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<br />DISCLOSURE OF INTEREST <br /> <br />If the property which is the subject of the appl ication is owned or leased by a CORPORATION, <br />list the principal stockholders and principal officers or stOCkholders consist of another corporation <br />(s). trustee (s), p~ership (s) or other similar entities, further disclosures shall be required which <br />disclosures the identity of tbeindividual (s) (natural persons having the ultimate ownership interest <br />in the aforementioned entity). <br /> <br />Corporation Name <br /> <br />Name, Address and Office <br /> <br />Percentage of Stock <br /> <br />. . <br />............................................................................................................................ <br /> <br />If the property which is the subject of the application is owned or leased by a LIMITED <br />LIABILITY COMPANY list the members or stockholders .consist of another corporation (s), <br />trustee:(s),partnership,(s) or other simi:l.ar entities. further disclosUres shall be required wpich. . <br />.~disclosures the identity of the individual (8) (natural-persOns hav~g the ultimate ownership interest. "" <br />'in the aforementioned entity).'" . . <br /> <br />"G. \~9'.:V<'~\:~~) t.t.. <br />LLC Name"' <br /> <br />'"0' .. <br /> <br />Name. Address and Office <br /> <br />1\1\ I c.. \.., c...t. \ lJe.."'Z-e{Z.. ~ I'-\~ ~l ~& ~ ~ <br />~eo""" ~-z.e.~~~Mi';;/~~ ~~ <br />_!t..... -Pt=za- N\~ee~f:N\~~ <br /> <br />r\ ~L A Dpe.f,SSES : <br />.I_eo' ~UAr/S A,e JI R-, <br />-S14ksN~ r~i.~.s. f3.~HJ fi- '33/6V <br /> <br />Percentage of Stock <br /> <br />City of Sunny Isles Beach <br /> <br />Community Development Department <br /> <br />~ <br />