HomeMy WebLinkAboutHDC2011-033 Cetificate Of Appropriateness 12/09/2011LITTLE ROCK
.
IM HISTORIC
DISTRICT
CO�I�[ISION
sE�¢
DEPARTMENT OF PLANNING AND
DEVELOPMENT
723 West Markham Street
Little Rock, Arkansas 72201-1334
Phone: (501) 371-4790 Fax: (501) 399-3435
CERTIFICATE OF APPROPRIATENESS
AUTHORIZATION OF REPRESENTATION STATEMENT
hereby authorize
Property owner (print)
- t-A � - �w — Ve- , o C , to represent me and my interests in an
Agentlrepresentative naofie and business Vint)
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:
I
Date
Date
Subscribed and sworn tome, a Notary Public on this 9 f jt day of 4 6 ; -6
1 !�
"NOTARY SEAL" Notary Public
`fed Fredrich , Notary Public
Pulaski County, State of ArkansaS
My Commission Expires: My Commission Expires Seot. 9, 2013.
Revised 7/2009