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DISCLOSURE OF INTEREST <br /> 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 corporation <br /> (s), trustee(s), partnership(s)or other similar entities,further disclosures shall be required which <br /> disclosures the identity of the individual(s)(natural persons having the ultimate ownership interest <br /> in the aforementioned entity). <br /> CH A biND l bA-'4 CICH Wi i �2 . c .p10 <br /> Corporation Name N DN\ P0 Pao cT aR Ri 7 0 <br /> Name,Address and Office Percentage of Stock <br /> 103 PalNCA AN'Fs, '6cz , Sib, cb°3160 4 ( 4- <br /> NAr 112 V-7 . <br /> cad P<-1 NI O <br /> M AP et t Tz <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 similar entities, further disclosures shall be required which <br /> disclosures the identity of the individual(s)(natural persons having the ultimate ownership interest <br /> in the aforementioned entity). <br /> LLC Name <br /> Name.Address and Office Percentage of Stock <br /> . " Community Development Department <br /> City of Sunny Isles Beach <br />