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CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREE
LOCATION/ADDRESS: C�705 W. 121h Street, [Rile Rack, AR 72204
DATE:
September 8, 2022
DOCKETED FOR MEETING ON: _.
01l17119
1 Marcie L.jcter do hereby agree / disavM dedicate to the
public any needed right-of-way as required by the Master Street Plan Ibr a public strc4t abutting property
owned by me adjacent to the properly requested for a conditional use permit.
1 Marcie L. jeter agree / disagree to provide al my expense an
easement deed and/or other documents us necessary conveying sue rig t-or-way to the public.
4_ 0 A` 7 I8-2022
APPLICANTrC)WNLR CUV_ t DATE
(Ir the above signature represents an applicant, attachment of a letter is requiredI
authorizing this
person to act in behalf of the title-holder.)