HomeMy WebLinkAboutapplication2Apr 27 07 01:46p
305_858.6732
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FormeoardsW4,
CITY OF MIAMI APPLICATION
r� for PLANNING ADVISORY BOARD and/or ZONING BOARD
A
NAME: JJe C-14.1 S LOrG42—
(Middle) (Last Name}
RESIDENCE: s a, 5 ' `� oci9er r�
(Addre55 Line))
(Address Use 2)
CITY: 0,451,11 • STATE: ZIP. 33/A3
HOME PHONE: 305 • ' 4`�32 CELL ai:99-"46FAX- 345`• gtSr. '1791.
EMAIL: Ji-i-OPe2,4 40 & *tC45% . A )LT
PRINCIPLE BUSINESS/EMPLOYER: V d C ("'0P4azz-; }_ • 4.
BUSINESS ADDRESS: 1 •. " 47 )r tle. / 51-we- gel
(Address Linen •
(Address Line 2)
CITY: ir/ '1211. STATE: - zip- E3 432.
BUS. PHONE:3ar• -3W'S9XT. --------
Would you like to serve on the Planning Advisory Board? c Yes Q(No
Would you like to serve on the Zoning Board? p Yes r No
Please state if you have a preference for either board: No Preference
Are you an elector of the City of Miami? )t Yes
SHORT STATEMENT OF QUALIFICATIONS
(If you require additional space, attach additional pages)
1. Describe the qualities, experience, expertise and/or abilities that you possess that
would make you an effective board member that will act in the public interest.
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2. Describe your educational background and general knowledge of planning and zoning.
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3. Describe any prior community or personal involvement that you have had that
demonstrates interest In and concern for planning and planning implementation.
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4. Describe any planning or land use or growth management seminars thay you have
attended.
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5. Describe any membership in organizations having the primary aim of the furtherance
of dissemination of knowledge of and support of sound planning and implementation
programs.
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6. Describe any other activity evidencing knowledge and interest in the public purposes
of planning and plan Implementation.
(77/4
Form BoatchildULPAEK13,0701.011 Page 2 i 4
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I hereby certify that all information in this application is complete, truthful, and accurate to
the best of my knowledge and that 1 have read and understand the qualifications and
conditions of membership listed in this application.
Print Name
Signature
Date
r Yes
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472,y6r
FURTHER INSTRUCTIONS
Please complete this form and submit to:
Office of the City Clerk
A TTN:.Assistant City Clerk
3500 Pan American Drive
Miami, FL 33133
Information may be copied and pasted into this form from other computer programs, i.e.
MS Word. information that is typed directly into the form may be "Saved as Text" and
then opened in other computer programs.
For additional information on the Planning Advisory Board and/or the Zoning Board,
please Contact Ms. Teresita Fernandez, Executive Secretary, Hearing Boards, at (305)
416-2038 or email at:
TFernandez@miamictov_co rn
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