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R-99-0078
.. �.�tF] '� t,.,����17Y, ��K-I.t 9 f, t ;:i` ;, �_�„tsl•Tf sT�:X.T u5+,�"aL'fiR?+C+1?lu,'.Ss1:'ri4.H�. o-l.3!t^�...'?,lxv"'�l,+±lri•e?SS�_-'�;,%Hf �'y+''iit=L: i.G.dY.•1��.... t t 1$�fi J — 9 9 196 N 1/26/99 ry ;j 7 ! J RESOLUTION NO. e7 a A RESOLUTION APPOINTING CERTAIN INDIVIDUALS AS REGULAR MEMBERS OF THE PLANNING ADVISORY BOARD FOR TERMS AS DESIGNATED HEREIN. BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: =7 comassION MING OF JAN 2 G 1,99 Resolution No. ApPYt:�°m�.�wcnaw+�,v�rts+�Kvrn^�,.a+n . .a..: Ryas,.mrw+u��ym=.m:a-gw�aewunpw+um+rher+�a»yaw:nvc,�nxca,,,f _ � - .,. t f x APPOINTEES: NOMINATED BY: Frank E. Lengyel Commissioner Joe Sanchez James Chipman Black Commissioner Arthur E. Teele PASSED AND ADOPTED this 26th day of January, 1999. This Administmtivar A.11 1, WALTF APPROVED $S TO,/FORM/'AND CORRECTNESS :e/ RLE �AUbRO/V MA) LO C,XT T6RNEY Apift CITY OF MIAMI. FLORIDA TO: Honorable Members of the City COnlnlissioll FROM : Walter J. Foeman Citv Clerk INTER -OFFICE MEMORANDUM REVISED DATE : January 8, 1999 FILE: SUBJECT: planning Advisory Board REFERENCES: January 26, 1999 Agenda ENCLOSURES: List of Members, Resolution 'The Planning Advisory Board was created to advise and make recommendations to the Commission in phases of the City's comprehensive planning program. Pursuant to requirements under City Code Section 62-123, our office placed a notice in a newspaper of general circulation in the City, advertising for applications for prospective appointments to the Planning Advisory Board. On November 17, 1998 the City Commission directed our office to advertise for applications and to use Hispanic and Black newspapers. The ad appeared on the Miami Daily Business Review, the 'Miami Times and Diario Las Americas. The deadline .for submitting said applications was December 22, 1998. All ten members' terms will expire on January 12, 1999. Each member of the Commission has two nominations for appointment. Appointments shall be made only from individuals who have submitted applications. Applications were received from the following individuals: James Chipman Black (application received past deadline) Robert J. Busquets (application received timely) Frank Lengyel (application received past deadline) Doreen Clara LoCicero (application received past deadline) Fidel A. Perez (application received past deadline) Steven Polakoff (application received past deadline) Doris K. Scheer (application received past deadline) Henry S. Suarez (application received timely) Our office has verified that Messrs. Busquets and Suarez are electors of the City of Miami. We are in the process of checking status of late applicants. If the Commission is dissatisfied with the list of applicants who have submitted their applications, the Commission may direct the Clerk to readvertise for more applicants. Please be aware that City Code Section 62-124 states in part: 99- 78 �r•,-.rt.��sa,.Rr� ��s+a=:n�.,�ernn�a,±��r r�`ta.•�rv'�✓�n. �x,;�? y.'ke'' P11 zri j 3rnxe 4 t ;w* TV 4 0 "In reaching a decision on appointment to a vacancy on the planning advisory board or on the zoning board, the city commission shall give due regard to, and be guided by the necessity f6r representation on the boards, of: (1) Geographical sections and areas of the city; (2) Social, economic and demographic characteristics of the city; (3) Qualifications. background, experience and abilities of appointees to fulfill the duties and responsibilities of board membership or alternate membership; prospective appointees shall be subject to a personal appearance before the city commission. to afford the city commission an opportunity to ascertain prospective nominees' proficiency in the English language, educational background and general knowledge of planning and zoning. (4) Prior demonstration by prospective appointees of interest in and concern for planning and planning implementation, as may be evidenced by previous attendance at planning or land use control seminars; (5) Membership in organizations having the primary aim of the furtherance of dissemination of knowledge of and support of sound planning and implementation programs; (6) Other activity evidencing knowledge and interest in the public purposes of planning and plan implementation; (7) Potential conflicts of interest; (8) Demonstrated maturity and objectivity of judgment; and (9) Needs for expertise, if any, in the membership and alternate membership of boards, Appointees shall be persons in a position to represent the public interest - and no person shall be appointed having personal or private interests likely to conflict with the public interest. No person shall be appointed who has any interest in the profits or emoluments of any contract, job, work, or service for the city Before making any appointment, the city commission shall determine that the persons so appointed satisfies the requirements of sections 2-611 (Conflicts of Interest) et seq., and no person shall be confirmed in appointment who has not filed the statement required by section 2-615 (List of real estate owned - Required of certain officials). In addition, the code of ethics of Metropolitan Dade County shall apply to members and alternate members of the planning advisory board and of the zoning board. (d) Persons appointed shall be electors of the city." By copy of this memorandum, we are requesting the Agenda. Office to place this issue on the January 26, 1999 Commission agenda. For your information, attached please find a copy of the current membership of said board. WJF:sl c: Miriam Maer, Assistant City Attorney Maria J. Chiaro, Assistant City Attorney Teresita Fernandez, Liaison/Chief, Hearing Boards Elvi Alonso, Agenda Coordinator James Black, Chairperson g J 7 F. .. w.�xvrv�r2�;fi . •Wa, t'+Ti+°9ik':±r""t "d"z:.�v.'��T�nk:r wda':��fieSa 1 r PLANNING ADVISORY BOARD (10 members) 16 APPOINTER 13Y NAME, ADDRESS, PHONE RESOLUTION TERM REQUIRED EXPIRE SANCHEZ frank E. Longuel, 1270 S.W. 14 St., M-33145 (H= 305-858- R-98-1132 1-12-99 city elector 8068; W= 858-524-0159) 11-17-98 sworn SANCHEZ vacancy GORT vacancy (Orlando Garcia, Jr. excessively absent) R-98-360 1 13-98 real-96 5-22-97 A= 6-17-98 5-20-98 4-15-98 1-14-98 GORT Jesus Casanova, 1893 N.W. 15 St., M-33125 (H=305-325- R-98-81 1-12-99 real-97 8272) 1-13-98 sworn A= 4-15-98 REGALADO James Black, Chairperson, 8500 S.W. 107 St., M-331.56 R-98-81 1-12-99 real-97 (H=305-275-8227; W=305-661-4443) 1-13-98 sworn REGALADO Ofelia Tabares Fernandez, 1861 S.W. 36 Ave., M-33145 (305- R-98-81 1-12-99 sworn 444-6087) 1-13-98 real-97 A= 5-20-98 4-15-98 Gc MUST FILE: (1) STATEMENT OF FINANCIAL INTEREST, (2) REAL ESTATE DISCLOSURE, AND (3) OATH REQUIRED 12/23/98 page # 1 7 ?�7 kFY�V5h2R 1 '. j .r PLANNING ADVISORY BOARD (10 members) TEELE CAROLLO (Teele's) PLUMMER PLUMMER (Ms.) J.G. Ferguson, 1115 N.W. 50 St., M (H=305-364-8287; W= 305-751-8642) vacancy (Tessi Garcia -Smith resigned) Doris K. Scheer, 1840 Coral Gate Dr., M-33145 (H=305-448- 5232; W=305-576-2360; F=305-573-9684) Steven Polakoff, 5701 North Bayshore Drive, M (305-756- 0906; H= 305-538-1118) R-98-1132 1-12-99 11-17-98 R-97-229 1-31-98 3-27-97 R-98-81 1-13-98 1-12-99 16 MOM sworn real-97 A= 6-17-98 3-4-98 R-98-1216 1-12-99 City elector 12-8-98 P MUST FILE: (I) STATEMENT OF FINANCIAL INTEREST, (2) REAL ESTATE DISCLOSURE, AND 3 OATH REQUIRED 12/23/98 ram( ) page # 2 e CITY OF MIA.MI APPLICATION FOR PLANNING ADVISORY BOARD acid/or ZONING BOARD" NAME: James Chipman Black RESIDENCE ADDRESS: 8500_S.W. 107th street, Miami, Florida 33156 HOMEPHONE: 305-275-8227 BUSINESS PHONE: 3 0 5 - 6 61- 4 4 4 3 Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: Gateway Mortgage Bankers, Inc. (Company Name) BUSINESSADDRESSP900 S.W. 73 Street, South Miami, Florida 33143 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? NO Would you like to serve on the Planning Advisory Board? YFs Would you like to serve on the Zoning Board? I would be willing to serve on t h e Zoning Board if asked Please state if you have a preference for either board: P 1 a n n i n cr Advisory Board Members shall be electors of the City of Miami. Are you a registered voter in the City of Miami? _ Voter's Registration Number: Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? ye s h�T Do you foresee any conflicts of interest as defined in Miami City Code Article V, Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1? no Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached .forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? y e s Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? yes List your experience relating to the fields of planning and zoning: Attended a RE ional Plannin Worksho at the Don Shula Hotel in Miami Lakes in the Sprin2 of 1998 as Part of our requirement as memebera of the EAB Are you a United States citizen? y e s Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? _ V e G If "yes," give details: P Signature: Date: r ,i <forms>pz application 06/26/98 S 9 - 78 e?� r. _ `? vt A?'b t1k t�x•''�.. a,'.'Y �c�t?.,..x. _ i �{ hh yip, CITY OF MIAMI, FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-428 OF THE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk 3500 Pan American Drive Miami, Florida 33133 Date: 12/29/98 (James Chipman Black a member of City of Miami Planning Advisory Board (Name) do comply with the residency requirement under Code Section 2-428, namely: (do / do not) "(a) Ali members of City boards shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City..." (Note: If you do comply with the residency requirement (Code Sec. 2-428), please provide us with tea owing information.) A. I presently reside in the City of Miami at the following address: S. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) I own real property located at 3547 and 3549 1,oquat Avenue, Miami, Florida C. I work within City of Miami limits. My business address is: 9s- 78 �dk kw tu. t OFFICE OF THE CITY CLERK City of Miami, Florida i QUESTIONNAIRE TO BE COMPLETED BY CANDIDATES FOR APPOINTMENT TO THE PLANNING ADVISORY BOARD AND/OR THE ZONING BOARD. Name of Candidate JAMES C. BLACK Residence address 8500 S.W. 107th Street, Miami, Fla. _33156_ Principal Business Gateway Mortgage Investors. Inc (Company Name) Business address 5900 S.W. 73 St. S. Miami, Fla. 33143 Horne Telephone 3 0 5- 2 7 5- 8 2 2 7 Business Telephone _6 61- 4 4 4 3 Members shall either be permanent residents of the City, own real property in the City, or work or maintain a business in the City. Please provide the information of how you comply: A. I presently reside in the City of Miami at the following address: B. I own a business and/or real property within the City of Miami limits at the following address: (Note: Kindly specify if it is a business or a property) Property at 3547 and 3549 Loquat Ave. Coconut Grove. Also, a lot located on Loquat Ave. in Coconut Grove. C. I work within City of Miami limits. My business address is: 09- `78 1. Will you be able to faithfully attend meetings of the Board as required by Section 62-52 of the Miami City Code? YES 2. Will you be able .bo attend planning and zoning seminars as 1 required by Section 62-49 of the Miami City Code? YES 3. Do you foresee any conflicts of interest as defined in Miami City Code Article V. Sections 2-301 -- 307 and Dade County Code Section 2-11.1? __ NQ_ 4. Are you a property owner within the City of Miami?� YES S. Are you prepared to file a list of real estate you own either personally or corporately, within the City of Miami with the City Clerk should you be appointed, pursuant to Section 2-305 of the Miami city Code? YES r EDUCATIONAL BACKGROUND: f High School: (a) Name: BRUNSWICK HIGH SCHOOL (b) Location: BRUNSWICK, MAINE (c) Period Attended: 1954-1958 (d) Degree Obtained: YES (e) Year Degree was Obtained: 195A College: (a) Name: WILLIAMS COLLEGE (b) Location: WILLIAMSTOWN, MA _ (c) period Attended: 1958-1962 (d) Degree Obtained: BACHELOR OF ARTS (e) Year Degree was Obtained: 1962 OTHER: HARVARD BUSINESS SCHOOL - MASTERS IN BUSINESS ADM. 1964 6. Business or professional experience/employment. (Please state date) Present: GATEWAY MORTGAGE INVESTORS. INC. Past (major): COASTAL BUSINESS MACHINES INC 9 9 - 78 -.^^.^,��y.» r.,Yr r. e ,r� akf 4 rT,'&+ry ;s< 'iS.7e�'r^2 n r`WTW " k I S { 7. Planning and Land Use Control Seminars attended. (Please fT state dates). Ej 8. Membership in Civic or Professional Organizations (part or present). Please state dates: PRESIDENT - BIG BROTHERS AND BIG SISTERS; COCONUT GROVE CIVIC CLUB; PRESIDENT - HARVARD CLUB OF MIAMI; MEMBER OF PRIORTIES AND ALLOCATIONS COMMITTEE OF UNITED WAY 9. other past or present experience relating to the fields of ; Planning and Zoning: CO -WROTE FIRST ENVIROMENTAL PRESERVATION DISTRICT ORDIANGE FOR COCONUT GROVE. r . C 10. Membership on any governmental agency boards or commissions (past or present): MEMBER OF NEIGHBORHOOD DEVELOPMENT COMMITTEE 11. Are you an elected official or are you employed full time in a government authority? NO 12. Why would you like to serve on the Planning Advisory Board? MIAMI NEEDS TO DEVELOP IN SUCH A WAY AS TO IMPROVE THE QUALITY OF l 1FF FOR TT' � (-TTT7FN9 NON AN.Q IN_ TWV F110T110-E Why would you like on the Zoning Board? LOGICAL ZONING DECISIONS CAN ENCOURAGE ORDERLY AND PROPER DEVELOPMENT OF MIAMI, Please state if you have a preference for either Board: PLANNING ADVISORY BOARD t• I ��- 8 :1tiU f"'��Y �.l.'f;:q"'n.. �Fi1 .•3�Ssi'�Lpa,{:.,.tr d.4x�� r ;, r • i y P 1 Op CITY OF MIAMI, FLORIDA (� ,atom DWI. a96 S TEM_ENT _OF_IIEAL_PROPERTY _OWNED a�afCU,,FLO���� d1N CONFOR�NCE WIT" SEC. i-615 OF THE CITY CODE) ZONING LEGAL DESCRIPTION C0MM0N ODR[SS - -�•---A- TITLE OWNED -CLASS PRESENT -USE - -- -- L■Lef,sl M■tihsily E■Eqsrttabls Pills Part SAMPLE ENTRY: Lot 7, Primro®e SectLon 4, PB 52. ---------------------------------- 437 N.E. 54 Street ------------I L ------------ ----------- R-1 ----------- Home t IQ Sr 3 Co c ou xT -- Przr P,8 l_-��,--- -� + a iJ �T �UQ 35 '�•-__� `�—�-___---------- -------....._ -- p- ..--- ----- =!� ----- -^- �tttt .L vJ��?- �?�_; -i-oy- - Coca.-«-r'----ve �iajai.E / -- T-�-(---- n.t1 �2� =' `�--- ----------- ---- �----- ---�---_•-- a- -------,,---_- _ -=PT _.: --- ----� =--_-_ ------------ --- -------__ I �j OATH A 1. �!Y�J��- C•--73z�4G+�-___ _ ---, do solemnly sweet that the above Is a its$ sad 'r) osoi►ste statenast of my IRteresls -1R teal property feasted within the CITY OF MIAMI or lossled Not more thee 500 foot orltslde the •eslslpal limits of the CITY Of MIAMI. 1 NAME: 1plasse print) �A - C - �J ______________ TITLE/POSITION VITH_C TT OF MIAMI fNAME OF OOAR[ bicOMMIT EE ( ap i is) ��------ �LA(2 OIONATUREt - i:22 -- :14_ ---"�---- BATE: '-��- I u....o.••i.e.i.i.i.i.i. i.AAi.cii..ii•i i.i.i•Airs.i•i•i.iNi•uiir•ia.i...Aua�iii.ii8iisi0iii.14 iiri$iiiiaidiiii: 71 ___ _ ux of Ftor OR this the A- d to u before me, the a rre IT"k t of FlwkL • the ra�Ing Irsrru- lt rprrg wr kdyrd oumy d ' MANY PUaUC �J1 ! *a E AL OF OFFICE: I■rw �rl YQNp eR/ Mru4re Mdr a"'i11` �11af, mamma s pnwrl rrywKw'1"tt wITNEs4 � and x,b, 1�nY PL,9 OFFICIAL NOTARY 8 Y Fveuc STATE OF }RtUA <� PATRICIA F LYON O �q,q COhIAt13310N NUM / _ _ l • / x S �+ e},•. `!a CC453209 too �~ �j� ��_ MY COMMISSION �ldnrtll'Ketlmt: _ (ncfLO rtaea, 17189. tr�xta..w+o�r.nd.n+t = . .�......... ....... DID 'Lakc an M% ❑ DID NOT uke an ert19 .. A CITY OF MIAMI APPLICATION ' FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: _ a 3GnL RESIDENCE ADDRESS: _ / 31 t✓ ` i TH �o Utz 7 Y HOME PHONES 3 o.SBUSINESS PHONE: ss► ►-� L Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: Rccu ke-n c&o n roc. 1--mM,., (Company Name) BUSINESS ADDRESS: f41A , Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? N a Would you like to serve on the Planning Advisory Board? 'Ke Would you like to serve on the Zoning Board? ye 5 Please state if you have a preference for either board: PiA H fd f F,cc, A-0vs o'0-1 �o.4 KD Members shall be electors of the City of Miami. Are you a registered voter in the City of Miami? Yc-. z Voter's Registration Number: o c> I i�, U a. Al J Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? 44 A If "no," please give details below: Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? Ye s Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? 5 <forcns>pz application 06/26/98 99- '78 w.Ack wd4:drry �iiw xxf�law ei ntfii a 3 ah hl u s iwY* �f r' 6� o- f±r�] .rL ri a'fo • Do you foresee any conflicts of interest as defined in Miami City Code Article V. Sections 2-611 - 619 and Miami -Dade. County Code Section 2-11.1? N n Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk. pursuant to Section 2-615 of the City of Miami Code? Ye -s Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? Ye, s List your experience relating to the fields of planning and zoning: —Z art �Gx y G.R.L.4 ,V& $'t-� Lu��t %A 7'k� Al¢__,t..h OF Posptl�C 7u P/1-or3LC_rcj. % D.41L7 /1o13A7 A, M A L-Ir S r S Are you a United States citizen? __Yes Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? _ N Cx If "yes," give details: Signature: Date: '. o v '1- 3, 1` 4 P <forcns>pz application 06/26/98 C� J .� 78 -`A yiY �ypu.7k: ^r t M1 k t r Fr s .eins`tr, ,p x ..5_id �L. .-mp. F.5�50'"-y+ .. .: CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE. WITH SEC. 2-615 OF THE CITY CODE) Legal Description SAMPLE ENTRY: LYot�7, Primrose Section 4, PB 52 Common Address 437 Northeast. 54" Street 'Title I,=Legal E=Equitable L Owned W=Wholly P=ln Part W Zoning Class R-I Present Use Ilome l�l . & AIL. Pri.o V r.A-- " 7 O w M c—p a? -tP i -t I trt'C, OATH 1, 1`0 rC3 Ertl �.�s c�►�aT i , do solemnly swear that the above is a true and accurate statement of my interests in real property located within the CITY OF MIAMI or located not more than 500 feet outside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) TITLE/POSITION WITH CITY OF MIAMI NAME OF BOARD/COMMITTEE (If Applicable) SIGNATURE: _ DATE: _ State of Florida On this the day of 19 _, before me, the undersigned Notary Public of the State of Florida, the foregoing instrument County of was acknowledged by NOTARY PUBLIC _ SEAL OF OFFICE: (Name of person signing and his/her title (public officer, trustee or personal representative) WITNESS my hand and official seal. NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) I ❑ Personally known to me, or ❑ Produced identification: (Type of Identification Produced) ❑ DID teke an oath, or ❑ DID NOT take an oath 010 Sharc/sanwcl/legal descriprinn (Inc s�. �Fk4t CITY OF MIAMI, FLORIDA S'I'A'1'L'MI:N'1' OI- C'ORI'OR;17'G RIsAi. )'I20PI:It'I'1' (IN CONFORMANCE WITH I Sl,('. 2-615 OF TI IF CITY CODI-I Legal Description SAMPI.L IiN11tY: Seven Park Inc. Lot 32 131k 12 Miami, North 13/46 Common Address 852 Northeast 711i Street Title L-Legal E==Equitable L Owned W=Wholly P=1n Part W Zoning Class RG-2 Present Use Parking Lot `V o < ,3 1z' Pt) it *-I. C - A• r- P R0 04 pl, 0 A -T t'f i I y ! rT r! - 0ATI1 do solemnly swear that the above is a true and accurate statement of corporate real property in which I have a controlling interest or in which I am an officer, accepting such real property located more than 500 feet outside the municipal limits of the CITY Of MIAMI. NAME: (Please Print) TITLE/POSITION WITII CITY OF MIAMI NAME OF UOARDJCOMMITTIT(IfA li bl Stale of Florida County of —_ NOTARY PUBLIC SEAL OF OFFICE: i 1 • PP ca e SIGNATURE: DATE: On this the day of 19 before me, the undersigned Notary Public of the State of Florida, the foregoing instrument was acknowledged by (Name of person signing and his/her title (public officer, trustee or personal representative) WITNESS my }sand and official seal. NOTARY PUBLIC, STATE OF FLORIDA (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, or Go ❑ Produced identification: _ (Type of Identification Produced) ❑ DID take an oath, or 0 DID NOT take an oath BE CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: T 0M,< L 6X6-V CL- RESIDENCE ADDRESS: 1.;:770 -1jV HOME PHONE: v�U-J~�§� �G�c BUSINESS PHONE: Ordinance No. 11581 states: "No employee of Miatni-Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: (Company Name) BUSINESS ADDRESS: _?%3zo RwNpoey 111a,S ,AD., 6Y/T 27d Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? /V8 Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? A10 Please state if you have a preference for either board: PA 8 , Members shall be electors of the City of Miami. Are you a registered voter in the City of Miami? _ J�7Voter's Registration Number: _000195',616 Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? If "no," please give details below: Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code?.. YE Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? YE S <forms>pz application 06/26/98 99 - 78 • ...:V, SF "33"1{^� ,�. i�;N i\f 7�Y, -+ ..' 1 He i._.. ,. y,. :. .....,.. '... ... ..,. .....-,r... ., .. ..-,. k. .,. -, ... Do you foresee any conflicts of interest as defined in Miami Cite Code Article V. , Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1 ? A10 J„1 Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk. pursuant r to Section 2-615 of the Cite of Miami Code? C Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. s 112-3145 and/or Miami -Dade County Ordinance No. 77-13? YC'S r^,� — List your experience relating to the fields of planning and zoning: d il02it� E f�i 2 r'• 7il.r/P� �/ .2 � 1 xn Ahr _ " 4e 224VIAV Crfr�» 3 Svc► 11. lids s .nor AZai"4 �/rdp fX�UQ W 6MR99ld rJ/�' .t&7ii1 4?�a.�dy.?�7 U°�Ti/ �1�4/fl1cL21t8D� j �vsi�.ssc� �4 Are you a United States citizen? Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? OV 6 If "yes," give details: z Signature: i Date: -�= 99 h r` k. E t r 1 <forms>pz application (1 (� ry 9 8 06/26/98 e7 aemnuw.wy{'PSnalfal�tF�'(i�"d,.49aTiK'Aj d'IAid'lr'YliiF4.ansn...� WF.iCSw.Si.;` CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WIT)I SEC. 2-615 OF THE CITY CODE) Legal Description SAMPLE ENTRY: Lot 7, Prirnrose Section 4, PB 52 Common Address 437 Northeast 54'h Strect Title L=Legal E—Equitable L Owned W=Wholly P=In Part W Zoning Class R-1 Present Use Ftome W-7 �a � ek I- or-? d ,r , V !l Q W1415 r //V/4� OATH 1, F,4Q/NLG�W/rYO,— , do solemnly swear that the above is a true and accurate statement of my interests in real property located within the CITY OF MIAMI or located not more thha/nJ500 feet outside the municipal limits of the CITY OF MIAMI. PC NAME: (Please Print) ' /ZC-AMEL State of Florida County of . 1.lt� NOTARY PUBLIC SEAL, OF OFFICE: OR TITLE/POSITION W NAME OF BO OMMIPm Applicable) , SIGNATURE: / DATE: %J�- zy On this the _ d___ day of J 0• 19 q�, bcfcre c, the undersigned Notary Public of the State if Florida, the foregoing instrument was ac owledged by k � �-&) Cr-7e-� Mi (Name of person signing and hislher title ubl' officer, trustee or per n I e r n at v W , ESS my hand and oftici s i FFtSI OT-A tYS AN�A M g00W.UEZ 2�GL� NOTA" RMUC STATE OF FLORIDA i TAR PUBLIC, STATE OF FLO )A CAM&titer NO. CC%5034 MY COMMISSION EXP. SE11 16 (Name of Notary Public: Print, Stamp, or Type as Commissioned) ❑ Personally known to me, ot,.p I • . ,) G ❑ Produced Identification Produced) ❑ DID take an oath, or ❑ DID NOT take an oath Sharc/smnucl/Icgal Jescriprinn dnc ry CITY OI; MIAMI, FLORIDA STATEMENTOF C0RP0 iA1'F. 1?EAI. PROPERTY (IN CONFORMANCE- WITH SEC. 2-615 OF TI3t? CITY CODE) Legal Description SAMPI.I: I:NI IVY: Seven Park Inc. Lot 32 131k 12 Mianti, Notch 13h46 Coninion Address 852 Northeast -ill' Street 'Title L.-Legal 1--l;quitable L Owned W=Wholly P=In Part W Zoning Class RG-2 Present Use Parking Lot -71 Z- 1, _��} /�-��! OA•rii /t��%� C�C./v(�i�t do solemnly swear that the above is a true and accurate statement of corporate real property in which I have a controlling interest or in which I am an officer, accepting such real property located more than 500 feet outside the municipal limits of Ilse CITY OF MIAMI. State of Florida County of �41U, NOTARYPUBLIC SEAL OF OFFICE: -11 00 NAME: (Please Print) 1 r�P;� l/i L�-'vtJ TGt TITIJ' POSI1 N WITH I'I'Y OI' MIAMI / D00091 fH ��% UC_ . NAME 01: BO mli-rli ii f pplicablc) � • � M ' SiGNATURIi• On this the day of �j u/"I� 19 ??, bcforc mc, the undersigned Notary Public of the State or Florida, the foregoing instrument was acknowledged by (Name of person signing and his/her title ( blic fficer, trustee or personal representative) WIT .SS my hand and official Aal. �ARys OF RDWDA -W01fARY ft)t3IAC, S Al G OF FLORID s{AQ STAIS COWSW N g2tg.SEpT 16 (Name of Notary Public: Print, Starnp, or Typc as C'onunissioned O Personally known to mc, or _ r� _ J Produced Produced) O DID take an oath, or 11 DID NOT lake an oath DEC- 4-98 t= R I i is CITY" OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: RESIDENCE ADDRESS: _Z_N2 k\,kWedl a ---, , AL atti—� .�313 3 HOME PHONE: ,Rg�S' AALf4.'?1 q BUSINESS PHONE: Z _1_ ffizz Ordinance No. 11581 states: "No employee of Miami -]fade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSTWESS/EMPLOYER: �A nA to (Company Name) BUSINESS ADDRESS: W1 NW S-4A cS�t C. JLI.c ✓U , P— 13V2 7 -1 LlS� Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? ►)0 Would you like to serve on the Panning Advisory Board? YeS -- b ��\,wC 6is-.•� ova Sivtt�_ ►ck $9 Would you like to serve on the Zoning Board? y12 Pease state if you have a preference for either board: un�, jk"t N . S21�+'C Ovt -lCt, k 2 C. vqt N4 Members shall be electors of the City of Miami. Are you a registered voter in the City o Miami? _--4 P—S Voter's Registration Number: t Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances?_ If "no," please give details below: _ _1. Will you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? Ts �r Will you be able to attend Planning and Zoning seminars as required by Section 62-124 of the Miami City Code? _.Jts <forms>pz application 06/26,'98 ID 1 'J Do you foresee any conflicts of interest as defined in Miami City Code Article V, Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.P �p Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? _yEC Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? List your experience relating to the fields of planning and zoning: r �L4��t k v,a t � c 1.�n @�_ o � � �kcr Ail .�-►�.� . vast � uh �-$� ACr v Are you a United States citizen? �Q S f Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? _�� If "yes," give details: Y .. �- Signature: Date: 12 t-I C1 SC <forins>pz application 06126198 .�.tt 6 ����4c,3 X�'1R;i i�X�+�:✓fr'�Sn tlS�.rEr?t'Ha.,1 .✓xi:a�.ii..b,. .r ......... . 1 i;,; .,k.. CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WITH SEC. 2-615 OF TUE. CITY CODE) Legal ®ew iption SAMPLE ENTRY: Lot 7, Primrose Section 4, PB 52 i Common Addrm 437 Northeast SO Streci Title L=[.egal E=Equitable L Owned W-Who"y P= In Part W Zoning CWH R i Present Use Home IN A 44KAvA iA4A019t 1 _ - N W R H Q�nne. —J ii �(�� OATH I, _ Ot` L� V�y1 ��' �_ do solemnly swear that the above is a true and accurate statement of my interests in real property located within the CITY OF MIAMII or located not more than 500 fDd outside the municipal limits of the CITY OF MIAMI, NAME: (Plewe Print) -ooze \', �O i/.�1 C f,0 TInXMgrnON WITH CfiYOF MIAMI / DtATutEOF At2DJ(`OfvII�'fI�'1EE(IfApplicsble)_�� ' �} SJQJATt1BFi: State of druid& ot, this the. day or Q.K 19 I Q, beibm me, 1 - the tmderdgmd NDftry Public of the State of Fturida, the fwxgoing insu m ri county or -c— was ackrwAedVd by NOTARY PUBLIC �. SEAL, OFOMC£: (Name of Person signing and hisliier fille 6ablic, otitccr, Inatee orpersonel mptmttative) WUMS my hand and official Beal. i 11 OFFICIAL NOTARY SEAL. KATIILEEN CORDON NOTARY MBUC, STATE OF AttIDA NOTARY PUBLIC STATE OF FLOWDA c CONIMBSION NO,CC613735 (N Alotary Public: Print, Stamp, & Type as SSION F 7R AN. 15,-Wl IV Penonaily kaDwn to rne, or F K f, ❑ Produced identification (Type of Idffitificrda>n Pwducod) DlD take an oath,or O DID NOT take an oath 0 V4 or N .4 H LL 0) 0� I tt I U W G m IL h st u N rt U W G CITY OF MUMI, FLORIDA STATERENT OF C0RP0RATE RF.AI. PROPERTY (w CONFORMANCE W iTtl SEC. 2-615 OF TEE CITY CODE) Legal Description SWPLF ENTRY: Seven Park Inc. Lat 32 Cilk 12 iattti, North 1314 Common address 952 Northeast 7rh Sttrct Title L =Legal E=Equitable L Owned tier —Wholly P=In Part W Zoning Class RG-2 Present Use Parking Lnt OAT,, do solemnly swear that the above is a true and accurate statement of corponft rest property in which I leave a controlling inh trst or itt which I ain an office,-r, accepting such real property located more than 500 feet outside the municipal limits of the CITY OE M{AM1. NAM: (Please Print) L,4 `C-Q.5 TITI,FlPOSln(>N WMI CITY OF M1AM7 � NAME OF 13OA1tDX0MM17-1'HF (If Applicable) %IG1NAWRF: \ Uv DACE Z P State of Florida County of NOTARY PUBLIC SEAL OF OFFICE: On this the k I dray of "A , __.19 `hL, before on. the undesaigned Notary Public of the State of 19mida, the foregoing instvumetrt wasac)growlodged by (Mrn6 ofpersan signing end hisfhm title (public officer, trustee or pe-Tsonal repreantative) WIT14M my hand and official scal. NO.]AR,Y_PUAl.1CSTATE OFFLORIDA me)bf Notary r'ublic: print, Stamp, or Tyjx as Commi&,6cgt l) Cf Pasnnally known to rne, or wood idcntifiptiam' _� (Type of IdentificationPmduccd) DID t.ttce an oath. M ❑ DID NOT talc an nath a _ KXMIXEN GORTM IOTARY PUBLIC STATE OF F1.01ZIDA COMMISSION NO. C C.1J7:1i My C0MMI5SI0N FRCP. IA-N. 15,7m, C tyRr CITE' OF MIAMI APPLICATION FOB. F` ,�1�-7gFN t ADVISORY BOARD and/orZONING BOARD If NAME: R PEt,, RESIDENCE ADDRESS: R7'4E._ HOME PHONE: �S`` g �'' S (�2 BUSINESS PHONE: -. O�- - -� Ordinance No. l 1581 states: `No employee of Miami -Dade County, Florida, or any municipality therein other than City of j*iiatni employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSWESS/ENDLOYER: �L . (Company Name) BUSINESS ADDRESS: 'Zi 2( e -2a1 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? fib Would you like to serve on the Planning Advisory Board? H4C> Would you like to serve on the Zoning Board? 0 Please state if you have a preference for either board: Members shall be electors of the City of Miami. Are you a registered voter in the City of Msarni? - 4 E _,_ Voter's Regis-=r ot, Number: 3I tL j-- Owners of property in the City of Miami, please answer the foilowing question: Is all the Properly You own in the City of Miami in conformance with City Ordinances? If "no," please give details below: WilJ you be able to faithfully attend meetings of the board as required by Section 62-126 of the Miami City Code? �G;-11 Will you be able to attend Plannin g and Zoning seminars as required by Section 62-124 of the Miarni City Code? <forrns>pz application 0626/98 99-- 78 Do you foresee any conflicts of interest as defined in Miami City Code Article V, Sections 2-6I 1 - 619 and Miami -Dade County Code Section 2-11.1? _ No -Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-61 S of the City of Miami Code? 149 Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77.13? List your experience relaUng to the fields of planning and zoni.n : Are you a United States citizen? Are you presentl " dcbtt dH the City of Miami for any real or personal property tax, license fee, or roP7 lien? o 1f` Yes," give details: Signature: -0 Date: ��-- CIT Y OF MLAA75 �T_ ; Y EG RD and/or' Z01 "21 G EOA :D ' l/ RESMENCF ADDRESS: S12-b HONE 1zc101��' —S - 7c - BUSM-SS PHOI F ! Ordirmcc- No. 11591 statcs: "No empiayce of W=Pi-Dade County, Florida, or any municipality thcrxin other than City or W,=* eiuploytos, shsli�7on or he appointed.to any goad ofthe City of Miami."I I PPJNCLPAL fiU NESSIEMPLOYER: DUSYNESS ADDRESS:1 Fire you an employee of lie= -Dace County ` murdcip,-1i13, therein other tm the City of Mvlirmi? cc 'Would you like to seme on the Plann ig Advisory Board? U_ 1', ouid ya:: lZkt. to s,v. m on tar Zoriug Bo.11d? aw state if you hn-; e a ,pr:fem,.ce for chber bond: l < -, , '� -� � v����r ' � e•r �- Mv: ml�crs 11 b-- elect= of tan City of M. iami. Are you a registered voter in the City of it 1ari11? �' �%pt 'E Aegisiratrott I\Ttlmi �T: C /-� c v s r c : �a -a c-A �L Lvr,j S Cam' ;-'J L l: .r� � I� (i G / S Y'C . L L •i % `� � •~ Ovmcn of property in the City of Miami, please mv.-v r the following question' s all the property YOU rnva in the City of Miami in conformance with City Ordhyances? _ Q 5 Imo •2 a:Jt.cA T" J' If "no,," pleas give details below:. Y� % t1 /= � Will you b-; able to faithfully of the lvl4anai City Code? __ Will you be able to slt:nd P of&.a City Code? e:;,sYtts.}pz a; �tic�:iar 06;2 6/98 id meetings of the board as required by Section 62-126 4 " ing aril Zoning sent r.m as required by Section 62-124 OLAAtU113 4-U11 - U17 UJiU k);LAZA-UaUL: L,,Q.111)' yvt,r; DM-LIO11 G-11.1 r 4- Axe you propn-ed to file a list of real estate into Lsts owmcd, citl.•cr pzrsonally or corporately within the City of 1`iiamA i (see attached f rms) tvii$ chc City Clerk, pursuant to Smtion 2-615 of the City of f4iatxd Code? Are you prep.,i-cd to file a stztzment of financial interests pursua: t o Florida Statutes Sec. 112-3145 and/or Miami-Dadc Cou:, ,- Ordin&-= No. 77-13? �^ List your experiencc relating to the fields of pl ng d zoning: la-444, C.Irv✓ter 1-5v rc�__O -,%.) Are you a Unitod States citi7=71 Are you preser_tly indcbtcd Co tie ofMiwvi for any real orrrrsonal p-operty tax, li�::sc f: e, or prop- rty lien? „ if "yes," givc dctails: '---t3 CITX Or I41ANI• FIORIOA 11FA .111tWT OFWCORPORATE FIIIALPPOYCp_tY it" Oa11FOpk lilt llii+i sec. x-ply o'r rriE CITY cool) tab) i?b ��oe�t_��ecnert�,ow contttmtt Jtnanda� __ -- r TiY�t trLbyel nt�etet+ 17eYM�l tt •• eer/ta �►lesar.a ass �i?i:�7,'� Soven Park Inc. t■l�■i9abaa ket. I.rl Lat: 32 81k 12 M1ami, North Ul40s E�Z If.fi• 7 'JtsaW>; -------.. � - •--.._�.---r_. __.. ^-_ _ M-3 -_.._..�.r_.._ 1F31skl.tb4 LC31: i — --_--- — -------r--......roe�w+.�_uw I —.. w.r.wer• ' ---..rr�...e-- .._.. _...�...._ .+r....+..—.4 ..'..—.....—---------------- —..-r_-- _---------r—_...�.�+_.e..—..�—«.w / f pATIi , 7j- 4616C3017 eaoer that IN* oboes it a tits sad oera►iiortitieioit if is%ir':t�s"'suei P y y 'pre ert i� uO1olt I _Aeea b sbotro111t lari0rtet tr IN tikitA I 90 It er116*r. 0344PI141 eteA reai prepertl 1ee01e4 per* list 928 feet e41e140 t%o ovolslpel Iloilo of 140 till of Weal. M#fiflr (p!aaoa prioi) �� .�:»-�- yt' �C•- l•i,.' .. _-..-.....-....ram.,.: -.. T111.11lOMIGM WITH CITY Of VIANI MAHE of AoAns C411b1I1111! It. tppl9ol ttAIRJ ......1s4gAi.>IbA'ftK7'iiii..SiL.Y.e'.:u:wo:w:i.hi+r�eA�....iwu..«[.►...b:t�.:�i:i:.•. • Tii77i :R:� :i' Of mulku Os tf+tssh- 1 tI at c wz hod" dw tx.fPrr;,)f;>:rtw Gt,&--d P. V xg u4 ►.Y.iL'p�ii• ML1S. RS.Vt i+) ..:5 ::, [:.. d.: r: 2 sly k:04 m! BtaG-a uzL REGINA KAULAIUS 1 ." COMMISSION # CC 497395 EXPIRES SEP 25, 19M i3Qh= TFiRU ATLAPMC t1ONDINO CO., INC, � •. 1`t� � � P.`v' D r'x-ward tatni!ia:ta�„ ..-....�•,,.�..,, _ L7 ti'D test w tub• a ©rx 1GC1 vrA m off. ) 1 W93) C %:i�«U�S otiT or 111AN9, ItaafaA a TEhiEi1T O1� kQdl ►aOP�iY,Dt1AID (1H COUFUN NC[ wit" sic, 1-6'5 of Int C111 coull LEAAt bEBCRIrTi6l1 QOleNON A�R1!@it �lTlt t1pIrEM wI U. Pn[�.filT..Ut4t i gA.`tPY.F� i•t�attlk►tf ►oie rift Ys Lot 7, Primrose .. Section 4, P13 52. r_. _..r.._.......,r.........__. _..r, �_.......,... 437 N.S. 34 Stsoot ...._... -...._ ; `..w....s_wr_ v _�..__. _r... R-E _,........... �_ tip ------------ _�.—_rr_wr r�,_r.�r�..._vrrw_w Y rl.��.w_.� .. ----- r _ �. err r+..yww_rr__ -----rr• ------ r_ww__ —----- _..r_r.�-...-�� _M__ . r....•M._..r_e_.� rrrrr-..�+.._ rwrrr w+q.rr..Mw ..w•r_r�...... —_.�b.4...._�..`�._M�r w►_rry.�..�....Mr ------------- .._...--------r.....-.----w.._---- C rs_—a..+r...r... anT►t 40 0"ISURIZ swear, that the obs*s Ie k tree eaA sasMrete ststow.■1 0l r1y tatereet la cost frspsttp 16e0t44 WI tkla Ike CITY Of NIA11I at lo.etol att Pore Ikon ifi toot esta*ja the most$I?*) Malta of Ike CITY of t11AXI. NA1421 (pleas% pellet) ..� TITLEIMITlaa VITO MY Of t IMI GAT11 ».t•�.1►If�M�Nt'AIM!1��♦i.:.tiiiii.�.11,IMF.�r.N►{�.Mi�1'I.I,.Yd,N/�{{{Iioi1�1i1�Y{�1jiiriiiiatilliiT ]Z...' v t:n xdtrcf A :sue, 49 7 a.tla, IQ' ;' 6u:cu• _ T Ut sang au G0.tx .7td 1 1 : REGINA KAUiAIQS � Wlt=6 war hz(d aogt cam► 1 �u i' �• 4 C0 MISSION #1 CC 497398 1-4 < ? "' h� TIRES SEP 25, 1W9 p.L'iArjT OATS 014KA)AWA r t EO Tug" MRAW REGINA KWL{JgS� �9�-0�rw A1� ItP(Ti 110101N3 00, INC. 1yI P(i r��' 'f,' •�OPthuta K��iP+alc_ cvzxcl� �;'`{�CO.IJ+i4SviCt 1� CC 4.;a,:• ; ;rCuam sara,(w � _' � P.C;'rr✓:DTti;ill Qc;ptt)t,rGu:.x..u4wt�.w:. �. ,. 1 T1 � _ _ C?'�C u4t +� � � ❑ DfA� 1�T t�s vs tx:s � 7777777 I 1 t 111931 I 1 l i La CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: t RESIDENCE ADDRESS: ` L / ,4 L (rj C7 zx HOME PHONE: 'I' , `•.� � BUSINESS PHONE: rS , — Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." / PRINCIPAL BUSINESS/EMPLOYER: (Company Name) BUSINESS ADDRESS: ' _ 1 k —) � c Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami?� L ) Would you like to serve on the Planning Advisory Board?.-.. Would you like to serve on the Zoning Board? / V Please state if you have a preference for either board: �1q Members ol be electors of the City of Miami. Are you a registe ed vo er ' e CityPA Miami? �� Voter's Registration Number: /Cj Owners of property in the City of Miami, please answer the following question: Is all the property you own in the City of Miami in conformance with City Ordinances? If "no," please give details below: Will you be able to faithfully ttgnd etings of the board as required by Section 62-126 of the Miami City Code? (%� Will you be able to attend Plann77�, d Zoning seminars as required by Section 62-124 of the Miami City Code? _ <forms>pz application 06/26/98 99- (8 JU. -ta�'ytij ti i Do you foresee any conflicts of interest as defined in Miami City Code Articl Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.I? _ 1► �� Are you prepared to file a list of real estate interests o-,Nmed, either personally or corporately within the City of Miami (see attachedr�m j -0th the City Clerk. pursuant to Section 2-615 of the City of Miami Code? L Are you prepared to file a statement of financial interests pursuant 19 Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? Are you a United States citizen? Are you presently indebted to the City of Miarm for any real or personal property tax, license fee, or property lien? If "yes," give details: Signature: Date: <forms>pz application 06/26t98 Y" l" 99- 78 l (I , CITY OF MIAMI, FLORIDA S'I'A_'1'1i_M[-,N'1'01' C01?1'0kj7' REAL PROPERTY (IN ('ONFORMANCE WII'II SFU. 2-615 OF'TI1E CITY CODE) Legal Description SAMPLE I_N I lt)': Seven Park Inc. Lot 32 Illk 12 Miami, North 13/46 Common Addicss 852 Northeast 71f Street 'Title L=-Legal I -Equitable L Owned W=Wholly P=111 Part W Zoning Class RC;-2 Present Use Parking Lot ,p _ f.� OATH l^ &/� , do solemnly swear that the above is a true and accurate statement of corporate real property in which have a controlling interest or in which I am an officer, accepting such real property located more than 500 feet outside the municipal limits of the CITY OF MIAMI. A NAME: (Please Print) TITI.E/POSITION WITII CITY OF MIAMI NAME OF BOARD/COMMIT"I'I'sE (I Applicable)—_ SIGNA rURI:. D State o Florida On this the day of /V / 19 / before me, the undersigned Notary Public of the State of Florida, the foregoing instrument ('ounty of was acknowled ed by / NOTARY PUBLIC /(t 5 Joy SEAT. OF OFFICE: 0an,,dofrf'c d his/her title (public officer, trustee or personal rcprescn "y� cal. YF OFFICIALNOTARY6EAL Ue! KARLA GAIL POL127 O �h cowasw NUM0fi8, STF G FI.ORIDA ! CC723487�_�ifLn MAR. 9 OOMMW*N2002ublc: Print, Stamp, or Type as Commissioned) , .<,,.M ❑ Personally known to nte, or r I- Producedidentificalion:. __ V _ f (Type of Identification Produced) 17 DID lake an oath, or ❑ DID NOT take an oath CS: i CITY OF MIAMI, FLORIDA STATEMENT OF REAL PROPERTY OWNED (IN CONFORMANCE WFTH SEC. 2-615 OF THE CITY CODE) • Legal Description SAMPLE ENTRY: Lot 7, Primrose Section 4, Pt3 52 Common Address 437 Northeast 54" Street Title L=Legal E=Equitable L Owned W=Wholly P=ln Part W Zoning Class R-I Present Use Home 04 C OATH 1, S r� • "J ��� l�do solemnly swear that the above is a true and accurate statement of my interests in real property located within the CITY OF MIAMI or located not more than 500 feet outside the municipal limits of the CITY OF MIAMI. NAME: (Please Print) Nn �7 11/. �i��: TITLEfPOSITION WITIi CITY OF MIAMI i_� '%� NAME OF BO /COMMITTEE (If plicable) _ 't SIGNATURE:—f—���J—�-- ' State of ida On this the 1 day of r� _19 before me, the undersigned Notary Public of the State of Florida, the foregoing instrument County of was acknowledged by NOTARY PUBLIC / " SEAL OF OFFICE: (Name of person si is/her tide blic officer, trustee o Y P AL NOTARY SEAL WI y d d r01cial seal. O1PR i✓B�/ KARLA GAIL POLIZZI � • � n C01Ali(tC10N NUIIBFA f �J � Q OC723407 YY Y PUEI _ ATE OF FLOR , 047fr _ O L t phi Q� MY t0MMMION E VIMS _ occ,o MAR. 02007 ame of Notary Public: Print, Stamp, or Type as Commissioned) - `:. ❑ Personally known to true, or " (✓ Produced identification: _ r (Type of Identification Produced) ❑ DID lake an oath, or ❑ DID NOT take an oath Sharelsamuel/legal description doc CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD t NAME: RESIDENCE ADDRESS: _._Lr_=-' �14 "w+ HOME PHONE: cr BUSINESS PHONE: Ordinance No. 11581 states: "No employee of Miami -Dade County, Florida, or any municipality therein other than City of Miami employees, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYER: ��� � q (Company Name) BUSINESS ADDRESS: Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? ti �-, Would you like to serve on the Planning Advisory Board? Would you like to serve on the Zoning Board? f_1 Please state if you have a preference for either board: f -�- t Members shall be electors of the City of Miami. Are you a registered voter in the City of Miami? `� E� Voter's Registration Number: Owners of property in the City of Miami, please answer the following question: Is all the r property ,you own in the City of Miami in confotmance with City Ordinances? t� ky� If "no," please give details below: Will you be able to faithfully attend meetings of the board as required by Section 62-126 ` of the Miami City Code? 1,t W Will you be able to attend Planning and Zoning seminars as required by Section 62-124 } of the Miami City Code? <forms>pz application - 06/26/98 59- 78 $4 �� �i' � l -. . ��'�• F i f7'�tIP�[{KCf4 Y&'CtN4f�?i�+�J�.`4 1 x x 1F t 7: s e�. .� r �a t tl ° .xf i. '�'..7 ys `S'• 31�rs'.4'x�'K'#yS vly ! ,�,!� :tst � � !� tr ° ,x% �'!t '. � � i � n t* •. � � Ss� � � .r '' Oft � � t"" xJei�ff � �. •+3'q,*. ,.-_.a�..�.�.�.��.t c.:: ; A..i-;t"£��, Do you foresee any conflicts of interest as defined in Miami City Code Article V, Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1? P `= Are you prepared to file a list of real estate interests owned, either personally or corporately within the City of Miami (see attached forms) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code?�_ Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? List your expe'�1(i�ence relating to the fields of planning and zoning: Are you a United States citizen? Are you presently indebted to the City of Miami for any real or personal property tax, license fee, or property lien? t�' if `eyes," give details: Signature: J Date: 10 <fortns>pz application 06/26/98 QI cl 1 U i sr:...Tc.wrawa+q+ssF•rk;,5:4xsja�trF.saw•'fas4E>P+?�'rXkS�isEt^�'I F, ..."v5.•5f$d;.',1?xTattL.S'�fi'.'i'w.-.r,..W .x;:.. T9°u CITY OF MIAM1, FLORIDA STAY EMT OF CORPORATE REAL PROPERTY (Ili CODE) IDNINo I.EQAt DESCRIPTION W COMMON —ADDRESS TITLE OMItlR tRE1li1T US[ ISAMPLaE L•LoVal Wolioelly —CLASS ' ENTRY: Seven Perk Inc. AnIquilablo pulp pert Lot 32 Blk 12 Miami, �----s------ --'--�--�""'-- North B/46 - 892 N.B. 7 Street L _ -- RO-a - ____ -------- Ptrkitlq Lot ------------ ----------------------------------- ------------ -• ----------- ------- ----- y- ---- -1 -1-------------------- ----------------------------------- ------------ ------------ ---..------- ------ ------ ---- -------- OATH . 1.--------„----------------, do oolamsly *Vogt that the above Is a five and &@agrees ctatomeat of corporate real property In whisk 1 have a eostrolliaQ Internet or is which I as as offiser. oneoptist each Fool property located more than [Re feet ovtsids the moa/eipol Units of the City of Miami. NAME: (pieces print) TITLEIPOSITION WITH CITY Of MIAMIT�— NAME OF BOARDICCAMITTRI if ap 1104ble),—--/tJJ2 S IONAtURE:——s,9—— RATES ...••:•::•:.:.C•:.:•G.•....•u•••ao.ei.:•e::•:.:.:•:•:•i•.:..:•:•:••.:.:.$..i:iiiiiiii::•s`T•i223i�•�•.,�j ��eT• v ._ oI Florida tkl this the �— @i r7l�r�� . _� 111P, berme me, —&n4Wd ►tour)' k of dw SM Of F:ae1Ss. the �fasS irre:nr• y Cyr U. Oren: wwaF abrrewiedRed by Ivraw&ue /+.71L�1!'e �.tav May, wwe. w M+ee�d wpn.w,l.ri two* 4s trwr wr W,�,, Jn_ I ARY Ftfe,JC. ST TE OF FLORIDA vW1'Z 7L D Pima of r," haFkt: Brat, Sawq. ftTW as Laaadwl. ,A) 2 ❑ Fe?aawny ILFIt71 m l0 vow o (&FTaducediarnur►osiam_.-d.C. ? i fire• r Mtrmo.l0 wwaf: _ . (] DID aloe os eatb. or D nro NOT take to oath. •.,.., •_......................................................................................................... i I (11/93) �W 9� �h CITY Of MIAM1, fLORIOA e vv S TEMENT_Of REALNROPEATY OMNIO CQ,FLO(IN CONfQRNCE OI/iH bEC.rZ�f15 Of THE CITY COO1j e ZONING LEGAL OESCRIPTI9N COMMON—JiDDIIESf TITLE OWNED CLASS PRESENT fIDE L■LeSal I1811holly SAMPLE 1.14ettaOle Pali Port ENTRY: Lot 7, Primrose • ----------------- ----------------- -----.. ---- � �---��---_ ---��--_M _ — Section +!, P13 52. 437 N.E. 5�! Street �, �/ R-1 --- Home a 1 OATH I- ----------------- --------------, A• solowely swear that the above to a treo aai asoarsle statemost of ■y taterasis to real PrePerty /ssoteA rithtA the CITY Of MIAMI or ,rioted not ■ors than Soo foot outside the mantstPs) Itatla of the CITY Of MIAMI.