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01/17/19
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z- 14160 —A 6 LOCATION/ADDRESS DM N
� a�5
DATE 13 f 1p at) a]
DOCKETED FOR MEETING ON I 13 a �-
I, a n; Q' :'v A l- 'sD n , do hereby agree isagree to dedicate to the public
any needed right-of-way as required by the Master Street Plan for a public street abutting property on
which I am requesting Planned Zoning District.
1�Cv A�SDY\ , agree 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 C� DATE
(IF THE ABOVE S1 TATUR\SE REPRESENTS AN APPLICANT OTHER THAN THE TITLE
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
IN BEHALF OF THE TITLE-HOLDER.)