HomeMy WebLinkAboutHDC2010-017 2 Certificate Of Appropriateness 08/31/2010jYr
LITTLE ROCK
f'ri�l lip HISTORIC
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DISTRICT
COMMISSION
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
I, a -,JC nlua�
Property owner (print)
r
Ag nilrepresentative name and business (print)
do hereby authorize
to represent me and my interests in an
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:
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Title Holder`s Signature
Agent's Signature
ZW, h o
Date
8 3/kio
Date
Subscribed and sworn to me, a Notary Public on this sl day of �u�v� C
Coeur:--'.r:f.:
Notary Public
My Commission Expires: 41a400l s