HomeMy WebLinkAboutauthorzation of representationDEPARTMENT 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
M+&A L --L-- do hereby authorize
Property owner (print)
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:
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Agent's Signature �— Date
ii ��Subscribed and sworn to me, a Notary Public on this �� day of 1V� fl .
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Notary Public