Attachment 1 - ApplicationATTACHMENT 1
City ([j)f SIDJutb Mi~mi
Planmng & Zoning Department
THE CITY OF PLEASANT LIVING
City Hall, 6130 Sunset Drive, South Miami, Florida 33143
Telephone: (305) 663-6326; Fax: (305) 668-7356
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~~~sS~'~jS1t. 'SWulWMiami, 33143 Lot(s) 0-:36 Block --Subdivision ~~. v." '"
PB -
Meets &' Bounds: Size of Property : Acres
Applicant: U-lill ;:>nopsal ;,unseL r-Iace Phone:
Representative: ... "''', "'Y v. OCl"", 1::"4. Organization: OIlUUII,\ Ol OCl""
IAddress: 46 SW 1 st Street, Third Floor
Miami,FL33130 Phone: 305-38 i -6060 ~ 1
Property Own~r: rru, ~"':::!''' <ilL vU"""'L '-'CI"'" ' Signature: t/ tti./i(fiJ c!fu9¥~cW~YflJf8WJ,Y Suite 300
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Mailing Address: Miami, FL 33133 Phone: 305-901-1000
Architect/Engineer: Phone:
AS THE APPLICANT, PLEASE INDICATE YOUR RELATIONSHIP TO THIS PROJECT:
0:>wner Owner's Representative Gontract to purchas,e DOption to purchase Dre~ant/Lessee
, , '
APPLICATiON DS HEREBY MADre fOR THE FOLLOWiNG: SUBMITTED MATERIALS
rL~ASE CHECK THE APPROPRIATE ITEM: PLEASE CHECK ALL THAT APPLY:
..;' Comprehensive Plan Amendment Text _Letter of intent
pFUlure lalld Use Map Amendment
_Justifications for change
_Public Facilities Impact Report
I..;' IFuture land Use Map Amendment _Proof of ownership or letter from owner
(Slllan·Scale Map Amendment)
_Power oi attorney
Briefly explain application, cite specific Plan sections to be amended; or indicate _ Contract to purchase
FLUM cateQorV chantle:
_Current survey (1 original sealed and
Please refer to the attached letter of intent. signed!1 reduead copy @ 11" x 17")
_15 copies of Site Plan
_1 reduced copy @ 11" x 17"
, , , _Affidavit-Receipts attesting to mail
notices sent
_Mailing labels (3 sets) and map
_Required Fee(s)
'ihe underSJ.gll~ r1~EJI11.S com~ete<). appUcatIOn: .'lI.!d represents that the IDronnatIOn and all sUllmlttea matenrus are true ane
correct t~~~,.best7q ~:r's owledge and belIef. '~'
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ApplicantJ'Sigfi'll>\re MId tltM....Dale
Upon receipt, applications and all submitted materials wil!"be reviewed for compliance with the City's Land Development Code, Florida Statutes and Florida
Administrative .Code ~d other applicable regulations. Applications found not in compliance will be rejected and returned to the applicant.
OFFICE UsE 91\11,'1:
Date Filed 'I JJ..I! II.. Date of LPA Hearing _____ Date of Commission ____ _
Petition Required __ _ Petition Accepted Method of Payment ____ _
Z:IFormslCurrent Planning Department FonnslPlarming Department FormslPlarming BoardlLPA Application for Comp Plan Amend -
Revised 7-27-16.doc