HomeMy WebLinkAboutHDC2011-006 Certificate Of Appropriateness Authorization Of Representation Statement 02/22/2011�A LITTLE ROCK
HISTORIC
DISTRICT
COMMISSION
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RECEIVED
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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
AgentlrepresentaWe name and business
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:
T4164-ivlder's Signature
4
Agent's Signature
Date
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Date
J
Subscribed and sworn to me, a Notary Public on this a �) day of b
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My Commission Expires: q � (10
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'Notary Public
Revised 7/2009