HomeMy WebLinkAboutExhibit 12 V2ATTACHMENT E
WORK AUTHORIZATION FORM
, legal owner(s) of the property located at:
Miami, Florida 331 give
permission to rehabilitate the exterior of my property. I further agree that the City of
Miami and for Neighbors and Neighbors Association, Inc. will not be responsible for any
Damages, whatsoever, resulting from said rehabilitation.
1 have received a copy of the Program Guidelines (Exhibit D- Section 13) and agree to
sign a (5) five year Declaration of Restrictive Covenant with the City of Miami, prior to
the commencement of work.
OWNER (PRINT)
WITNESS NAME
OWNER SIGNATURE DATE
WITNESS SIGNATURE DATE
WITNESS ADDRESS CITY, STATE, ZIP