HomeMy WebLinkAbout01_LU2021-13-01_applicationWapp.doc 2 04/18/06
APPLICATION FOR A LAND USE AMENDMENT
Planning Commission Docketed for at pm.
Case Number LU
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: .IG
Street Address:
Title to this property is vested in:
Property owner
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 C� classification.
Present use of property G
Proposed use of property
(to verify requested classification is appropriate)
Applicant's Name
Applicant's Address: I
7
Applicant's City: _ _State: —eoA�ff Zip:
Applicant's Daytime Phone: Fax:
Planning Commission Action:
Approved: Denied;
Date:
Board of Directors Action:
Approved: Denied:
Date:
LUapp.doc 3
04/19/06
I,
AUTHORIZATION OF REPRESENTATION STATEMENT
do hereby authorize
Property owner (print)
-�jr 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 ❑esc:ripti
Street Address:
Owner's signature date
Agent's signature date
Subscribed and sworn to me, a Notary Public on this day of ,
Notary Public
My Commission Expires:
� i v v II/ rr f
County Court Order (Book 62, Page 495)
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