HomeMy WebLinkAboutresidency - 3Date:
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CITY OF MIAMI, FLORIDA o 7
RESIDENCY COMPLIANCE FORM <0-- n ri
(IN CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE) o .: ` CT E°: )
Please submit your completed form to: =>`r -0
City of Miami :-, rri
Office of the City Clerk -� C:;)
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3500 Pan American Drive r
Miami. Florida 33133 0 tn
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a member of
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(name of board)
Cp OCt. comply with the residency requirement under Code Section 2-884, namely:
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"(a) All 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. 2-884), please provide us with the
following information.)
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)
C. I work within City of Miami limits. My business address is:
Signature