Item Q13
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: June 18. 2008
Division:
Growth Mana2ement
Bulk Item: Yes
No ---X-
Department: Plannin2 and Env. Resources
Staff Contact: Tiffanv Stankiewicz. Ralph Gouldy
AGENDA ITEM WORDING: A public hearing to consider a request for Administrative Relief for
Patrick C. & Lia E. McCaffrey on Lot 5, lying South of Canal, Paradise Point Cove, Key Largo, Real
Estate Number 00514050.000000.
ITEM BACKGROUND: A building permit was applied for on 3/11/2004 and a ROGO application
was applied for on 4/30/2004. The applicant applied for administrative relief on 5/1/2007 and is within
the allowable time frame to be eligible for administrative relief under Section 9.5-122.2(f) of the
Monroe County Code.
Staff recommends that administrative relief be awarded in the form of one (1) dwelling unit
allocation.
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval in the form of one (1) dwelling unit allocation.
TOTAL COST:
N/A
BUDGETED: Yes N/A No
COST TO COUNTY:
N/A
SOURCE OF FUNDS:
N/A
REVENUE PRODUCING: Yes
No
AMOUNT PER MONTH_ Year
APPROVED BY: County Atty ~ OMB/Purchasing N/ A
Risk Management _ N/ A_
DOCUMENTATION:
Included X
Not Required_
DISPOSITION:
AGENDA ITEM #
RESOLUTION NO.
-2008
A RESOLUTION BY THE MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS APPROVING THE REQUEST
FOR ADMINISTRATNE RELIEF MADE BY PATRICK C. &
LIA E. MCCAFFREY ON PROPERTY DESCRIBED AS LOT
5, LYING SOUTH OF CANAL, PARADISE POINT
COVE SUBDIVISION, KEY LARGO, RE # 00514050.000000
IN THE FORM OF ONE (1) DWELLING UNIT
ALLOCATION AWARD.
WHEREAS, Patrick C. & Lia E. McCaffrey submitted an application for administrative
reliefunder Sec. 9.5-122.3 of the Monroe County Land Development Regulations; and
WHEREAS, the Monroe County Board of County Commissioners makes the following
findings of fact and conclusions oflaw:
1. The application for administrative relief from Patrick C. & Lia E. McCaffrey
is for Lot 5, lying South of Canal, Paradise Point Cove Subdivision, Key
Largo in Monroe County, Florida having RE# 00514050.000000.
2. The date of the ROGO application is 4/30/2004.
3. The ROGO allocation application has been in the ROOO system for at least
four (4) consecutive years and qualifies for administrative relief under Policy
10 1.6.1 of the Monroe County Year 2010 Comprehensive Plan.
4. Monroe County Code (MCC) Section 9.5-122.3 provides a mechanism
whereby an applicant who has not received an allocation award in ROGO may
apply to the Board of County Commissioners for administrative relief.
5. The Board of County Commissioners (BOCC) has the authority to grant
administrative relief under Section 9.5-122.3(f) and may grant the applicant a
building allocation, offer to purchase the property at fair market value, or
provide such other relief as may be necessary and appropriate.
6. The applicant applied for administrative relief on 5/1/2007, under Section 9.5-
122.3 of the MCC and Policy 101.6.1 of the 2010 Comprehensive Plan.
7. Policy 101.6.5 of the 2010 Comprehensive Plan provides criteria to be used for
determining lands that are appropriate for acquisition and the criteria includes
the environmental sensitivity of the vegetative habitat on the lot and the
applicable Tier designation.
8. The subject property has the land use district designation of Improved
Subdivision (IS), is located in the Paradise Point Cove Subdivision and is
located in a Tier 3 designated area.
ADMINISTRATIVE RELIEF REsoLUTION
RE# 00514050.o00ooo
04301113
Page 1 0(2
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA:
Administrative relief is granted to Patrick C. & Lia E. McCaffrey, for Lot 5, lying South of
Canal, Paradise Point Cove Subdivision, Key Largo in the form of one (1) dwelling unit
allocation, subject to the following conditions:
1. The timing of the issuance of the permit shall be in accordance with the annual
number of residential allocations defined by Policy 101.2.13 of the Monroe County
Year 2010 Comprehensive Plan and as required by Section 9.5-122.3 of the Monroe
County Code.
2. The allocation award shall be taken out of the next quarterly allocation which closes
on 7/14/2008 or in the succeeding quarterly allocation period in which administrative
relief allocations are available.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida at a regular meeting held on the JL day of June, 2008.
Mayor Mario Di Gennaro
Mayor Pro Tern, Charles "Sonny" McCoy
Commissioner Dixie Spehar
Commissioner George Neugent
Commissioner Sylvia J. Murphy
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY
Mayor Mario Di Gennaro
(SEAL)
ATTEST: DANNY L. KOLHAGE, CLERK
DEPUTY CLERK
ADMINISTRATNE RELIEF REsoLUTION
RE# 00514050.00??oo
04301113
Page 2 0(1
MEMORANDUM
MONROE COUNTY PLANNING & ENVIRONMENTAL RESOURCES DEPARTMENT
We strive to be caring, professional and fair
To:
Monroe County Board of County commissio~ers
Tiffany Stankiewicz, Sr. Planning Technician
Ralph Gouldy, Sr. Administrator Environmenta urces ~
Townsley Schwab, Acting Director ofPlanning & Environmental Resources-(,
May 28, 2008
Request for Administrative Relief for McCaffrey
Lot 5, lying South of Canal, Paradise Point Cove, Key Largo,
Real Estate No. 00514050.000000
From:
Through:
Date:
Subject:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
I. BACKGROUND
The applicant is eligible for Administrative Relief, has complied with all requirements of the
dwelling unit allocation system, has been considered in the first sixteen consecutive quarterly
allocations and has not received an allocation award.
Date Entered ROGO: 4/30/2004
Date Entered Administrative Relief: 5/112007
Tier Score: 33
Tier 3: 30
Perseverance: 3
Note: 4th anniversay (April 30) perseverance point will be given when quarter closes in July.
II. CURRENT CONDITIONS
Location: Lot 5, lying South of Canal, Paradise Point Cove, Key Largo, Real Estate No.
00514050.000000
Owner: Patrick C. & Lia E. McCaffrey
Applicant/Agent: NA
Land Use District: Improved Subdivision (IS)
FLUM: Residential Medium (RM)
Tier: 3
2007 Taxable Value: $182,250
Purchase Price in 2003: $90,000
Page 1 of2
04301113
Reviewed by~
1
2 III. LEGAL ELIGIBILITY AND OPTIONS
3
4 Eligibility for Administrative Relief Options:
5 Section 9.5-122.3 of the Monroe County Land Development Regulations and Policy 101.6.1 of
6 the 2010 Comprehensive Plan provides a mechanism whereby an applicant who has not received
7 an allocation award in the ROGO system may apply to the Board of County Commissioners for
8 Administrative Relief. The applicant is eligible for Administrative Reliefhaving complied with
9 all requirements of the dwelling unit allocation system and having been considered in at least in
10 the first sixteen consecutive quarterly allocation periods, and not having received an allocation
11 award. The applicant has timely requested administrative relief in the form of one (1) ROGO
12 allocation award and has not expressed a desire to sell the property to the County.
13
14 Relief Options under Administrative Relief:
15 The remedies available for Administrative Reliefpursuant to Section 9.5-122.3 includes:
16
17 a. Offer to purchase the property at its fair market value as its preferred action if the
18 property is located within: a) a designated Tier I area; b) a designated Tier IT area
19 (Big Pine Key and No Name Key); c) a designated Tier ill-A area (Special
20 Protection Area); or d) a designated Tier ill area on a non-waterfront lot suitable
21 for affordable housing.
22 b. Grant the applicant an allocation award for all or a number of dwelling units
23 requested in the next succeeding quarterly allocation period or extended pro rata
24 over several succeeding quarterly allocation periods as the preferred action for
25 buildable properties not meeting any of the criteria in (1) above.
26 c. Suggest or provide such other relief as may be necessary and appropriate.
27
28 In the event purchase is recommended and the owner refuses the purchase offer, the
29 applicant may remain in the ROGO System and continue earning perseverance points
30 according to the vesting provision of Tier Ordinance 009-2007.
31
32 IV. RECOMMENDATION
33
34 It is recommended that the Board of County Commissioners find that the applicant has met the
35 criteria and qualifies for Administrative Relief. It is further recommended that a Resolution be
36 prepared that establishes this relief awarding one (1) ROGO allocation in the next quarterly
37 ROGO allocation period which closes 7/14/2008, or a succeeding quarterly allocation period in
38 which administrative relief allocations are available.
39
Page 2 of 2
04301113
Reviewed by ~
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Ol!~1,Y ~~!!2E
,3ClIoMo_
Envlrcmmenta1 Resources
..
This map ill for use by theMomoe
County Growth Management
Division only.The data contained
herein is not a legal repesenlalion
ofboundarie.. parce1JI, ~oada
right of -r- or other geographical
data.
~ by: JANIS VASElUB
.
EJ
. \
c~~
KOHROE COUHTY
OFFICIAL RECORDS
FILii: '1.404::316.....
BK'1944 PG'9S7
RCD Oat 24 213133 13St47A"
rs,*",AllcmoThlsu....Forl\cQOrdlqOlbL DANNY L KOLKAGE, CLERK
Q Ot CloD d DEED DOC STA"fP.t 13.713
01 8lDl ee 113124/213133 ....J:::I:L DEP CLK
This Quit Claim Deed made this ..1L. day of October. 2003 bctwllllll Bernard W. MtCamey aud DoDDa M.
MeCaft'rey, his ~ whose post office address Is 509 MchddID Ave., SlUI1tu, SC 29150. herem caIled 0tanI0r, aDd
Patrick C. McCaarey aud Lla E. McCaffrey, bls 1rife, whose post oftU:e llddzess is 43 Gumbo Umbo, Key La'lOt FL
33037. herein oalled Gra.ntee:
Pn:pared ~.
ADd.tew McOuDI
Atlaatie TItle mll1U1Ulce ComPBDY
PO Bcu: 2800
Key Larao. FL 33037
~ used be<olD the ....... "<lrmD" -' "<lnDtoc" bid.. 011 1Iw portloo 1danIlIod", .11IOII.)
Witnesseth, tbzd: the GralIror. for aDd ill COIISideration oflhc sum of 1EN AND NOIloo DOllARS ($10.00) aDd other
good aDd valuable CODSideration to lhe Grantor ill hand paid by the GraJttee, the receipt wbenlof is hereby aclo1owlodgcd,
does hereby remise, release aDd quitclaim to 1hc GraDteo, aDd the heira 8Dd usigns of the 0rantelJ focevar, aU the right, Iilla,
mtau. claim lll1d demand wIW:h the Grantor 11M in and to the foUowiDg describcld Ilmd, si1uate In Momoc Coumy. Florida,
EO.wit:
Lot 5, lying SolItl1 oftbe CalIal, Paradbe PoIDt Cove, al!COrdJul to the Plat thereof, ~rdcd ID Plat
Book 4, Pap 55, PubUc BKords of Monroe Col1Qty, F10rldL
Parcel IdeotiflcatiOD NlUIIber. Ta::dlOO!l"05O-OOOOOOIAICt#I633330
~......~.......__....,...""..._-
~~~~ ~~
-~~~~ l~~.?fl.
Stale of South Ilna
County of
1)e 'forego. iDstrument was aclmowlcdgM before me 1bis E day of October, 2003 by Bernard W. McCa6i'cy lll1d
~ .,' 'WhouarepmonalJykDownor(x]have~produ driv Iicense~as'o on.
1:. " .,':. .>,. , r:l\.UAJ ILP LJ
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j-' l\'O-y 4'~ ...~\ " PriD1IldName:
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i" ~~.: = 0 '.' ! ~/'\ ......-.'L
. . . t i~ h ~ i I My Commiaaion Bxpires: ;;).. au ~ C;:4.../,
-.-. b'I ~ llltO. t..,.1C f t _ _ _
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"OMROi: COUNTY
OFFICIAL RECORDS
rQ~myl ~XT r -;.~- L~{'r~~:."lLii1lll11_!l~] 'Z~d"', [~_J
. . - I. -. :... .. .'.. ~.. . ~ . . ~ ~ -$ ....." ~ ") .. .
DUpl ay .the next matchi ng; permit .- .' . -. ..:'~' '!',: .
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ATUS ~ ~PLY M~ l03/11/2004' OPER Fi' 1 erd ~
NOTES.Jii PERMIT ISSUED 1-' -.. ,. OPER 1----"
~ . , CERT ISSUED r ~ -' ~~ OPER r
I CERT NUMBER TYPE ~C/O
RE: 100S140S.0000'000' . -.a:_ r + ,':..U~DATE ADDRESS. D
PARC ADDR LT 5 PARADISE POINT COVE _.C/S/Z KEY LARGO FL p3037
OWNER1 (MCCAFFERY PAiRICK C a, LIA E OWNER2
o ADM [48 GUMBO LIMBO AVEENUE N . ~ C/S/Z [KEY LARGO
PERMIT NO JO~3 01~13' k'
MASTER NO +
PROJECT
PERMIT TYPE r07~ _~~- _' L~ US.C-404 ~E. 1~1
USAGE CLASS IRES :] PERMIT FORM PERMIT _ ].
APPLIED VALUATION 1 200000"
CAlC VALUATION I --- - .-... '1--- - -iS7Sl - 'o~
OWNERSHIP Jil,;R'ivATE "- NOTES (Y/N/D) . r.:J'
" .-. . SPECIAl CONDITIONS/NOTES J:d
lINGLE FAMrLy'RESIDENCE . , . _ -'.'- ---~~
ttOnCE OF COMMENCEMENT REQUIRED . . .. ... J.
** **'* ***' ** ~*~**.~*.'~ *~**~~~*~~~* *~* *.**'* * *.-* * *....** ~* .
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OLD APPL. I
DCA DATE r .
PRIVATE PR I
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OWNER PH
M. MARKER
LAND USE
Lookup...
Notepad.
--
User~
.
Property Information for 1633330
MONROE COUNTY PROPERTY ApPRAISER
PROPERTY INFORMATION FOR:
Altemate Key: 1633330
RE Number: 00514050-000000
Property Details
OWNER OF RECORD
MCCAFFREY PATRICK C AND LlA E
1425 SE 20TH RD
HOMESTEAD FL 33035
PHYSICAL LOCATION
KEY LARGO
LEGAL DESCRIPTION
PARADISE POINT COVE KEY LARGO PB4-55 LOT 5 S
OF CANAL OR722-687D/C OR 788.1898 OR889-1798Q/C
OR1253-460 OR1571-2392 ORI904-1740(CTI} ORI944-
957Q/C(CMS)
SUBDIVISION:
PARADISE POINT COVE
SECTION. TOWNsmp. RANGE
01 - 61 - 39
AFFORDABLE HOUSING No
PROPERTY MAP
Page 1 of2
MILLAGE GROUP
500K
PC CODE
VACANT RESIDENTIAL
Land Details
LAND USE CODE FRONTAGE
RESIDENTIAL CANAL 75
Parcel Value History
TAX ROLL YEAR BUILDING MISCELLANEOUS LMill JwI
IMPROVEMENTS
2007 0 0 182,250 182,250
2006 0 0 48,938 48,938
2005 0 0 48,938 48,938
2004 0 0 48,938 48,938
2003 0 0 38,813 38,813
2002 0 0 38,813 38,813
2001 0 0 38,813 38,813
2000 0 0 38,813 38,813
1999 0 0 38,813 38,813
1998 0 0 38,813 38,813
1997 0 0 38,813 38,813
1996 0 0 38,813 38,813
1995 0 0 38,813 38,813
1994 0 0 37,125 37,125
1993 0 0 32,130 32,130
1992 0 0 32,130 32,130
DEPTH
90
LAND AREA
6750 SF
:rAMBLE
http://www .mcpafl.orgldatacenter/search/record.asp
EXEMPTIONS (NOT
INCLUDING SENIORS)
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
182,250
48,938
48,938
48,938
38,813
38,813
38,813
38,813
38,813
38,813
38,813
38,813
38,813
37,125
32,130
32,130
5/20/2008
Property Information for 1633330
Page 2 of2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
30,375
30,375
30,375
27,000
27,000
27,000
27,000
22,399
22,399
30,375
30,375
30,375
27,000
27,000
27,000
27,000
22,399
22,399
o
o
o
o
o
o
o
o
o
30,375
30,375
30,375
27,000
27,000
27,000
27,000
22,399
22,399
1991
1990
1989
1988
1987
1986
1985
1984
1983
1981
Parcel Sales History
NOTE - OUR RECORDS ARE TYPICALLY TWO TO THREE MONTHS BEHIND F~OM TilE: DATE Of SAL.E.. IF ~_RE.C~NT SALE OOES
NOT SHOW UP PLEASE GIVE OUR OFFICE TIME TO PROCESS IT.
OFFICIAL REcoRDS
BOOKlPAGE
1904/1740
1253/460
915/2382
SALE DATE
06/2003
04/1993
05/1984
PRICE
90,000
41,000
30,000
INSTRUMENT
.'ND
~
WD
http://www.mcpafl.org/datacenter/search/record.asp
5/20/2008
Property Information for 163331Q
Page 1 of2
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'by 18, 200711:3?AM
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Under Florida law, e-mail addresses are pubhc records If you do not want your e-mail address released III response to a public records request, do not send electronic mail
to this entity. Instead, contactthis office by phone or in writing. F.S. 668.6076
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RECORDS SEARCH
PROPERTY INFoRMATION FOR:
Alternate Key: 1633330
RE Nwnber: 00514050-000000
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Property Details
Show Property Map
OWNER OF RECORD
MCCAFFREY PATRICK C AND LlA E
1425 SE 20TH RD
HOMESTEAD FL 33035
PHYSICAL LOCATION
KEY LARGO
LEGAL DESCRIPTION
PARADISE POrNT COVE KEY LARGO PB4-55 LOT 5 S OF CANAL OR722-687D/C OR788-1898 OR889.1798Q/C OR 1253-460
OR1571-2392 ORI904-1740(CIT) OR I 944-957Q/C(CMS)
SUBDIVISION:
PARADISE POINT COVE
SECTION, TOWNSHIP. RANGE
01 - 61 .39
MILLAGE GROUP
500K
Estimate Taxes
PC CODE
0000 - VACANT RESIDENTIAL
Land Details
LAND USE CODE FRONTAGE
M10C - RESIDENTIAL CANAL 75
Parcel Value History
TAX ROLL YEAR BUILDING MISCELLANEOUS LAND JUST
IMPROVEMENTS
2006 0 0 48,938 48,938
200S 0 0 48,938 48,938
2004 0 0 48,938 48,938
2003 0 0 38,813 38,813
2002 0 0 38,813 38,813
DEPTH
90
LAND AREA
6750 SF
EXEMPTIONS (NOT
INCLUDING SENIORS)
o
o
o
o
o
TAXABLE
48,938
48,938
48,938
38,813
38,813
http://www .mcpafl.orgldatacenter/ search/record. asp
5/18/2007
Property Information for 16:'-"30
Page 1 of2
MONROE COUNTY PROPERTY APPRAISER
PROPERTY INFORMATION FOR:
Alternate Key: 1633330
RE Number: 00514050-000000
Property Details
OWNER OF RECORD
MCCAFFREY PATRICK C AND LIA E
1425 SE 20TH RD
HOMESTEAD FL 33035
PROPERTY MAP
PHYSICAL LOCATION
KEY LARGO
I I
. . .
. . .
51~ 5140SO 514040
lS 5 4
Alai ;M .
UVA 1....1<
I
I
I
I
LEGAL DESCRIPTION
PARADISE POINT COVE KEY LARGO PB4-55 LOT 5 S OF
CANAL OR722-687D/C OR788-1898 OR889-1798Q/C
OR1253-460 ORI571-2392 ORI904-1740(CIT) OR1944-
957Q/C(CMS)
SUBDIVISION:
PARADISE POlNT COVE
SECflON. TOWNSIUP. RANGE
01-61-39
MILLAGE GROUP
500K
PC CODE
0000 . VACANT RESIDENTIAL
Land Details
LAND USE CODE
MIOC - RESIDENTIAL CANAL
Parcel Value History
FRONTAGE DEPTH LAND AREA
75 90 6750 SF
LAND tllln EXEMP110NS (NOT TAXABLE
INCLUDING SENIORS)
48,938 48,938 0 48.938
48,938 48,938 0 48.938
48,938 48,938 0 48.938
38,813 38,813 0 38,813
38,813 38,813 0 38,813
38,813 38,813 0 38,813
38,813 38,813 0 38,813
38,813 38,813 0 38,813
38,813 38,813 0 38,813
38,813 38,813 0 38,813
38,813 38.813 0 38,813
38.813 38.813 0 38,813
37.125 37,125 0 37,125
32,130 32,130 0 32,130
32.130 32,130 0 32,130
37,125 37,125 0 37,125
TAX ROLL YEAR OmLDING MISCELLANEOUS
IMPROVEMENTS
2006 0 0
2005 0 0
2004 0 0
2003 0 0
2002 0 0
2001 0 0
2000 0 0
1999 0 0
1998 0 0
1997 0 0
1996 0 0
1995 0 0
1994 0 0
1993 0 0
1992 0 0
1991 0 0
http://www .mcpafl.org/datacenter/search/record.asp
5/18/2007
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
Parcel Sales History
NOTE - OUR RECORDS ARE TYPICALLY TWO TO THREE MONTHS BEHIND FROM THE DATE OF SALE. IF A RECENT SALE DOES
NOT SHOW IlP PLEASE GIVE OUR OFFICE TIME TO PROCESS IT.
OFFICIAL RECORDS
BOOK/PAGE
Property Information for 1\' '33l
Page 2 of2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
38,813
38,813
38,813
38,813
38,813
38,813
37,125
32, 130
32, 130
37,125
30,375
30,375
30,375
27,000
27,000
27.000
27,000
22,399
22,399
38,813
38,813
38,813
38,813
38,813
38.813
37,125
32,130
32,130
37,125
30,375
30,375
30,375
27,000
27,000
27,000
27,000
22,399
22,399
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
38,813
38,813
38,813
38,813
38,813
38,813
37,125
32,130
32,130
37,125
30,375
30,375
30,375
27,000
27,000
27,000
27,000
22,399
22,399
SALE DATE
0612003
04/1993
05/1984
1904/1740
1253/460
91512382
PRICE
INSTRUMENT
90,000
41,000
30,000
WD
WD
WD
View Tax Collector Record
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5/18/2007
.
FOR DEPARTMENT ONLY
Date offiling with the Planning
DUectof
APPLICATION FOR
ADMINISTRATIVE RELIEF
Administrative Relieffee: $760.00
Owner's Name: ~t f' .~ CJk v- ll"" rnc-r.* .~
Owner's mailing address: / if ;;;. 5 s l J ..;2,... -+ h C:1
Phone: ~0S- -(,(8> { -0707 Fax: ~:;-. - ::Jl/x- -<(fC^ qIJ
Agent's Name:
--
,.lIp.
-----
Agent's mailing address:
Phone:
Fax:
(Please attach a statement authorizing representation of this application by someone other than yourself.
The statement should read: "I, (owner's name) authorize (individual you are authorizing to represent you)
to represent my property for this application for Administrative Relief'
~~~o-.o.oo.
o
Legal description (attach metes and bounds description if necessary): '-.J~('.l...l ~
CA')\.Je ke.v~~ p~ -S-~ L~-r-~ S. ()~
Pennit#: O~ - :3 - 1//3
t.;- 3D-0'l
'0~" -t
Cn,v0() L
Date of most recent ROGO application:
What kind of administrative relief are you seeking? -----.J~ ~ \l.:\l d
~.. ty *' _-S I d.111('~J
CL St~~
Additional Comments:
~ 1. ~L ----.....
Applicant's Si..ture '
NOTARY:
ST ATE OF FLIJID
COUNTY OF -IJJ
The foregoin, ~~ was acknowledged before-2'e this Mclay of t~
By. ) '.n It (i!..ft'.c. ~ 'L who~y kno~to me or produce
as IdentIficatIon, ~- ':;J
M .. .~ ~U/ (8 SANDRAMKENOAll
Y COmtnlSSIOn exprres: , No<<Ily PubIc. StaIIt of Florida
/.,;1;2 - ;Jo/tJ ~ _ _ -- -)My CommIsal.n Exp!resJan 22, 2010 .
Signature of Notary Public, State of Florida ~ CommIssIon" 00 509351
Pose 2 on '. Bonded By NetIonal Notary Aan.
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