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APPLICATION FOR A LAND USE AMENDMENT
04/18/06
Planning Commission Docketed for �C�7('�1 _� r] at Q(:�m.
Case Number LU 0
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: \ "aZQ' lJ� x1��� _
Title to this property is vested in: 7V> 1- �'r �1 1
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 classification to } ' cl , sification.
Present use of property C G� s1Ar- \P -Z>
Proposed use of property
verify requested classification is appropriate)
Applicant's Name (=Aosor1
Applicant's Address: `3 W • \Cl �
Applicant's City: I � State: 9E) Zip:
Applicant's Daytime Phone: �J�J �l` � Fax: Inc -1 1 LD
Planning Commission Action:
Board of Directors Action:
Approved: Denied: Approved: Denied:
Wapp.doc 3
I,
04/18/06
AUTHORIZATION OF REPRESENTATION STATEMENT
do hereby authorize
Property owner (print)
�U�xl C c Srti NO represent me and my interests in an
Agent/representative (print)
Application for a Land Use Amendment on the following property described below -- include both
legal description and street address.
Legal
Street Address: OL
Agent's signature
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date
Subscribed anq gwvw,;o me, a Notary Public on this r day of
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My Conu issio'n' T01res:
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N ary Public
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