HomeMy WebLinkAboutAuthorization of Representation�y of 4.ITT(,F,PO
PLANNING & DEVELOPMENT
ANNEXATION
AUTHORIZATION OF REPRESENTATION AFFIDAVIT
I, 11AsIJCL t.-ILLEIIS l$£PQ.�S,' in1(' �A'I1taaUi i' 2'tfl� �S1 dohereby authorize
Property owner (print)
'nAnEG ISpM CrA L M r�flp Anl4 to represent me and my interests in an
(print Agent's name and business)
Application for Ant tic, Y. A 1 i no on the following property described below.
(type of opplication(s))
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: --59 i LE?CHEQ kb (_j 7(G Qcck nP- Z'L L36
Title Holder's Signature
Agent's Signature
CA. AA 2C)25
Date
Date
oZSubscribed and sworn to me, a Notary Public on this day of g kaii`
otary Public
My Commission Expires: t
�KALLY D. ROBINSON
ARKANSAS NO,AR5184180
PULASKI COUNTY
AGBL <, Commission Expires 1.10.2030
Annexation 2023.doce Page 3 of 3 revised 2/9/2023