HomeMy WebLinkAboutAffidavit 2 062425Property Owner Authorization Form
For Conditional Use Permit Application
Property Owner Authorization Form
For Conditional Use Permit Application
TO: City of Little Rock Planning Department
RE: Authorization for Conditional Use Permit (CUP) Application
1, the undersigned, am the legal owner of the property located at:
Property Address: 1966 / oZX 4
Parcel Number (if known): 31agQ�l v�
I hereby authorize:
Applicant Name: Ryan Brooks
Company Name: Elite Equity X, LLC
Phone: (970) 571-3625
Email: ryanjbrooksl0@gmail.com
to act as my authorized agent for the purpose of submitting and processing a Conditional
Use Permit (CUP) application with City of Little Rock, including representing the project at
public hearings, submitting plans or documents, and receiving correspondence related to
this application.
Note: Ryan Brooks, on behalf of Elite Equity X, LLC, is currently under contract to purchase
the above -referenced property. Although the purchase has not yet closed, this authorization
is granted so the applicant may begin the CUP review process prior to closing.
This authorization includes any necessary site visits or inspections conducted by planning
staff as part of the CUP review process.
Owner Information
Owner Name: DUAI
Owner Signature:
Date: LPI13) 0'V)0-)V'5;
Mailing Address: '2UA'�-CAO
Phone: / - UU A(l ��
Email: Jr k r1I k14116'.&M
Notary Section
State of _ /"IgAkJOA!�
County of'j���� _
On this r -- day of. (JIV—) _, 2Q11 before n e, a Notary Public in and for said state,
personally appeared known to me (or satisfactorily proven)
to be the person whose name is subscribed to the within instrument and acknowledged that
they executed the same for the purposes therein contained.
In witness whereof I hereunto set my hand and official seal.
"I W-mlmn
Notary Public Signature
My Commission Expires
[Seal]
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01-23.2029 '•'r
* :No. 12370794: *
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