HomeMy WebLinkAboutAffidavit - 101921DocuSign Envelope ID: 8EEFC1AF-F86B-4A48-8733-733F737F483E
nresvari.doc
01/17/19
I,
AFFIDAVIT
Eyad Hassan
certify by my signature below that I hereby
authorize Holloway Engineering to act as my agent regarding the
City of Little Rock Variance Application of the below described ro e
p P rt3'•
Property described
: as
6317 West Markham, Little Rock, AR
Signature of Title Holder
Subscribed and sworn to me a Notary Public on this
00�vly r 0-11DID-1 -
TARA A. M ITCH ELL
PULASKI COUNTY
NOTARY PUBLIC--AR}CANSAS
my Commission Expires July 15,2023
Commission No. 12394886
My Cams fission Expires:
10-19-2021 1 4:47 PM CDT
I1�
Date
Notary Public
day of
DocuSign-
Certificate Of Completion
Envelopeld: BEEFCIAFF86B4A488733733F737F483E
Subject: Please DocuSign: boa -nonresidential -zoning -variance -application pdf
Source Envelope:
Document Pages: 5 Signatures: 3
Certificate Pages: 5 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
Record Tracking
Status: Original
10/19/2021 4:27:36 PM
Signer Events
Eyad Hassan
onestop73009att. net
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 10/19/2021 4:45:49 PM
ID: 21 dOd950-cc75-47fc-9453-a65063c4b1 4e
Company Name: Kelley Commercial Partners
In Person Signer Events
Editor Delivery Events
Agent Delivery Events
Intermediary Delivery Events
Certified Delivery Events
Carbon Copy Events
Brandon Sheard
bsheard @ kel leycp.com
Agent
Kelley Commercial Partners
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Nick Kelley
nkelley@kelleycp.com
Executive Vice President
Kelley Commercial Partners
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Holder: Brandon Sheard
bsheard@kelleycp.com
Signature
0,4 t'&SSa l"
Signature Adoption: Pre -selected Style
Using IP Address: 71.238.131.203
Signed using mobile
Signature
Status
Status
Status
Status
Status
COPIED
COPIED
Status: Completed
Envelope Originator:
Brandon Sheard
425 W Capitol Ave, Suite 300
Little Rock, AR 72201
bsheard@kelleycp.com
IP Address: 69.228.7.89
Location: DocuSign
Timestamp
Sent: 10/19/2021 4:31:48 PM
Viewed: 10/19/2021 4:45:49 PM
Signed: 10/19/2021 4:47:05 PM
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Sent: 10/19/2021 4:31:49 PM
Resent: 10/19/2021 4:47:07 PM
Viewed: 10/19/2021 4:37:34 PM
Sent: 10/19/2021 4:31:49 PM