Initiative petition City Charter Amendment 2017F:\CLER\CLER\000_ELECTION\INITIATIVE PETITIONS AS OF 2013\Initiative petition City Charter Amendment Oct 2014.docx
CITY CHARTER AMENDMENT
INITIATIVE PETITION
We, the undersigned qualified electors of the City of Miami Beach, Florida, do hereby petition the City of Miami Beach Commis sion to submit to the
qualified electors of Miami Beach the following amendment to the Miami Beach City Charter:
(INSERT TEXT OF PROPOSED CITY CHARTER AMENDMENT)
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Sign and print name
Street Address, including
City and State
Date of Birth OR
Voter
Registration No.
Date
signed
Sign:________________________
Print:
Sign:________________________
Print:
Sign:_________________________
Print:
Sign:_________________________
Print:
I hereby certify that I witnessed each person whose signature appears above personally sign this Petition on each of the respective dates set forth
above.
Name of person circulating petition (sign and print name): _________________________________________/______________ (date signed)