HomeMy WebLinkAboutAuthorization of RepresentationL
DEPARTMENT OF PLANNING AND DEVELOPMENT
723 West Markham Street
Little Rock, Arkansas 72201-i 334
Phone: (501) 371-4790 Fax:(501) 399-3435
www.littlerocl<.gov
CERTIFICATE OF APPROPRIATENESS
AUTHORIZATION OF REPRESENTATION STATEMENT
Property owner
do hereby authorize
A) A -t -D Eas C 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. 1
have reviewed the proposed application and I have indicated so by initialing a copy of the
submittals that are attached.
Street Address:
AP—TmA P- 5-C>3 gO 4-7- — u-,'
D e
A�Oate
az e
Subscribed and sworn to me, a Notary Public on this Vtr� day of
ALLISON 8, SEGARS
PULASKI COUNTY Notary Pu
NOTARY PUBLIC - ARKANSAS
My Commission Expires APO 18, 2027
Commission No. 12700743
My Commission Expires:
Page 5 of 5 Revised 03/06/2020