HomeMy WebLinkAboutCOA Application 624 RockAPPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
Address of Property: (0
Legal Description of Property:
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STREET ADDRESS:
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Owner/Agent (Printed Name): /`�r JZJ V I r %64Ef-J
Owner /Agent Street, City, State, & Zip: l O Z Rose}
Owner/Agent Phone Number: 561- 6 96 - 110-8
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Owner/Agent Email: icchr15+-0cirV-,2nSc.SonI,„e,Co►'m
Name of Applicant as it will appear on all correspondence and in Staff report:
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Brief Project Description: _
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Estimated Cost of Improvements: ip 7, Yq
Zoning Classification: Is the proposed change a permitted use? ❑l� Yes )/No
Signature of Owner or Agent: `' 7'), . 2-_
NOTE: Should there be changes during construction (design, materials, size, etc.) from the approved COA,
applicant shall notify Commission staff and take appropriate actions. Approval by the Commission does not
excuse applicant or property from compliance with other applicable codes, ordinances or policies of the city
unless stated by the Commission or staff. Responsibility for identifying such codes, ordinances, or policies rests
with the applicant, owner, or agent.
DO NOT FILL IN - FOR STAFF USE ONLY
Application Date: HDC File #
HISTORIC DISTRICT COMMISSION DOCKETED
LITTLE ROCK HISTORIC DISTRICT COMMISSION ACTION:
at 4:00 p.m.
DENIED _ WITHDRAWN —APPROVED _ APPROVED WITH CONDITIONS —SEE ATTACHED CONDITIONS
DOCUMENTING OFFICIAL SIGNATURE: DATE: