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01/17/2019
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z-
DATE
DOCKETED FOR MEETING ON
' -�j SZt 5 I
LOCATION/ADDRESS '�
do hereby agrq�/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, , 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 rl . ��- �� k- DATE I 1 a
(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.)