HomeMy WebLinkAboutCodesignation ApplicationJun vu uy u4:u5p p•2
CODESIGNATION APPLICATION
CITY OF MIAMI PUBLIC WORKS DEPARTMENT
444 S.W. 2� AVENUE, 8"" FLOOR
MIAMI, FLORIDA 33130
Applicant G U��/1% G Telephone �78 OC -A
Address G0- C -A+1 V/ CS t �` f
Type of designation requested: (X) Location (Street):
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1. Marker (Place) 7 } LJ S`f ' - F=� o M 2 4 a� (p 'TKV
2. Plaza From o2 4 V f�' w
3. Street Codesignation K To
---!5ief reason for codesignation request: ,
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(A.,ttach additional baaground information if necessary),
NON-REFUNDABLE APPLICATION FEE*
A. STREET CODESIGNATION ...............................................$300.00
B. MARKER DESIGNATION.................................................$300.00
C. PLAZA DESIGNATION ....................................................$300.00
NON-REFUNDABLE CODESIGNATION EXPENSES
D. CODESIGNATION EXPENSES...........................................$400.00
I understand, as stated in the City Code, Section 54138, all menses on the part of the City or
any other aovemmental aeency plazas shall be paid by the applicant in addition to any fees. This
application carries a non-refundable fet as stated in Section 54-139 of the City Code.
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Signature of Ap¢hcant
Date
*If the application is approved by the City Commission, additional fees will be required.