David and Laura BensonSent by: GREENBERG TRAUR[G 305 579 0717; 05/28/03 5:19PM;J~.:~alX #19; Page 2/3
LOBmY~'T W./'~ZSTiUtTION FOlU~
CClcy ot Miaml Beach, C~y Code ~ 2, Cr-~:l~ 3, So:rain 2'40~)
C{l~k b I~ in Amendmm~t
Dougherty A.
1221 Brickell Avenue
305-579-0603 305-961-5603
Lucia
Miami, Florida 33131
(S~te) (zip Code)
doucher tyl @gtalw. com
EMAiL:
David and Laura Benson
1757 N. 22nd Street, Arlington, VA 22209
aDO~: (Numar ~4 S~) (OW) (S~)
703-908-9543
· LIST ALL PER.SONS HeN.DING, DZR~:I~Y OR INDIRECTLY, k S°A OR MORE OWNERSHIP IN It~,5]' m SUCH
CORPORATION, pARI~ERSHiPOR ,lrkLIS'r:
Renovation of single fam41¥ home - setback variance
~ to M 'l~bbied (~'1. detmt):
&) ~ Nan~ ~
Board of Adjustment
~e~ ?.,y: GREENBERG TRAUR[G 305 579 0717; 05/28/03 5:19PUjJet~'~x #19; Page 3/3
R~TR~TE O~ 01~ER~,
A) U)BBYlST ~: $450. O0
J~lrSUant lo Ontlnance Ne. ~ea.a .~tml Ame~din~.Mlami ~ OW rt~ Chaoter 2. A~tlde VIL Division 5
T~ereof Entitled "Camoaton Flnar~e Reform~ Via The Addition Of Code l~J~. _2"~B Entitled "Prohibited
Camoalnn Contrlhutlm~ Bv Lobl~lsts On procurement
Pursuant to Ordinance Ne. __'~_~.'~A~I Nlle~lne Miami Beadl~ CRv Code Chaoter 2. Article VII Dlvtslofl 5
t, hen~:~ Er~tt~d 'Camoaion Finance Reform". Via The ~a,,~mAfl (X Code Section 2-490 E.afed "'Prohibited
Camoelan Con~l~iora By Lobbyists On Real Ed~ate Develooment. Lssues":
I dO solemnly swear that ail of the foregoing facts are true and correct and that~l ~ve read or am
familiar with the provisions contained in Section 2-482 Of the Miami Beac,h CI~ az amended, ano all
reporting requirements. ~
~ Produced ID / ~Pe~sonallyKnowff ) Form of IcL~tl§cation
State of Florida, County of MiamH3~de
Sworn to and subscribed before me
This :~ clay of ~ ,2003.