HomeMy WebLinkAboutPablo Acosta Residency Compliance FormDate:
CITY OF MIAMI, FLORIDA
RESIDENCY COMPLIANCE FORM
(IN CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE)
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Please submit your completed form to:
City of Miami
Office of the City Clerk
3500 PaD American Drive
Miami, Florida 33133
1. --PPr "J ID QE e o %A --A -
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• a member of
(name of board)
—comply with the residency requirement under Code Section 2-884. namely:
(do/do not)
"(a) All memhprs 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. 1 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. l work within City of Miami limits. My business address is:
Signature