HomeMy WebLinkAboutresidency - 3CITY OF MIAMI, FLORIDA
RESIDENCY COMPLIANCE FORM
(IN CONFORMANCE WITH SECTION 2-884 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: q510t-h
1. 6Y--)1C0 1CL `DR,J_k O1 3 t.amemberof
(name of board) \
coo
(do/de-net}
comply with the residency requirement under Code Section 2-884. namely:
"(a) All meTi h rs 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 Cite..."
(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)
I work within City of Miami limits. My business address is: ``,�,,
e 53a� �B J -eE a3l\G
1
Signature