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2010/2011 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expi res: 2011-09-30 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Dean S. Ziegler Date: 2010-10-01 Business Address: Banks Engineering 12653 SW CR 769. Suite B Lake SUZY. Florida 34269 Business Telephone: +1 (941) 625-1165 Email: dziegler@bankseng.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Collier County Community Redevelooment Agency._3301 Tamiami Trail East. Naples. Florida 34112 2. Bayshore Gateway Trianqle Community Redevelopment Agency. 4069 Bayshore Drive. Naples. Florida 34112 3. The Pizzuti Companies. Two Miranova Place. Suite 800. Columbus. Ohio 43215 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 1st day of October 2010 , , by Dean S. Ziegler , who is personally known to me or has produced N/A as identification and who did take an oath. \'~~"t"" HEATHER L. POLITO =~m\:\ ~.f;''-'':. Notary Publlc - State of Florida ;. ... . ~ My Commission Expires Jan 8. 2012 %~:'$ ~#: Commission # DO 746989 "I',,~r.\""\\ Bonded Through National Ndary Assn. B~;t~ Deputy Clerk/Notary Public The annual registration fee is $25.00 per Lobbyist, according to Collier county Ordinance No. 2003-53,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and mail to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at the top of the form). Receipt# 007112626 10/13/20102:31 :15 PM \.-\fR-.S::6(j,\-: ~O/~- -~'0)::, /..;.~:...~.. -..~, \ " i \'/\. \ \, \ ,-1 ,Ii \. :1",: 'f-:\ '\ Ij'g; -f:t~ *J/00/ 0;<,'--., .__~:1> tllCcil'-l\ Dwight E. Brock Clerk of the Circuit Court Customer BANKS ENGINEERING 10511 101 SIX MILE CYPRESS PKWY FORT MYERS, FL 33966 Deputy Clerk BMR CASHIER M inutesand Records@CollierClerk.com 239-252-2646 --) LJ ~ ~)" (0--\1 (~~ ,I{~ ----..(\ ~ i\\"-''':78J',~IJ I}) l_J Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 ((.~."'. {f,7{-r~:=:iJ (.'.'.~':'...~ :-lJ ~\.l rl ~.J/ _ : ! \~;; ',- s LJ 1 Product QUANTITY 4 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 15859 BALANCE DUE: AMOUNT $100.00 $100.00 ($100.00) $0.00 Page 1 of 1