HomeMy WebLinkAboutHDC2017-006 Certificate Of Appropriateness AORS 03-08-2017DEPARTMENT OF PLANNING AND DEVELOPMENT
723 West Markham Street
Little Rock, Arkansas 72201-1334
Phone: (501) 371-4790 Fax:(501) 399-3435
www.littlerock.gov
CERTIFICATE OF APPROPRIATENESS
AUTHORIZATION OF REPRESENTATION STATEMENT
I, byyiao i ,r ani ,� I ! Iri erY1� do hereby authorize
Property owner (pnnf)
T{`(1 to represent me and my interests in an
Agenbrepresentative name and business (print)
Application for a Certificate of Appropriateness on the following property described below. I
have reviewed the proposed application and I have indicated so by initialing a copy of the
submittals that are attached.
Street Address:
Title Hold is Signature
gent's Signature
Subscribed and sworn to me, a Notary Public on this /n
My Commission Expires: (� & 16 J �a
3 4
Date
1
ate
day of Ir Lo-la , v
lho*w a q "� Cl
NotarjPublic U
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�`P'CaA1AA. EXP.
6-1-2025
No. 12689850:
- PULASKI �
;ate COUNTY •'• yIT
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Page 5 of 5 Revised 12/2/2016