HomeMy WebLinkAboutApplication & Supporting Docs-1 ,
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Planning Designee Initial & Date
HEARING BOARDS
444 SW 2 d Avenue, 7th Floor Miami, Florida 33130
Telephone 305-416-2030 Fax 305-416-2035 - —
s,;, www.miamigov.com/hearing boards
AMENDMENT TO THE ZONING ATLAS AND/OR OVERLAY DISTRICT
Welcome to Hearing Boards! This application is intended to serve as a guide in assisting you with our public
hearing process. Please feel free to contact us at the number above, should you have any questions.
The deadline to file the complete application with supporting documents is the first five working days of
each month from 8:00 am until 3:00 pm, except on the fifth day. at 12:00 pm. The application
submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this
application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the
Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application
shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports,
exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible
for the accuracy of the information contained in the application and all supporting materials. Should you
wish, you could bring the materials to our office for review before the deadline to ensure completeness.
You will be responsible, if needed, to bring an interpreter for the English language to any presentation before
city boards, committees and the city commission. A valid power of attorney will be required if neither
applicant or legal counsel representing the applicant execute the application or desire to make a
presentation before city boards, committees and the city commission. All documents, reports, studies,
exhibits (8'/z x11 ") or other materials submitted during this process will be kept as part of the record.
ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT
ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR
CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR
TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND THE
CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY
CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133.
Ordinance No. 12918 states that each person or entity requesting approval, relief or other action from the
City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue,
shall disclose at the commencement (or continuance) of the public hearing(s) on the issue, any
consideration provided or committed, directly or on its behalf, for an agreement to support or withhold
objection to the requested approval, relief or action. The Disclosure of Consideration Provided or
Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be
submitted with the application. The applicant must, at the commencement of any public hearing on the
issue, if there is any disclosure to report, read the disclosure into the record. Also, the applicant must
supplement the affidavit if there is any new information or additional information to disclose.
Copies of City Commission resolutions and ordinances can be obtained at our website through the "Legislative
Hub", or for certified copies, contact the City Clerk's Office at 305-250-5360.
Applications for Zoning Change (Amendment to Zoning Atlas and/or Overlay District) and Land Use Change
(Amend the Comprehensive Neighborhood Plan) will not be accepted unless it is signed or initialed and dated by
the Planning Department designee.
Rev. 12-16-08
Please refer to Article 22 of the Miami Zoning Ordinance for Amendment information.
Applicant name(s): Javier F. Avino, Esquire on behalf of Hasred Inc., a Florida
corporation
2. Subject property address(es) and folio number(s): approx. 61 NW 37 Avenue, 3667 NW
Flagler Terrace and 58 NW 36 Court Folio No. 01-4104-023-0500, 01-4104-023-0560 and 01-
4104-023-0570
3. Present zoning designation(s): R-2
Statement as to why the present zoning designation is inappropriate:
The present lot has an existing restaurant that has operated for many years and has ceased
to be used as a residential lot.
4. Future zoning designation(s): C-1
Statement as to why the proposed zoning designation is appropriate:
The proposed zoning would allow the continued use and renovation of the restaurant for the
enjoyment of the neighboorhood.
5. Obtain signature or initial and date by the Planning Department designee prior to submittal.
6. Two (2) 11x17" original and one (1) 8 1/z x 11 copy of the survey of the property prepared by a
State of Florida registered land surveyor within six (6) months from the date of the application.
7. The subject property(ies) cannot have any open code enforcementilien violations.
8. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable.
9. At least two photographs showing the entire property showing land and improvements.
10. A clear and legible copy of the recorded warranty deed and tax forms of the most current year
showing the present owner(s) and legal description of the property.
11. A clear and legible copy of the subject property address(es) and legal description(s) on a
separate sheet, labeled as "Exhibit A", to match with the current survey's legal description.
12. Original Disclosure of Consideration Provided or Committed for Agreement to Support or
Withhold Objection Affidavit.
13. Original Public School Concurrency Management System Entered Requirements form (page 4
of the attached packet).
14. Certified list of owners of real estate within 500 feet of the subject property (see pages 7 and 8).
15. For all corporations and partnerships indicated:
a) Articles of Incorporation;
b) Certificate from Tallahassee showing good standing, less than one (1) year old;
c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation
authorizing the person who signed the application to do so;
2 Rev. 12-16-08
MIA 180,638,482v2 7-16-09
16. What is the acreage of the project/property site? approx. 0.325 acres
17. What is the purpose of this application/nature of proposed use? To be able to renovate an
existing restaurant for continued use, for additional parking for the abutting restaurant and a
future small office building.
18. Is the property within the boundaries of a historic site, historic district or archeological zone?
Please contact the Planning Department on the 3rd Floor for information. no
19. Is the property within the boundaries of an Environmental Preservation District? Please contact
the Planning Department on the 3rd Floor for information. no
20. Cost of processing according to Section 62-156 of the Miami City Code*:
Change of zoning classification to:
a. CS, PR, R-1, R-2, per square foot of net lot area $ .15
Minimum $ 635.00
b. R-3, R-4, O, G/I, HP per square foot of net lot area $ .20
Minimum $ 750.00
c. C-1, C-2, I, per square foot of net lot area $ .25
Minimum $ 900.00
d. CBD and all SD's, per square foot of net lot area $ .30
Minimum $ 1,000.00
Public hearing and public meeting mail notice fees,
including cost of handling and mailing per notice $ 3.50
*Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25,000.00, shall be
paid in the form of a certified check, cashier's check, or money order.
Signature If
Name avier F. Avino
Address 1221 Brickell Avenue
Miami. FI 33131
Telephone 305-579-0703 E-mail avinoiCa)gtlaw.com
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this l �� day of
20 09 , by Javier F. Avino, Esq.
who is a(n) indlivid ual/partner/agent/corpo ration of
a(n) individual/partnership/corporation. He/She is perso
produced as id e {,tifieatien9a,did not t
MARISOL R AL Z
Notary Public - st e
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(Stamp) ' F e c' Commission # Db't��
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Bonded By National Notary Assn.
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ly known to me or who has
an oa
Rev. 12-16-08
AFFIDAVIT OF AUTHORITY TO ACT
Before me this day, the undersigned personally appeared Javier F. Avino.
Esquire , who being by me first deposes and says:
1. That he/she is the owner or the legal representative of the owner, submitting the public
hearing application as required by the Code of the City of Miami, Florida, affecting the
real property located in the City of Miami, as listed on the foregoing pages.
2. That all owners who he/she represents, if any, have given his/her full and complete
permission for him/her to act in his/her behalf for the change or modification of a
classification or regulation of zoning as set out in the foregoing petition, x including or ❑
not including responses to day to day staff inquires.
3. That the foregoing and following pages are part of this affidavit and contain the current
names, mailing addresses, telephone numbers and legal descriptions of the real
property of which he/she is the owner or legal representative.
4. That the facts, as represented in the application and documents submitted in
conjunction with this affidavit, are true and correct.
Further Affiant sayeth not.
Javier F. Avino, Esq_
Applicant(s) Name
XV4,M, .
Appli ant(s) Signature
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this /if day of
20 09 , by Javier F. Avino. Esquire
who is a(n) individual/partner/agent/corporation of
a(n) individual/partnership/corporation. He/She is personally known to me or who
has produced as identification and -fho i (did not) take an oath.
(Stamp) MARI �n°�►z 61 U
- Notary Public - State of Florida
My Commission Expires Sep 17, 2010
Commission # DD 553129 Rev. 12-16-08
�•rrn n r•�`
MIA 180,638,499x1 6-10-09 Bonded By National Notary Assn.
DISCLOSURE OF OWNERSHIP
1. List the owner(s) of the subject property and percentage of ownership. Note: The
Miami City Code requires disclosure of all parties having a financial interest, either
direct or indirect, with respect to a presentation, request or petition. Accordingly,
disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other
interested parties, together with their address(es) and proportionate interest are
required. Please supply additional lists, if necessary.
Owner's Name(es) Hasred, Inc.
Percentage of Ownership See attached Exhibit "B"
Subject Property Address(es) approx. 61 NW 37 Avenue, 3667 NW Flagler
Terrace and 58 NW 36 Court See attached Exhibit "A"
2. List all street address(es) and legal description(s) of any property located within 500 feet
of the subject property owned by any and all parties listed in question #1 above. Please
supply additional lists, if necessary.
Street Address(es):
None
Javier F. Avino
Owner(s) or Attorney Name
Legal Description(s):
caner s) or Attorney Signature
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
The foregoing was acknowledged before me this L day of
20 09, by Javier F. Avino Esg.
who is a(n) individual/partner/agent/corporation of
a(n) individual/partnership/corporation. He/She is personally known to me or who
has produced as identification and who did (did not) take an oath.
(Stamp) MARIs`IA Ez
,`,•4PRY P, b i,
Notary Public - State of Florida
• w My Commission Expires Sep 17, 2010
Commission # DD 553129
Bonded By National Notary Assn.
6 Rev. 12-16-08
MIA 180,638,482v2 7-16-09
EXIIIBIT "A"
LEGAL DESCRIPTION
Lots 9 and 12, Block 9, "TWELFTH STREET MANORS,
according to the Plat thereof, as recorded in Plat Book 5, Page 59
of the Public Records of Miarni-Dade County, Florida.
Lots 13 thru.16, Block 9, "TWELFTH STREET MANORS, according to the Plat tbereof as
recorded in Plat Book 5, at Page 59 ofthe Public Records of Miami -Dade County, Florida; fess
and except that portion of said Lot 13 conveyed to the City of Miami by Warranty Deed recorded
in Official Records Book 14377, Page 1d2, of the Public Records of lvtiami-Dade County.
Florida, being more particularly described as f9ilows:
The South 5 fx et of said Lot 13 and the external area of a circular curve coneave, to the Northwest
having a radius of 25 feet and tangents which are 25 feet west of and parallel with the centedine-
of N.W. 36" Court and 25 feet North of and parallel with the ceatcriine of N.W. Flagler Terrace.
Exhibit `B"
Hasred Inc. is owned by:
Stuart I. Harris 40%
Celina R. Alvarez 20%
Danny & Andrea Shosfy 20%
Stuart's Family Trust 20%
MIA 180,659,3900 6-23-09
State of Florida
Department of State
I certify from the records of this office that HASRED, INC. is a
corporation organized under the laws of the State of Florida, filed on
August 15, 1995.
The document number of this corporation is P95000063132.
I further certify that said corporation has paid all fees due this office
through December 31, 2009, that its most recent annual report was filed
on March 31, 2009, and its status is active.
I further certify that said corporation has not filed Articles of
Dissolution.
Given under my hand and the Great Seal of
Florida, at Tallahassee, the Capital, this the Tenth
day of June, 2009
A
Secretaq of Stmt`
Authentication ID: 700157008527-061009-P95000063132
To authenticate this certificate,visit the following site, enter this
ID, and then follow the instructions displayed.
https://efile.sunbiz.org/certauthver.html
Prepared by and return to -
Jose R. Pujols
Attorney at Law
Jose R. Pujols, P.A.
2655 LeJeune Road PH 1-C
Coral Gables, FL 33134
305-569-9533
File Number: 07-1177
Will Call No.:
'Space Above This Line For Recording Data]_
Trustee's Deed
! ;[ilii ;illi illi; illi; (1111 lilt! I!!!i llli{�Il
OR Bk 26778 Pgs 1485 - 1487; (3p9s)
RECORDED 03/06/2009 12:42:59
DEED DOC TAX 13x140.00
SURTAX 9x855.00
HARVEY RUVINP CLERK OF COURT
MIAMI-DADE COUNTYr FLORIDA
This Trustee's Deed made this IT day of February, 2009 between Connie LaRossa and Glenn D. Brown,
Individually and as Successor Co -Trustees of the Amended and Restated Elizabeth Anton-LaRossa Revocable Trust
Agreement dated April 8, 2002 whose post office address is 929 Florida Avenue, NW #4002, Washington, D.C. 20001,
grantor, and Hasred, Inc., a Florida Corporation whose post office address is 221 N.W. 42nd Avenue, Miami, FL 33126,
grantee:
(Whenever used herein the terms grantor and grantee include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals,
and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the stun TEN AND N0/100 DOLLARS ($10.00) and other good
and valuable considerations to said grantor in hand paid by said grantee, the receipt and sufficiency whereof are hereby
acknowledged, has granted, bargained, and sold to the said grantee, and grantees heirs and assigns forever, the following
described land, situate; lying and being in Miami -Dade County, Florida, to -wit:
Lots 1 through 9 and Lot 12, Block 9, of TWELFTH STREET MANORS, according to the Plat thereof, as recorded
In Plat Book 5, Page 59, of.the Public Records of Miami -Dade County, Florida; less and except those portions of
said Lots 1, 7, and 8 taken by Miami -Dade County pursuant to the order of Taking recorded in Official Records
Book 4179, Page 408, of the Public Records of Miami -.Dade County, Florida, being more particularly described as
follows:
The North 5.00 feet of the West 24.58 feet of said Lot 1; together with all that part of said Lot 1 included in the
external area formed" by a 25.00 foot radius arc concave to the Southeast, tangent to the West line of said Lot 1
and tangent to a line that is 5.00 feet South of and parallel to the North line of said Lot 1; AND the South 5.00 feet
of the West 25.12 feet of said Lot 8; together with all that part of said Lots 8 and 7 included in the external area
formed by a 25.00 foot radius arc concave to the Northeast, tangent to the West line of said Block 9 and tangent to
a line that is 5.00 feet North of and parallel to the South line of said Lot 8. Parcel Identification Number: 01-4104-
023-0500
AND
Lots 13 and 14, Block 9 of TWELFTH STREET MANORS, according to the Plat thereof, as recorded in Plat Book 5, Page
59, of the Public Records of Miami -Dade County, Florida; less and except that portion of said Lot 13 conveyed to the City of
Miami by Warranty Deed recorded in Official Records Book 14377, Page 102, of the Public Records of Miami -Dade County,
Florida being more particularly described as follows:
The South 5 feet of said Lot 13 and the external area of a circular curve concave to the Northwest having a radius of 25 feet
and tangents which are 25 feet West of and parallel with the centerline of N.W. 36 Court and 25 feet North of and parallel
with the centerline of N.W. Flagler Terrace. Parcel Identification Number: 01-4104-023-0560
AND
DoubleTimea
Book26778/Page1485 CFN#20090167357 Page 1 of 3
Lots IS and 16, Block 9, of TWELFTH STREET MANORS, according to the Plat thereof, as recorded in Plat Book 5, Page
59, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number: 01-4104-023-0570
Subject to: covenants, restrictions, and public utility easements of record; real property taxes for 2009 and
subsequent years,
THE PROPERTY BEING CONVEXED HERETO IS NOT THE HOMESTEAD OF THE GRANTOR(S),
NOR IS IT CONTIGUOUS THERETO.
GRANTORS RESIDE AT THE FOLLOWING ADDRESSES: p
CONNIE LAROSSA: q Au- 4L-0/Ys-,1 X A
GLENN D.
e
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To have and to Hold, the same in fee simple forever.
W]
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
Iand and will defend the same against the lawful claims of all persons claiming by, through or under grantors.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed aud delivered in our presence:
fitness ignature Connie LaRossa, individually and as Successor Co-
CiI A�pWwr Eli,,,' Trustee of the Amended and Restated Elizabeth
Anton LaRossa Revocable Trust Agreement dated
Print Wiares Name April 8, 2002
Witness
Print
State of J ' b ► v { (�" 6 Y �� ttiYi�b t
County of'
L
e
— diw�rueuy,
The foregoing instrument was acknowledged before me this
and as Successor Co -Trustee of the Amended and Restated I
8, 2002, who is personally known to me or has produced ALI
Dustee's Deed - Page 2
by Connie LaRossa,
able Trust Agreemea
. as ulantificaii
inOwdually
ilr,qppdclo A. Ramirez
Ndary Public, District of Columbia
W Commission Ewes W1412012
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Book26778/Page1486 CFN#20090167357 Page 2 of 3
Witness igna4",
—15 �-Iq
1
P i. m
Witness Signature
DYn'IL--- L'-'�-
Print WItnesA Name
State of Florida
County of
OR SK 26778 PG 1437
LAST PAGE
G
'4i�l/g�x�„n7 . Brown, individually and as Successor Co -
Trustee of the Amended and Restated Elizabeth
Anton•LaRossa Revocable Trust Agreement dated
April 8, 2002
3yupraoA
�r�
The foregoing instrument was acknowledged before mo this day of Fobmwy, 2009, by Glenn D. Brown, individually
and as Successor Co -Trustee of the Amended and Restated Elizabeth ,Anton LaRossa Revocable Trust Agreement dated
April 8, 2002, who is personally ]mown tome or has produced 1.=1 r 9� O;Z, O as jidentification.
22
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HEATHEii HOFFMANN blit
��4."Y PUJ i
?° Yi Notary Public - State of Florida
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EMy Comm. Expires Nov 12, 2012
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Commission # DD 837181
Bonded Through National Notary Ass^
Dwree'r Deed - Page 3
State of eA P..—1 C7+1:pc
Book26778/Page1487 CFN#20090167357
DoubleTlmee
Page 3 of 3
CITY OFMIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its
boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the
issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or
withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation, fee,
commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or
implied, or any promise or agreement to provide any of the foregoing in the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing before the City Commission or
any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners'
legal representative are not required to fill out this form,
NAME: - 1U Q Rr .- RG R 415oM h
(First Name) (Middle) (Last Name)
HOME ADDRESS: 2BUI antrooc,� �`�E (L=T
(Address Line 1)
ress
CITY: 1 f 1 i R m l STATE:
Florida
ZIP: Z--3!'3 q_
HOME PHONE:D CELL PHONE: (I W ) 4 235 i lq "�( FAX!
EMAIL: G���Jf�°l) It�L�
BUSSINESS or APPLICANT or ENTITY NAME
Hasred, Inc.
BUSINESS ADDRESS: 221 NW 42 Avenue
(Address Line 1)
Miami, Florida 33126
(Address Line 2)
1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board,
authority, agency, council, or committee.
Approval of rezoning and land use applications for properties located at approximately
61 NW 37 Avenue, 3667 NW Flagler Street and 58 NW 36 Court.
2. Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to
support or withhold objection to the requested approval, relief or action?
YES 0 NO
If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. If
your answer to Question 2 is Yes, please answer questions 3, 4 & 5 and read and execute the Acknowledgement.
3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided
or committed.
Name Address Phone#
a. n/a
b.
C.
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
n/a
5. Describe what is being requested in exchange for the consideration.
n/a
ACKNOWLEDGEMENT Or COMPLIANCE
I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of
Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal
or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing
disclosure requirement was not fully and timely satisfied the following may occur:
1. the application or order, as applicable, shall be deemed void without further force or
effect; and
2. no application from any person or ntity for the same issue shall be reviewed or
considered by the applicable board(s tilUV
d of one year after the
nullification of the application or or
PERSON SUBMITTING DISCLOSURE:
gna ure
Print Nab
Sworn to and subscribed before me this _ li� day of _, 200. The foregoing
instrument was acknowledged before me by S 4-17-PWlS who has produced
0-2-. D .14 P„n-SQL as identification and/or is personally known to me and who did/did not take an oath.
Z678� 53Y2R0
STATE OF FLORIDA
CITY OF MIAMI
MY COMMISSION JV010
EXPIRES:MARISOL R. GONZALEZ
PPY P`e�i ���
" 'My Commission Expires Sep 1 , me
Gnclosure(s) %s' 1o� Commission # DD 553129
Doc. No.:86543
°� �'� Bonded By National Notary Ass,.1 Page 2
rad City of Miami
Public School Concurrent
Concurrency Management System Entered Requirements
Applicant Fields
Information
JA► te-a- F- A) tv a
Application Type
Public Hearing
Application Sub -Type
Zoning
Application Name *
Hasred, Inc.
Application Phone *
305-642-7786 ext 204
Application Email *
tmoore c@i seaviewresearch.net
Application Address *
221 NW 42 Avenue, Miami, Florida
individual/partnership/corporation. He/She iserste onally known to me or who has produced
as identification and who did (did not) take an oath.'
Contact Fields
Information
Contact Name *
Lucia A. Dougherty
Contact Phone *
305-579-0603
Contact Email *
doughertyl@gtlaw.com
Local Govt. Name
City of Miami
Local Govt. Phone
305-416-1400
Local Govt. Email
GDGay@ci.miami.fl.us
Local Govt. App. Number (OFFICIAL USE ONLY)
Property Fields
Information
Master Folio Number *
01-4104-023-0560 and 01-4104-023-0570
Additional Folio Number
Total Acreage *
approx. 0.21 acres
Proposed Land Use/Zoning *
Restricted Commercial
Single -Family Detached Units *
None
Single -Family Attached Units (Duplex) *
None
Multi -Family Units *
None
Total # of Units *
None
Redevelopment Information (MUSPs) - Re -development applications are for those vacant sites for which a local
government has provided vested rights; or for an already improved property which does not have to be re -platted as
deemed by the local government. The number of units to be input into the CMS is the net difference between the existing
vested number of units and the newly proposed number of units.
Example: an existing 20 -unit structure will be torn down for redevelopment. The newly proposed development calls
for 40 total units. Local government shall input 20 units in the CMS (net difference between the 20 units vested less
the newly proposed 4 units).
Required Fields for Application
(Stamp); ..$ patureMARISOL qLE
�• Notary Publi to of FI d
N pM YMy Commission Expires Sep 17, 2010
Commission # DD 553129
Bonded Py National Notary Assn.
JA► te-a- F- A) tv a
Owner(s)/Attorney/Applicant Name
Owner )/Attorney/Applicant Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing before this
/
6 day
was acknowledged me
20 by
of
who is a n) individual/partner/agent/corporation of
a(n)
individual/partnership/corporation. He/She iserste onally known to me or who has produced
as identification and who did (did not) take an oath.'
n s
(Stamp); ..$ patureMARISOL qLE
�• Notary Publi to of FI d
N pM YMy Commission Expires Sep 17, 2010
Commission # DD 553129
Bonded Py National Notary Assn.