Donahue PeeblesOb/of Miami Beach Office of the Ob/Oerk
1700 Convention Center D~ve, Miami Beach, FL 33139
Emaih db/clerk~ci.miami-beach.fl.us
LOBBY/ST REGZSTRA1TON FORlul
(Ob/of Miami Beach, Ob/Code Chapter 2, Division 3, Section 2-481)
Check Box if an Amendment
ROS~n
NAMEO~II[: (La~
lawyer .
407 ~lncoln Road, PH.SE
BU$IN~SADDRE~: (NumberandStree~
(305) 534-4757
H&~Old
(Fi~) (M.I) DATEQUAU~EO~
Miami Beach, Florida 33139
(a~ (Sm~) (~pCode)
(305) 538-5504 mail@rosenandswitkes.com
TELEPHONE NUMBER:
:~ RETA/NED BY:
LawyerR. Donahue Peebles
NAME OF PR.[NC/PAI./CL[ENT:
1545 Collins Avenue, Miami
FAX NUMBER:
Beach, Florida 33139
BUSINESS ADDRESS: (Number and Street) (Oty)
(305) 604-5700 (305) 604-2059
TELEPHONE NUMBER: FAX NUMBER: (Optional)
(State)
(Zip Code)
EMA[L: (OpUonal)
Fill out this section if principal Is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEF~C:~ARY:
· I~ST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP IN'I EREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SPE~C mas, msua
conditional uS~ Permit
Issue to be lobbied (Describe in detail):
ZZZ. CI'TY AGENCZES/~NDI'V/DUALS TO BE LOBBZED:
A) Full Name of Zndividual/TiU· B) Relationship
Planning Board