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01/17/19
AFFIDAVIT
1 1
I, III r „ � certify
authorize Grant M. Cox
Conditional Use Permit Application
Property described
by my signature below that I hereby
to act as my agent regarding the
of the below described property.
as: 6105 Father Tribou Street, Little Rock, Arkansas 72205, as more particularly described on
Exhibit A attached hereto.
Date
Subscribed and sworn to me
as�Nootaarnry Public on this /,f th day of
12
My Commission Expires:
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Notary Public
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