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01/17/19
CASE NO. Z-
DATE
STREET RIGHT-OF-WAY
AGREEMENT
LOCATION/ADDRESS 56 (P 14/,61
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DOCKETED FOR MEETING ON b l r 1
I, 6[nrCA y� CQz _, do hereby re 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 zoning.
I, G. • grr /disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
APPLICANT/OWN _ DATE _q I � ~
(IF THE ABOVE SIG ATURE 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.)