HomeMy WebLinkAboutOAB Applications 03-10-2011Feb 24 11 06:35p
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City of Miami
OVERTO FVN COMMUNITY OVERSIGHT BOARD
APPLICATION FORM FOR APPOINTED MEMBERS
To be completed by the RECOMMENDER anti' to be submitted by 4:00 P.M. on THURSDAY, FEBRUARY 24, 2011
to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at I4901V. N.W. 3RD AVENUE; the office
of the DISTRICT 5 COMMISSIONER at 3Str0 PAN AMERICAN DRIVE or the office of the CITY CLERK at 3500 PAN
AMERICAN DRIVE. Note: A person may recommend himself/herself.
A.
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B.
C.
I nomin2t£ , 4 1 / L% /11 C fx•— for appointment to the Overtown Community Oversight Board. He/she
nests thaligibility requirements because he/she i'st18 years o age and also meets one qr more of the following qualifications:
1. R idc+e in the Overtown Area at %irl /V /1� j�{ v(� � .Z 1�'ftaP1 FY 3 5I or
r
Tyr .14
Is`JxiIrrproperty
ent owner of in the Overtown Area located at:
or
zi Is �arl'-bb►ployee or board member of Vic .2r e-C 64-.0 -te t` ►' 1 U r‘14 l ak47 community development
core' on or community based organization located in and provides services to the Overtown Area, at the address
OVV1~ls iris an employee of a business it the Overtown Area located at:
. or
5. Nominee's Info: Phone number - 'S� 7 2-`t — I ?S D Cell phone ,} t
FAX Number E-mail L f? S iei •P rl rivict t1 i f"& (�viJc r;114Lt1 • t di
Please pr,{ vide a short stat�ment of qualifications of theeerson you are recommending_ for appointment:
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Please provide your contact information for the pu se of clarifyingtthe above and sign below
Phone number ',E.)a 7 Z - j y.s. i; Cell phone
FAX number E-mail
D, Please sign
Signature
n
61i! ? i I ��,�i1 o
Printed Name
FOR OFFICIAL USE ONLY:
RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y
RECOMMEND PERSON MEETS AGE REQUIREMENTS Y
RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED:
ACCREDITED INSTITUTION INSIDE BOUNDARIES Y
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Date Signed
N N/A
N N/A
NIA
N N/A
Feb 24 11 08:06p
O2I24/2011 15:17 iawa
City of Miami
OVEETOWN SQHMENIUSYJAT RO,�RD
APPLICATION FORM FOR APPOINTED MEMBERS
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To be comphrted by the RECOMMENDER and to be srrbmittedby 4:00 P.M. ex THDBSDAY, EBRU.ARY24, 2011
to the office alike OVERTOWNNEIGImORHOOD JRVIIANCEMENT TEAM (MET.), at 1490 N.W. fie AVENUE: the office
elite DISTRICT 5 COMMISSIONER at 3504 PANAMERICANDR(VEor fk€ office of the CITY CLERK re3500 PAN
AMERICAN DRIVE. Notes A person itsgy recommittal' htrnrstf/berseli:
A. 1 nomIoetck ch)(1141K
meets the eligibility requiem
1. Reside' in the Overtown Area at
?�`fou�r °°appointment to the Overtown Community Oversight Board. Helshe
is1eimof age and
Sao m f1more 00ofthe following qualifications:
2. is the current owner of property in the Overtown Area located at:
or
or
3. Is an employes or board member of connnunity development
corporation or community based organization located in end provides services to the Overtown Area, at the address
, or
4. Owe or is an employee of a business in rite Overtown Area located at:
5. Nominee's Info: Phone dumber Coll phone �r ��� 0`
FAX Number
OS/ E-mail
B. Please Quids a short statement of tali of the on you ms omeddiag tier
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Please provide your oanmct information for the Impose of elan ing the above and sign below
Phone camber 30:F 2 38'Y' Ccll hoc
FAX ntrnber 3011 3 QQ E-mail hl r
FOR OFFICIAL USE ONLY:
RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y
RECOMMEND PERSON MEETS AGE REQUIREMENTS Y
-o
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O
2
'51D.
Printed Name
��ZYrlr
Date Signed
N N/A
N N/A