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Affidavit - Chateaubleau Inn 1 r r"\ lQ - CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 citvclerk((i)ci. mia mi-beach. fl. us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRlNCIPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERlOD OF THE ENTIRE DECISION-MAKING PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRlNCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRlNCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTlvrnES FALL WITHIN THE NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAl." Lobbyist Name: (:H:':RO Last Name Business Phone (305) 445-6600 Business Name and Address: LISA B. T T!,;A First Name Message Phone L) CICERO, P.A. B. Middle Initial 1) 150 ALHAl1BRA CIRCLE No. Street Email Address: SUITE #1270 Suite CORAL GABLES City FLORIDA State 33134 Zip Code 2) Principal Retained by: 4000 ALTON R01\D If different from above MIAMI BEACH City CHATEAUBLEAU INN ONE, INC. Street FLORIDA State Suite 33140 Zip Code. , .. (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. SPIROS VOUTSINAS PRESIDENT oIo\',"W'''''- .'." ............'.~~ tti':'.; '''~;? .,~....,-..JI :: ;'~'JloI'...,- "'Xl . ~".'.,-., t"....w. ...."'_ w.' ~ " .<< ..~; J'Ittk)'" '!.;("';:',' ,l.p~ ~tc...bSJt~ ',:r..:-/":;y ..."fi.. - AHOV': THE GROJJND FLOOR AND TO 3) Subject Matter (Describe in Detail): VARIANCE TO PERMIT A SIGN IN RM-2 ZONE EXCEED THE SIZE RESTRICTIONS I"" ~ 4. Identify each individual (l;ommissioners, Board, Committee, Authority member or City staff) to be lobbied: ZONING APPEALS BOARD OF ADJUSTMENT 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): .2001 .2001 ,2001 ,2001 ,2001 ,2001 Q The City Commission a City Commission Subcommittee a City Staff a City Board or Committee ZONING BOARD OF AD,TIlf;TMRNT a Personnel a Identify Others on on on on ,? /7 on on 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above: NONE ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: Iff Personally known a Produced 10 ~, @////Lf) Identify a Did take an oath, or a Did not take an oath JOE A IIOIlAlCUZ -,_._d_ .. CInIII. ElqhI.... 14, _ Q...,~.' 0CIMI1. State of Florida, Cpunty of Miami-Dade Sworn to and subScribed ~me This .;;7'11 day of .Jo ' 2001. - . ..---- f Notary, print, stamp or type as commissioned Registration: ~ FOR CLERK'S USE ONLY I I [ ] REJECTED DATE: \ z. _ rz L'D / , , If rejected, state reason: _ Registration fee paid: 'f.-lfes [ ] No J.-..}Not-for:p~ ol}n~~ ~ [ ] Cash ['j-CI1eck MC~# (, DATA ENTRY DATE: .2001 ENTERED BY: \ ~ i