HomeMy WebLinkAboutHDC2017-024 Certificate Of Appropriateness 10/20/2017DEPARTMENT 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' J-T. - do hereby authorize
7b Y� -� •� to represent me and my Interests in an
AgentAvp wntelive "M* and btrfOM&4 (prw)
Applicalion 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.
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17
Two Holder's Signature Dat
9 n: ..ignawre ! Date
Subscribed and swam to me, a Notary Public on this j2U day of ai V,
Notary Public
My Commission Expires:1�19
Page 5 of 5 Revised 121212016
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