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01/17/19
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS: 8806 Mabelvale Pike, Little Rock, AR 72209
DATE: 1
DOCKETED FOR MEETING ON:
do hereby gree / disagree to dedicate to the
public any needed right-of-way as required by the Master Street Plan fbr a public street abutting property
owned by mejadjacent to the property requested for a conditional use permit.
1� J&
I, ,ei .(2> disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
APPLICANT/OWNER ,/� aGZZ�r, DATE q A Z
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)