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01/17/19
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS: 550Cp '8Q &aJ Lt'_V W
DATE: d 0(4letZ02-
DOCKETED FOR MEETING ON: r 06" °� 1 � 2L)
Z, T. -,do hereby gree 1 disagree to dedicate to the
public any needed right-of-way as required by the Master Street Plan or a public street abutting property
owned by me adjacent to the property requested for a conditional use permit.
I, V►I�-�'��� gree 1 disagree to provide at my expense an
easement deed and/or other document' necessary conveying such right-of-way to the public.
APPLICANTIOWNER !� Un'1T U s 24
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)