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STREET RIGHT-OF-WAY
AGREEMENT
01/17/19
CASE NO. Z- LOCATION/ADDRESS �8 (2 W' 7'K Sr• L: ke_ 4K A t� '� nd S—
DATE;
DOCKETL•'D FOR MEETING ON
I, � Q.S�
do hereby agree/disagree 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.
I T4 50'A bur* 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 DATE 1
(IF THE ABOVE SIGNATURE REPRESENTS AN APPLICANT OTHER THAN THE TI'T'LE
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
IN BEHALF OF THE TITLE-HOLDER.)