HomeMy WebLinkAboutHDC1999-017 Signed Affidavit And Signed Release Of Liability 04/07/1999City of Little Rock
HISTORIC DISTRICT COMMISSION
AFFIDAVIT
As the applicant for a Certificate of Appropriateness (COA) before the Little Rock Historic
District Commission, I elect to utilize this method of notification of affected property owners due
to the declared state of emergency conditions in the MacArthur Park Historic District.
I understand that a licensed abstractor is required ordinarily to certify a list of the affected
property owners as a component of my COA application; however, under the emergency
conditions, I certify and affirm that the following signatures represent:
property owners of adjacent properties or �operty owners within 150 feet
I certify and affirm that the affected property owners have been notified of my COA application
for the subject property located at the following address:
I certify and affirm also that the affected property owners: a) have been notified of their
op o� ity tg attend the public hearing concerning my application that will be held on Thursday,
A�P1999 in the Sister Cities Conference Room, City Hall, 500 W.
Markham, Little Rock; and b) have been informed that they may contact the Historic
Preservation Administrator at 244-5420 for further information concerning my application.
SIGNATURE OF AFFECTED
P PROPER OWNERS
d.�
ADDRESS
ti
City of Little Rock
HISTORIC DISTRICT COMMISSION
RELEASE OF LIABILITY
I also understand that, having elected to utilize this method of notification, it is solely my
responsibility to determine the identity of and provide notice to, all affected property owners. In
the event that an affected property owner has been inadvertently omitted from the above -
referenced listing, I understand that the omission may affect the disposition of my application for
a COA. In recognition of my responsibilities, I hereby release the City of Little Rock from any
and all liability that may result in my use of this method of notification to property owners.
SIGNATURE OF APPLICANT
l Date
STATE OF ARKANSAS )
SS
COUNTY OF PULASKI )
SUBSCRIBED AND SWORN to before me this day of
1999.
My Commission Expires:
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