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'rDR 2011 C11 <br />City Use Only <br />Date Received— ____.v_ . <br />Date Issued <br />Resolution <br />(:zz'01-z- 1q). <br />a 990, v,P <br />SF � +FL01i s <br />C'rY OF SUN PLO <br />APPLICATION FORM <br />TRANSFER OF DEVELOPMENT RIGHTS <br />PROGRAM CERTIFICATE <br />I. APPLICANT INFORMATION <br />Palermo Beach, LLC <br />ECEE y <br />D <br />OCT 2 6 29 <br />p ANNING & ZONING DEPT. <br />Clerk of Court Use Only <br />djs @serberlaw-firm.com <br />PHONE 305 - 932 -6262 E -MAIL FAX <br />ADDRESS 2875 N.E. 191 Street, Suite 801 <br />CITY AND STATE Aventura, FL ZIP CODE 33180 <br />11. RECEIVER SITE INFORMATION AS APPLICABLE <br />OWNERS NAME Palermo Beach, LLC <br />PHONE 305- 932 -6262 E-MAIL dj s @serberlawfiWom <br />ADDRESS 2875 N.E. 191 Street, Suite 801 <br />CITY AND STATE Aventura, FL ZIP CODE 33180 <br />PROPERTY ADDRF;SS /LOCATION 17141 Collins Avenue <br />LEGAL DESCRIPTION See Attached <br />POLIO NUMBER 31 -221 1- 004 -0110 CURRENT ZONING MU -R <br />PROPERTY SIZE .85 Acres PURCHASE DATE March 15, 2012 <br />City of Sunny Isles Beach I Planning and Zoning Department <br />