HomeMy WebLinkAboutauthorization statementDEPARTMENT OF PLANNING AND DEVELOPMENT
723 West Markham Street
Little Rock, Arkansas 72201-1334
Phone: (501) 371-4790 Fax:(501) 399-3435
www.littlerock.gov
CERTIFICATE OF APPROPRIATENESS
AUTHORIZATION OF REPRESENTATION STATEMENT
In/yFSTMFnJTf, , LLC do hereby authorize
Property owner (print)
1924114 li+- oj1' TN Afgt2 A2CHiTfCTS, INC. to represent me and my interests in an
Agent/representative name and business (print)
Application for a Certificate of Appropriateness on the following property described below. I
have reviewed the proposed application and I have indicated so by initialing a copy of the
submittals that are attached.
Street Address:
1300
HpldorttSignature
Agent's Signature
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Date
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Date
Subscribed and sworn to me, a Notary Public on this (p day of `,beutK,6i', o2D/
My Commission Expires: I' Z -Z
LORE 1A MACKINDER
Notary PuCsllc-Arkansas
PUIaSki County
My Commission Expires 01 -02-2020
Cornmisston # 12374684
Page 5 of 5
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Notary Public
Revised 01/17/2019