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01/17/19
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS: 6105 Father Tribou Street, Little Rock, Arkansas 72205
DATE: August 15, 2022
DOCKETED FOR MEETING ON:
I Grant M. Cox , 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
owned by me adjacent to the property requested for a conditional use permit.
I Grant M. Cox aluee�/ disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
'___4� APPLICANTIOWNER / ! ! C. DATE �iZ
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)