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Alfredo L. Gonzalez/Jaco Investment ~~. .~ ~uu~ L~~~~ ......1. I' 1llnlll ,L..f'....oll '--L-c;."~ .LJc:.r' ..)'0;:) 0(,)('::>'+ I.~':::: . " ~ aty or MlamllIelId1 Olftce or the aty Oerk , 1700 COtwentlon Center DrIVe, Miami Beach, Fl33139 Emili!: dtyderk.Od,mlarnl-bead1.n.U5 LOBBYIST REGISTRATION FORM (City or Miami Beach, City Code CIlapter 2, DiVisIon 3, Section 2-481) , Check Box It an Amendment Gonzalez Alfredo L. N1\ME OF LOBBYIST: (Last) (Flrst) (M.I) DATE QUALIFIeD AS LOBIlYlST 2601 South Bayshore Dr! ve, Suite l600~1 Miami, Florida 33133 BUSINESS ADDRESS: (Number and Street) (aty) (Slate) (ZIp COde) (305) 858-5555 (305) 858-4777 alg@adorno.com TELEPHONE NUMBER: FAX NUM8ER: EMAIL: L L088YJSf RETAINED IIYI Jago Tech Investment,L.L.C. NAMEOFP~NOWAVOJENT: c/o Alan E. Krinzman,Esq. 2601 S. Bayshore Drive,Suite 1600,Miami,Florida 33133 BUSINESS ADDRESS: (Number and street) (aty) (Stare) (ZIp Code) (~n~) A~A-5~5~ (305) 858-4777 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIl: (OptIonal) Fill out tI1ls section If prfnclpalls II Corporation,. Partn~lp or Trust [SedjOft 2-482 (c:)] ? NAME OF OiIEF OFF1~. !.'~ .OR BENEACIARY: Christian;laqodtinsld, -Maft.r UST ALl PERSONS HOLOING, DIRECTlY OR INDIRECTl.Y, A 5% OR MORE OWNERSHIP INTEResT IN SUOt CORPORATION, PARlNERSHIP OR TRUST: Christian Jagodzinski,Sole Member /' II. SPECIFIC LOBBY ~SUEI Variance for Rear Set Back of an accessory building located at 10 Palm Avenue Issue to be lobbled (Descrfbe In detilll): Miami Beach, Florida 33139 nr. ClTY AGENCIES/lNDMbUALS TO BE LOBBIED: A) Full Name oflndlvldual/Tltle B) Itelatlomhlp Board of Adjustment Planning Department Staff City Commission 01/14/03 TUE 10: 36 [TX/RX NO 54001 JAN-14-2003 10:45 C lTY M I AM I BCH CLERK DEPT 305 6737254 P.03 . lV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYXS'l' COMPENSATION (DISCLOSE WHETHER HOURL Y, . Fl.A T irA tE OR OTHER'1 Standard-hourly rate _ Partner $325.00; Associates $125 to $175 A) LOBBYIST D1SClOSURE: Para1eqa1s $40 to $95 B) PRINCIPAL'S DI5a.OSURE (OF LOBBYIST COMPENSATION): Same as above - " V.. SIGNATURE UNDER O"THI ON OCTOBfR lsr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE aTY CLERK A SIGNED STATEMENT UNDER OATH, USTIMG LOBBYING EXPENDITURES IN THE cnY OF MtAMI BEA.CH 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 provisi~ns c ed In - 82 of the iami Beach Oty Code as amended, and all reporting requirements, Signature of Lobbyist: Jago TeCh~mentS'L~ Signature of PnndpaVOient: By: ,~ .. . VI. LOBBYJSTIDENTIFlCATION: Christian Jagodzi - ,Manager By: Alan E. Krinzman Attorney-In-Fact Form of Identification , Produced IO , Personally Known V VII. SIGNATURE ANb STAMP OF NOTARY OR bEpUTY CLEIUCl State of Ronda, County of Miami-Dade Sworn to and subscrl d before me This 4 tf-t... day of 2002, . ~-{{~ of Public Notary - State of Ronda (l1 ftfl...:>'"orU IS t... DW IS N -(E Al It ;~ Print, stamp or type name of Notary Public ~"., PII. MARJORIE L o ~ . c; COIAMlSSlat.....- < CCQll'I415 .,.~ R M"(XlIAIA1SIlCN1ElCI'IflE8 OFf\.O OCT.S FOR CLfRK'S USE ONLY Registration: tfJ ACCEPTED [] REJECTED If rejected, state reason; /' Registration fee paid: [vfYes [ ] ~ djlCaSh [V] Check MCR # DATA ENTRY DATE- ..J C8 . ~ I I DATE: 2/ t! tJ3 ENTERED BY' I Rrst Revision - 05/17/02 TOTAL P. 0:::, 01/14/03 TUE 10:36 [TX/RX NO 54001 . ."....., . . . . ~ TbiSiDsttum~t prepared by: AIllDE~KrinzDlan, Esq. Holtmi9li. Krinznian, Equels &FuPa; P.A. 2601 S.Sayshore.Dtive, Suite.600 Miami, Florida 33133' (305).859,7700 < . . .' ..,' , ",', . '. ' , . . ." . . ' . , . . .,. - . . purchase of1he real estate property located at 1 0 Palm IsIJllld,Mia:ltti~each,Florida'33139.lCga1lydCscribed . as: . . - . . '. . . . . " , . . . .... . . Lo:ts:!4 and .15' an~ a25ft.Sfi1pin.tIle~a1,~.!~'toeJ"o(tb.Jot&.ot*~ . ISLAND. . . ...... ....ace&. ,ding. ....~..othe PIa. tt~eof,'tflcQj,'c1ed.iltrlatlJook~.iit'Pag.eS4.o.. {the hbHc ReeordsofMiami-'Dade COtiJrty'; flqrfda, ,....,.. ..... ' ". ..'.... ., . Signed, sealed and delivered . in the presence of: . ,:"-. c' ., , ,. . C .&:..~~... cmuS~A~ZtNSl(I ......... .. .. STATE OF FLORIDA COUNTY OF. MIAMI-DADE 1999.