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JHry \ <br />CITY OF SUNNY ISLES BEACH <br />APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS <br />Sunny Isles Beach Government Center <br />18070 Collins Avenue, Sunny Isles Beach, FL 33160 <br />Phone: (305) 947 -0606 <br />Fax: (305) 949 -3113 <br />I. PROPERTY INFORMATION: <br />Site Designation Name: <br />Property Address:3-�A A - -rL,AtJ(G 6L-F- <br />Folio No.: C) L - ZZ t4 - CXD-5 — (3 (<::) 0 <br />LEGAL DESCRIPTION: <br />THIS SECTION FOR OFF /CE (.SSE ONL Y <br />SPECIAL <br />Designation No.: <br />REGULAR <br />Date Application Received: <br />Date of Designation: <br />Type of Designation: <br />(4 ,SZ, Z .�-t- 4�-t -� I sc � t , —E A g � tP Gcar� - LCT A. -7 <br />t�3 L. C--.) \ej p F LOT -i 4 <br />II. APPLICANT INFORMATION: <br />Name(s) of Owner: 0--v C-;o RL- v S �L T ( O Iq C <br />o,�( LO <br />Name of Applicant: L <br />Address of Applicant: 3�'i �T LA t�1T�C �s, SL) �D� 'i <br />Applicant is: Owner \'1/1 Leasee <br />Contractor _V Legal Agent <br />Applicant telephone number: �]e 4 SZ S <br />All applications shall inchide one or two 3 "x S " color photographs of the designated property and <br />project plans. <br />I <br />City of Sunny Isles Beach Application For A Certificate Of Appropriateness <br />EXHIBIT "A" <br />