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cup,doc
01/17/19
CONDITIONAL USE PERMIT
STREET RIG11T=0F=WAY DEDICATION AGREEMENT
LOCATION/ADDRESS:
DATE:
14 1];. s WC1 S- L14 .k4-IL &Xh�'�
DOCKETED FOR MEETING ONO. a 13 � lox
E
I, do hereby agree 1 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,
Iq , agree 1 disagree to provide at my expense an
easement need and/or nth
APPLICANT/OWNER
er documents as necessary conveying such right-of-way to the public.
4
DATE
a co 1 01di-3
{If the above si;naturc represents an a�plicant, attachment of a letter is required authori�ing this
person to act in behalf of the title-holder.]
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