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• <br /> osNY,d4p._ PUBLIC HEARING APPLICAT C II \ E ii . <br /> 4/ He l <br /> "''`'-1, .114 OCT - . 2012 iii <br /> Date _. <br /> /� Z <br /> •\ / <br /> f, ,,�p`o�,� Folio <br /> PLANNING &ZONING DEPT. <br /> C�tr Of W14°' <br /> IJ 1. Proposed Project Name: _ :Unique <br /> 2. Name of Applicant Palermo Beach.LLC <br /> a. If applicant is the owner, give name exactly as recorded on deed. <br /> b. If applicant is lessee, attach copy of valid Iease of one(I) year or more and <br /> Property Owners Sworn-to-Consent. <br /> c. If applicant is a corporation, partnership, limited partnership,or trustee,a <br /> separate Disclosure of Interest form must be completed. <br /> 3. Applicant Mailing Address 2875 NE 191 Street Suite 801 <br /> City Aventura State Florida Zip 33180 <br /> Tel.# (during working hours): 305/932-6262 Other: <br /> 4. Name of Property Owner Palermo Beach.LLC <br /> Address 2875 NE 191 Street Suite 801 <br /> City Aventura State Florida Zip 33180 <br /> Tel.# (during working hours) 305/932-6262 Other: <br /> 5. Contact Person Kobi Karp__• <br /> Mailing Address 2915 Biscayne Boulevard.Suite 200 <br /> City Miami State Florida Zip 33137 <br /> Tel.# (during working hours) 305/573-1818 Other: <br /> 6. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE APPLICATION <br /> a. if subdivided, provide lot,block,complete name of subdivision,plat book and <br /> page number. <br /> b. if metes and bounds description, provide complete legal description(including <br /> section, township and range). <br /> c. if separate request apply to different areas, provide the legal description of each <br /> area covered by a separate request. <br /> d. attach a separate, typed sheet if necessary. Verify the legal description is correct. <br /> SEE ATTACHED <br /> 7. Address or location of subject property: <br /> 17141 Collins Avenue <br /> City of Sunny Isles Beach Community Development Department <br />