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Home My WebLink AboutOAB ApplicationsCITY OF MIAMI, FLORIDA OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 19, 2016 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at 1490 N.W. 3RD AVENUE, Suite 112-B; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRIVE or the OFFICE OF THE CITY CLERK at 3500 PAN AMERICAN DRIVE. Note: A person may recommend himself/herself. A. I nominate Ij FrUlae bynnfor appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements beuse he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at Has Lfc ) 2. Is the current owner of property in the Overtown Area located at: or or 3. Is an employee o board member of �`Mpls h community development corporation or community based organization located in and provides services to the Overtown Area, at the address qle 3 co re, Wexl tit ar-t ,or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number 305 — enp 93Cbll Fax number E-mail .Qjs+torbe(1gym,- iI •('orr� B. Please provide a short statement of qualifications of the person you are recommending for appointment: CO-Yr 0-t tAA , +` `') ,,A �(o veic c �G r� f S O G7 arr y �1y C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone Fax number E-mail r—c -L w ftsi 70(0 -cY341Go d;,-cI bbtoN Printed Name � J(2bJa Dat gn Berlinda Faye Dixon Owner Name : Remove z MA=NSms, [ Naze .01.31.350 WEST FLAGLER NET F : NET Gwr Code Code ra awn: Code la G_e 5,4-L CITY OF MIAMI, FLORIDA OVERTOWN COMMUNITY OVERSIGHT BOARD -' NOMINATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 19, 2016 to the office of the OVERTOWNNEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at 1490 N.W. 31e" AVENUE, Suite 112-B; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRIVE or the OFFICE OF THE CITY CLERK at 3500 PANAMERICAN DRIVE. Note: A person may recommend himself/herself. t A. I nominate --1 eelit for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property inthOvertown Area located at: /ff/ �'w 2e or or 3. Is an employee or board member of community development corporation or community based organization located in and provides services to the Overtown Area, at the address , or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number Fax number �f6 ff �L �Sr Cell phone E-mail B. Please provide a short statement of qualifications soof�the persona you are recommending for appointment: �,,' iQi2 QT !/r/ le4 TL/v'T PPd-SA 117�/��%�l%r��iZ47I e7 [Aei.4 fv tOA AVAtatA ki,j71/ (1/ //4ja ,14/ko AW(/‘7,,t. e C. Please provide your contact information for the p Phone number d Fax number pose of clariin& the above and sign below Z- 3 J4/ l yS Cell phone E-mail D. 1 here: Gl ! r fd2 • ature Printed Name OR OFFICIA,LIJSE ONLY NDED PERSON,'S ADDRESS INSIDE BOTH* R IC %UMEND PERSON MEETS AGE EEUIREMI N E PERSON'S PROOF -OF I UALIFIC ACCRDDf i ED'INSTITiTiION INSIDE BOUNDARIES camnri - n r m 7-311311FF Jean Fincher Ev Addrs 1621 Z CT - • '' ... • • .. • . • .. . . • .. • . • .. - - • - - • '!- • ... • . • .. - '•• • . • . . ,rre : .. . ...... „ ... ......... .... ... „ . , . , . , ........... A ..... LTMS, `:'EFT F.Lk&ER. -T (3351% kth cd, Zoom To Buffer !OD . . . CITY OF MIAMI, FLORIDA OVERTOWN COMMUNITY OVERSIGHT BOARD NOMINATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, AUGUST 19, 2016 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at 1490 N.W. 3RD AVENUE, Suite 112-B; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRIVE or the OFFICE OF THE CITY CLERK at 3500 PANAMERICAN DRIVE. Note: A person may recommend himself/herself. A. I nominate het/C-�'t "l `t tfor appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 ears of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 10)O N (O 'C)}PY,)e., ( Civ . rL 9 (OS or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of corporation or community based organization located in and provides services to the Overtown Area, at the address , or community development 4. Owns or is an employee of a business in the Overtown Area located at: .-"rf one 1c oo N..3 PSG 1Mczk tL 331 - i (CC 5. Nominee's Info: Phone number Cell phone(_ S-`1 Fax number E-mail td Ors 4tt4- ...WL. CO rn B. Please provide a short statement of qualifications of the person you are recommending for appointment: aik- woo n)(.0 ‘cw..1 t- l 33i A(e, —+ c) 11 5T1# Fri a P*—; 1 1 I -G -� C. Please provide your contact information for the purpose of clarifying the above and sialLelower+ Phone number Cell phone "'k0^ D1 01 Sq Fax number E-mail SCE IN-fl p C AL bk- CO V7) \1\115./ettcQ Gr Printed Name 'CS( (L9 (lam Date Signed F OR OFFICIAL USE OILY: RECOMMENDED PERONN'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEET AGE REQUIREMENTS RECOMMENDED PERSON SIDE PROOF"OFQUA.-II4CATI0A1 SUB,. ACCREDIT D INS I ITIJT ION INSIDE BOUNl ARJES.', N/A N/A Remove Scheuette GI inton Sad Owner Name - Prpedy Address I-HO NWL AV Address Folio i_CZ Z; F-C7,V L211- MiEfili 21 Fafme.F ZarliRkl 11 Prop.--,-rty I Add" Intc, , . Sales & TEXES i Exemplic,ns 1 City inf.:, ,., DistrictID Cornmissio-ner NET NET Name: NET Phone: NET Fax NET Ad:min: Code Ent Code Ef Admint toile Ent Pbone: Kec,ndro WEST FLAGLER. (3-U5) 9-60-2E-90 C305), 9-60-2899 ANA RODRIGUEZ (305) 329-4800 EOM dam Re-&_ Plat, City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD INATI N F FO T E AYO 1 ESIGNEE To be completed by the MAYOR, DISTRICT 5 COMMISSIONER, OR THEIR DESIGNEE, and submitted to the OFFICE OF THE CITY CLERK at 3500 PAN AMERICAN DRIVE. Please note, the Mayor and District 5 Commissioner shall, at least ten (10) days prior to the making of any appointment, make available for public inspection the names of prospective appointees, including a short statement of their qualifications. A. I nominate for appointment to the Overtown Community Oversight Board. He/she meets the eligibility re' uirement because he s 's 18 years of age and also meets one or more of the fo lowing cry- ifications• 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at: 5-+Titti-r or 3. Is an employee or board member of t 1c,ktmrnunity development corporation or Q-nmunity based or =aniz4tiop--1 \a),d in and provides servt s to e 0 e town Area, at the address V .7r-, Vsc• \ c, ' ,or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number Cell phone em7<:411 ' Fax number E-mail B. Ple se rovide s ort satement ofqualihcaons of the pers n you are recommenditv for appointmen rr C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number 911 Cell phone E-mail MAYOR'S DESIGNEE Fax number DISTRICT 5 COMMISSIONER'S DESIGNEE FOR OFFICIAL USE ONLY: NOMINEE'S ADDRESS INSIDE BOUNDARIES? Y N N/A NOMINEE MEETS AGE REQUIREMENTS Y N N/A NOMINEE'S PROOF OF QUALIFICATION PROFERRED: Irby McKnight ffyi CoEle Ertl Enf 201NW7S,ZCG AddresReo s, City Info Di b Commissioner: ET ID ET Name: ET Phone: ET Fax: Adminl 5 Hardc 6 OVERTOWN (3 )372-4550 LORED sIEL 50 _ 32- 4ADO SEA Corm T -1 0