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HomeMy WebLinkAboutapplicationWapp.doc 2 APPLICATION FOR A LAND USE AMENDMENT 12/14/98 Planning Commission Docketed for 1. 19 R at t (�v pm. Case Number LU -99- Application is hereby made to the Little Rock Board of Directors, through the Planning Commission, pursuant to the provisions of Act 186 of 1957, as amended, petitioning to change the Land Use classification of the following described area: Legal Description: Street Address: —� l tA, J Title to this property is vested in:t7V- rj yo H�-4 t I Property owner (print) If an individual other than the property owner(s) files this application, attachment of form "Authorization Of Representation Statement" is required for each owner. It is desired that the boundaries shown on the Land Use Map be amended and that this area be reclassified from the present Present use of property Proposed use of property Applicant's Name classification to (to verify requested classification is appropriate) Applicant's Mailing Address: W - Applicant's Daytime Pho Fax: z Planning mission Actor Approved: Denied:��' Date: ;, R Board of Directors Action: Approved: Denied: Date: classification. LUapp.doc 3 I, AUTHORIZATION OF REPRESENTATION STATEMENT / /SNfIz- �- Property owner (print) Agent/representative (print) 12/14/98 do hereby authorize to represent me and my interests in an Application for a Land Use Amendment on the following property described below -- include both legal description and street address. Legal Description: Cart �0 2 mor�h Street Address: 177 0- (A-�o Vti r Owner's signature Agent's signature %:5 SE /25 0r S(f�bBA ro---3 -e 1 qPulas_1cL date date Subscribed and sworn to me, a Notary Public on this cZ.5— day of aA 0-% , My Commission Expires: -2-" 4