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Application
Department of Planning and Development Planning 723 West Markham Street Development Little Rock, Arkansas 72201-1334 Building Codes APPLICATION FOR ANNEXATION Application is hereby made to the Little Rocl< Board of Directors, through tl�e Planning Commission, petitioning for annexation of the following described area: Legal Description (identify below or attach separately): / 9 Street Address or Proximal Location: 4"t0VG% 1!� ',�1 (0 x I Present use of property: Proposed use and redevelopment timeline of property: `C- Title to this property is vested in [print owner name(s)]• k urn- b I A4W7,erLrtGt l If an individual other than the title owners) files this application, attachment of form "Authorization of Representation Affidavit"` is required for each owner, Owner/Agent Name: +dqj1 ©c:�1L,,,) L. , C. Owner /Agent Address: City: K State: Owner/Agent Phone Number: Owner/Agent Email: zip: 7 ZZZ�Z DO NOT FILL IN -FOR STAFF USE ONLY ED FOR PLANNING COMMISSION DOCKET FILENUMBERA- PLANNING COMMISSION ACTION: APPROVED: DENIED: DATE: AT BOARD OF DIRECTORS ACTION: APPROVED: DENIED: DATE: Annexation Application.docx Page 3 of 4 revised 8/22/2025