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CASE NO. Z—
DATE
STREET RIGHT-OF-WAY
AGREEIVITill I
LOCATION/ADDRESS L `) 7a C oL 1>r%4 le. L—
QAc �
DOCKETED FOR MEETING ON \4j L�? S l
I, FePf540 fl�ti � o P(1 �, �-T D , do hereb 49)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.
1 P46 � r ' [= i L 4re isagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right -of --way to the public.
APPLICANT/O`►�VNER
DATE
�(IF THE ABOWE 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.)