br />r including general and limited partners. {Note; where the other similar entities, further <br />~ <br /> <br />City of Sunny Isles Beach <br /> <br />13 <br /> <br />Planning and Zoning Department <br /> <br />12 <br />