Zoning Application — Raul Medina, Jr., Folio 30-4914-001-2920 (1997)

PLEASE FURNISH FOLIO NUMBER 30-4914-001-2920 2920. P. H. File No. _________________________ Sec. _______ Twp. _______ Rge. _______ Processor _________________________ Date: ZAB _______ CC _______ TO BE FILLED OUT BY APPLICANT: (Please Print) 1. Name of applicant (Property Owner or Lessee with Owner's Sworn-to-Consent). Raul Medina, Jr. 2. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE APPLICATION a. if subdivided, provide lot, block, complete name of subdivision, plat book and page number. b. if metes and bounds description, provide complete description, (including section, township, and range). c. submit a copy of a survey if property is odd-shaped (1" to 300' scale). d. if separate requests apply to different areas, provide the legal description of each area covered by a separate request. 12 & Lot 13 Block 13 J.G. Headi Farms Unit A Plat Book 46 Page 13 less the South 50' feet thereof. 3. Address or location of subject property: corner Ly6 in NEc of SW 42 ST & SW 132 AVE. 4. Size of property: 140.50 ft. X 294.76 ft. Acres 2 ac 5. Date subject property acquired (X) or leased ( ) 10th day of July , 19 84 . Term of lease _______ years/months. 6. Does property owner own contiguous property to the subject property? If so, give complete legal description of entire contiguous property. Lot 12 Block 13 J.G. Headi Farm Unit A Plat Book 46 Page 13 N/A

METROPOLITAN DADE COUNTY PLEASE FURNISH FOLIO NUMBER 30-4914-001-2920 - 2930 Sec. 14 Twp. 54 Rge. 39. Date Received Stamp PLEASE TYPE OR PRINT LEGIBLY, IN INK, ALL INFORMATION ON APPLICATION. 1. Name of Applicant Raul Medina, Jr. a. If applicant is owner, give name exactly as recorded on deed. b. If applicant is lessee, attach copy of lease and Owner's Sworn-to-Consent form. c. If applicant is corporation, partnership, limited partnership, or trustee, a separate Disclosure of Interest form must be completed. Mailing Address 6605 N.W. 74th Avenue City Miami State Florida Zip 33166 Tel. # (during working hours) (305) 888-4100 . 2. Name of Property Owner Raul Medina, Jr. Mailing Address 6605 N.W. 74th Avenue City Miami State Florida Zip 33166 Tel. # (during working hours) (305) 888-4100 . 3. Contact Person Raul Medina, Jr. Al Cardenas Mailing Address 201 S. Biscayne Blvd # 2600 6605 N.W. 74th Avenue City Miami State Florida Zip 33131 33166 Tel. # (during working hours) [illegible] . 4. LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE APPLICATION. a. If subdivided, provide lot, block, complete name of subdivision, plat book and page number. b. If metes and bounds description, provide complete description, including section, township and range. c. Submit six (6) copies of a survey, if property is odd-shaped (1" to 300' scale). d. If separate requests apply to different areas, provide the legal description of each area covered by a separate request. 124 Lot 13 Block 13 J.G. Headi Farms Unit A Plat Book 46 Page 13 less the South 50' feet thereof 5. Address or location of subject property: 6. Size of property: 140.50 ft. X 294.76 ft. Acres .94 7. Date subject property acquired ( XX ) or leased ( ) 10th day of July , 19 84 . Term of lease years/months.

8. Does property owner own contiguous property to the subject property? If so, give complete legal description of entire contiguous property. Lot 12 Block 13 UGH Headi Farms Unit A Plat Book 46 Page 13 NA 9. Is there an option to purchase ( ) or lease ( ) the subject property or property contiguous thereto? ( ) yes or (X) no If yes, who are the potential purchasers or lessees? 10. Present zoning classification(s): EU-M EU-1 & RU-5A 11. REQUEST COVERED UNDER THIS APPLICATION: Please check the appropriate box and give a brief description of the nature of the request in the space provided. ( ) District Boundary Change (s): Zone classifications requested RU-5A ( ) Unusual Use ( ) Use Variance ( ) Non-Use Variance ( ) Special Exception ( ) Modification of previous resolution/plan 12. Has a public hearing been held on this property within the last year? No. If yes, applicant's name Date of hearing Nature of hearing Decision of hearing Resolution # 13. Is this hearing being requested as a result of a violation notice? ( ) yes (X) no If yes, give name to whom violation notice was served Nature of violation 14. Are there any existing structures on the property? ( ) yes (X) no If yes, briefly describe 15. Is there any existing use on the property? ( ) yes (X) no If yes, what is the use and when was it established? Use Established

Date: Public Hearing No: I hereby acknowledge that I am aware that the Department of Environmental Resources Management (DERM), the Public Works Department, and other County agencies review zoning applications and proffer comments that may affect their scheduling and outcome. These comments sometimes include requirements for an additional public hearing before the Environmental Quality Control Board, or other County Boards, and/or the prior preparation and execution of agreements to run with the land which are recorded. In addition to these agencies, I also understand that the South Florida Building Code may contain requirements that affect my ability to obtain a building permit (Building and Zoning Department 10th Floor) for my project, even if my zoning application is approved at public hearing. Contact with the above mentioned agencies is advised during the hearing process. Further, I understand that the cases of Machado v. Musgrove and McCaw v. Metropolitan Dade County may affect my public hearing application. I acknowledge receipt of copies of these cases for my reference. (Signature) Notary: Sworn to and subscribed before me this 5th day of April 1997. Emily Farmer Notary Public - State of Florida My Commission expires 4-18-2000 OFFICIAL NOTARY SEAL EMILY FARMER NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC548763 MY COMMISSION EXP. APR. 18, 2000

OWNER OR TENANT AFFIDAVIT I, Raul Meding, being first duly sworn, depose and say that I am the owner/tenant of the property described and which is the subject matter of the proposed hearing; that all the answers to the questions in this application, and all sketch data and other supplementary matter attached to and made a part of the application are honest and true to the best of my knowledge and belief. I understand this application must be completed and accurate before a hearing can be advertised. Signature Sworn to and subscribed to before me this 5th day of APRIL, 1997. Emily Farmer Notary Public Commission Expires: 4-18-2000 OFFICIAL NOTARY SEAL EMILY FARMER NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC546783 MY COMMISSION EXP. APR. 18,2000 CORPORATION AFFIDAVIT We, ______________, being first duly sworn depose and say that we are the President/Vice-President, and Secretary/Asst. Secretary of the aforesaid corporation, and as such, have been authorized by the corporation to file this application for public hearing; that all answers to the questions in said application and all sketches, data and other supplementary matter attached to and made a part of this application are honest and true to the best of our knowledge and belief; that said corporation is the owner/tenant of the property described herein and which is the subject matter of the proposed hearing. We understand this application must be complete and accurate before a hearing can be advertised. President's Signature (Corp. Seal) ATTEST: Secretary's Signature Sworn to and subscribed to before me this ___ day of ____, 19 ___. Notary Public Commission Expires PARTNERSHIP AFFIDAVIT We, the undersigned, being first duly sworn depose and say that we are partners of the herein after named partnership, and as such, have been authorized to file this application for a public hearing; that all answers to the questions in said application and all sketches, data, and other supplementary matter attached to and made a part of this application are honest and true to the best of our knowledge and belief; that said partnership is the owner/tenant of the property described herein which is the subject matter of the proposed hearing. We understand this application must be complete and accurate before a hearing can be advertised. (Name of Partnership) By _________ % By _________ % By _________ % By _________ % Sworn to and subscribed to before me this ___ day of ____, 19 ___. Notary Public Commission Expires ATTORNEY AFFIDAVIT I, ______________, being first duly sworn, depose and say that I am a State of Florida Attorney at Law, and I am the Attorney for the Owner of the property described and which is the subject matter of the proposed hearing; that all the answers to the questions in this application, and all sketch data and other supplementary matter attached and made a part of this application are honest and true to the the best of my knowledge and belief. I understand this application must be complete and accurate before a hearing can be advertised. Signature Sworn to and subscribed to before me this ___ day of ____, 19 ___. Notary Public Commission Expires

OWNERSHIP AFFIDAVIT INDIVIDUAL (FEE OWNER) I, Raul Medina Jr. , being first duly sworn, depose and say that I am the legal owner of record of the property described and which is the subject of the proposed hearing. THIS AFFIDAVIT IS SUBJECT TO PENALTIES OF LAW (PERJURY) AND TO POSSIBLE VOIDING OF ANY ZONING ACTION GRANTED AT A PUBLIC HEARING. (Signature) Sworn to and subscribed before me, this 7th day of April , 1997 . Notary Public, State of Florida at Large My Commission Expires: OFFICIAL NOTARY SEAL CARLOS BILLET NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC428106 MY COMMISSION EXP DEC. 20, 1998