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HomeMy WebLinkAboutHDC1997-003 Certificate Of Appropriateness 03/18/1997City of Little Rock APPENDIX B _ SAMPLE COA APPLICATION HISTORIC DISTRICT COMMISSION CERTIFICATE OF APPROPRIATENESS 1. ADDRESS OF PROPERTY: 2. LEGAL DESCRIPTION: 3. OWNER (NAME & ADDRESS): 4. AGENT (NAME ANr ADDRESS) : 5. 6. PRrDJECT DESCRIPTION: -1 t r> s •• CATEGORY OF CHANGE: NOTE: To be determined by staff 7. ESTIMATED COST OF IMPROVEMENTS: 8. NOTIFICATION REQUIREMENTS: All Properties Within 150 Ft. Adjacent Property Owners __X_None NOTE: Form attached; Notifications must be received 10 days prior to the meeting date; proof of notification must be received by staff 2 days prior to the meeting date. 9. SUBMISSION REQUIREMENTS: Attached 10. DATE OF MEETING: 11. SIGNATURE OF OWNER OR 12. DATE OF APPLICATION: 19 , P.M. ------------------------------------- STAFF SIGNATURE: NOTE: Approval by the Historic District Commission does not excuse the applicant, owner or agent from compliance with any other applicable codes, ordinances or policies of the City of Little Rock unless expressly stated by the Commission or its staff. Responsibility for identifying such codes, ordinances or policies rests with the applicant, owner or agent. C:v TYPE OF WORK NO APPROVAL REQUIRED COA REQUIRED BUILDING PERMIT REQUIRED Satellite Dishes X X Screens X Shutters X Sidewalks X X Siding X X Signs X X Skylights X Solar Collectors X X Staircases (exterior) X X Steps X Storm windows, storm dooms, security doors X Swimming pools X X Weatherstripping, caulking X Windows alterations to sash, skylights, etc ......................... X X 64 /A J C5 r � cl�L ��15� ,2!�, Z—\ .;� !_5 V