HomeMy WebLinkAboutApplication for Urban Development Board;art OF•S
r
IICIIP 1/ f1+it 1 2LO7 `'n1 .
ti• CV r`, .� ',?1s1
v;
• ' .� C11 w . r' / {�:, �
Application for Urban Development Review. Baited'
NAME
145, crNto � gcox; 0004, Ntratm i arA-r4ity, 3)tvf
PERMANENT ADDRESS (STREET. CITY, ZIP CODE)
OCCUPATION
S aNtI � i4Alow 1,e1.3436,t, 40414141,y3 It, 5. Pitstee. ox.00 4176 Mo.M(.-ft..33/5r
BUSINESS/EMPLOYER (INCLUDE ADDRESS)
aa5 - 41 4 - $141S 3oS-S3c. - ..
TELEPHONE (HOME) TELEPHONE (BUSINESS)
List any other property(ies) to which you hold title located within City of Miami
limits.
A' , r ' ,. tlimasan
P. :Diavno
�e��etiteva�a�ar.�be
3ilUD�~
The Urban Development Review Board must be composed of the
following positions. Check the position(s) for which you are qualified.
Complete your registration number and years of professional
experience following registration. (Note: five years minimum required).
--ARCHITECT REGISTERED IN THE STATE OF FLORIDA.
Registration No. bU l'i'LZ j Years of Experience
LANDSCAPE ARCHITECT REGISTERED IN THE STATE OF FLORIDA.
Registration No. Years of Experience
0$ OC)85
PLEASE PROVIDE THE FOLLOWING INFORMATION IN THE SPACE
PROVIDED, OR ATTACH A SEPARATE RESUME.
• SUMMARY STATEMENT OF THE EDUCATION. EXPERIENCE.
ACTIVITIES. AND/OR OTHER PERTINENT INFORMATION WHICH
DEMONSTRATE YOUR QUALIFICATIONS FOR THE POSITIONS)
CHECKED ABOVE:
toolixt. 4 '1a A1101'444 ? 5u+wt
• EDUCATION:
• WORK EXPERIENCE:
• ORGANIZATIONS AND COMMUNITY ACTIVITIES:
SIGNATURE
''%*)1
r
DATE l • LL' r �i•
90:01I V SZh0I111d