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APPLICATION FOR A
CERTIFICATE OF APPROPRIATENESS
Application Date: 07 Ty5-
1. Date of Public Hearing: day of 2000 at
P.M.
2. Address of -Property:
3. Legal Description of Property:
4. Property Owner (Name, Address, Phone, Fax):
1.3a a (710 1, r l S- 1rr --)
5. Owner's Agent:
6. Project Description (additional pages may be added): � C 1
16
7. Estimated Cost of Improvements: 0 J q 5-
8.
8. Category of Work: I
9. Notification Requirements: --IL
10. Signature of Owner or Agent:
II III IV (Staff use)
Yes (properties within 150 feet) No
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Little Rock Historic District Commission Action (to be completed by staff):
— Denied _ Deferred _ Approved X Approved with Conditions
Staff Signature:
NOTE: Should there be changes (design, materials, size, etc.) from the approved COA, applicant shall notify
Commission staff and take appropriate actions. Approval by the Commission does not excuse applicant or property
from compliance with other applicable codes, ordinances or policies of the city unless stated by the Commission or
staff. Responsibility for identifying such codes, ordinances or policies rests with the applicant, owner or agent.
Little Rock Historic District Commission + Department of Housing and Neighborhood Programs
500 W. Markham Street, #120W + Little Rock, AR 72201 + Phone: 501-244-5420 + Fax: 501-399-3461