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01/17/19
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z- LOCATION/ADDRESS
DATE
DOCKETED FOR MEETING ON
I, f : P,] f y , 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, W I t,,V , 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 L6At" R _ VU — DATE_ -Z 2- 2022
(IF THE ABOVE SIGNATURE 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.)