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AUTHORIZATION OF REPRESENTATION STATEMENT
04/18/06
do hereby authorize
Property owner (print)
'-100 619- P F--4 1 1" -ted'„ to represent me and my interests in an
1 Agent/representative (print)
Application for a Land Use Amendment on the following property described below -- include both
legal description and street address.
Legal Description: V .5,ef, /LE, /(/ s2�0 .t'li'' X 87 T `-
J;� f'7~ Yrx� ����f�+�._C(,+iK __G1�r�S ►5 �r G�LL/11�1✓ , �'S�� +��
Street Address:
sCO T/ze 4)
Owner's si ature 4te
Agent's signature date
Subscribed and sworn tome, a Notary Public on this A5tclay of JuAt-- e .
Notary Public
My Commission Expires: 602-0b . 01-0
1
TAMARA M. GUFFEY
l Arkansas - Saline County
Notary Public - Comm## 12396983
My Commission Expires Feb 3, 2024