HomeMy WebLinkAboutHDC199-008 FINAL ACTION-C.O.A.5"sLI--T - ROCK
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;=;H STORK
D I S T R I CT
APPLICATION FOR A
CERTIFICATE OF APPROPRIATENESS
Application Date:
1. Date of Public Hearing: day of
g � y ��14�y 1999 at P.M.
2. Address of Property:
3. Legal Description of Property:
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(Name, Address, Ph
Owner's Representative:
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3 7 / -5634 A=nY s7T-
7. Estimated Cost of Improvements: cl o
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8. Category of Work: I II v III IV
9. Notification Requirements: Yes properties wit 'n 150 feet) No
10. Signature of Owner or Representative: `
Historic District Commission Action (to be completed by staff):
iw i z. iApprovai oy ine Lime tcocx Historic liistnct commission does not excuse the applicant, owner or
representative from compliance with any other applicable codes, ordinances or policies of the City of Little Rock
unless expressly stated by the Commission or staff. Responsibility for identifying such codes, ordinances or policies
rests with the applicant, owner or representative.
Little Rock Historic District Commission ♦ Department of Housing and Neighborhood Programs
615 W. Markham Street, Suite 100 ♦ Little Rock, AR 72201 ♦ Phone: 501-244-5420 ♦ Fax: 501-399-3461
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AFFIDAVIT
As the applicant for a Certificate of Appropriateness (COA) before the Little Rock Historic
District Commission, I elect to utilize this method of notification of affected property owners due
to the declared state of emergency conditions in the MacArthur Park Historic District.
I understand that a licensed abstractor is ordinarily required to certify a list of the affected
property owners as a component of my COA application; however, under the existing state of
emergency conditions, I certify and affirm that the following signatures represent:
�4 property owners of adjacent properties or _ property owners within 150 feet
I certify and affirm that the ffected property owners have been notified of my COA
application for the subject p ope 1 ted at thxrolloing address:
I certify and affirm a so that: a) the affected property owners have been notified of their
opportunity to attend the public hearing concerning my application that will be held on Thursday,
) 1999 in the Sister Cities Conference Room at City Hall, 500 West
Markham, Little Rock; and b) the affected property owners have been informed they may
contact the Historic Preservation Administrator at 244-5420 for further information
concerning my application.
SIGNATURE OF AFFECTED
,,OftTY OWNER
ADDRESS
J10 7�s�
RELEASE OF LIABILITY
I also understand that, having elected to utilize this method of notification, it is solely my
responsibility to determine the identity of and provide notice to, all affected property owners. In
the event that an affected property owner has been inadvertently omitted from the above -
referenced listing, I understand that the omission may affect the disposition of my application for
a COA. In recognition of my responsibilities, I hereby release the City of Little Rock from any
all liability that may result in my use of this method of notification to property owners.
STATE OF ARKANSAS )
SS
COUNTY OF PULASKI )
-CL 1
SUBSCRIBED AND SWORN to before me this day of
1999.
My Commission Expires:
APPLICANT
Date
—I
�'. PUBLIC Q.
K�C
PS Form 3800, April 1995
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