HomeMy WebLinkAboutApplication and affidavitL
PLANNING & DEVELOPMENT
AUTHORIZATION OF REPRESENTATION AFFIDAVIT
I I�kGc-isr�51-fM'�— r rr"' �sij fI 142—ST �c—do hereby authorize
Property owner (print)
k-K4 to represent me and my interests in an
(print Agent's name and business)
Application for I-A017'
(type of application(s))
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.
Property described as:
Street Address:
Title Holde s Signature Date
Agent's Signature Date
Kv
1 —7
Subscribed and sworn to me, a Notary Public on this day of-K
Vh G
►►►�tiitirsr rrrrrrrr
Q •'coma�.ExP•.��'
No 3636761=
My Commission Expires: I+�''
LUPLAN2023.docx Page 3 of 3 revised 2/9/2023
PLANNING & DEVELOPMENT
APPLICATION FOR A LAND USE AMENDMENT
Application is hereby made to the Little Rock Board of Directors, through the Planning Commission, pursuant to
the provisions of Act 186 of 1957, as amended, petitioning to change the Land Use classification of the following
described area:
Legal Description:
Street Address:
Title to this property is vested in:
Property owner (print) '
If an individual other than the title owner(s) files this application, attachment of form "Authorization of
Representation Affidavit" is required for each owner.
It is desired that
�the boundaries shown on the Land
AAUse
,,, .Map be amended
��and that this area be reclassified from
the present �+'TI(k 0 � classification to0-�l!���ciassification.
Present use of property:
Proposed use of property
Applicant/Agent Name:
Applicant/Agent Address:
Psi DbWf A4-
(to verify requested classification is appropriate)
(;'"UW,&C-aa.r— fo . —'-17
T_&t;1MA_
i,�
Applicant/Agent City: State: zip: 7 x'2,
Owner /Agent Daytime Phone: Email: Wl S"f'�Qt �C.•.
Planning Commission Docketed for
File Number LU
Planning Commission Action:
Approved: Denied:
Date:
DO NOT FILL IN - FOR STAFF USE ONLY
at pm.
Board of Directors Action:
Approved: Denied:
Date:
LUPLAN2023.docx Page 2 of 3 revised 2/9/2023