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O1/17/2019
CASE NO. Z-
DATE I -w'ZZ
DOCKETED FOR MEETING ON
STREET RIGH I A)F WAY
AGREEMENT
LOCATION/ADDRESS W 60%5&�
WS IC I
I, CO /ttterft< , do hereby ee isagree 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, �iD��i���.s ee isagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
LICAN OWNER S0� lJ1I` k ��C l�liyQµoM Jv^4 DATE r%1 g' Z Z.
(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.)
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