HomeMy WebLinkAboutStreet ROW Form 022823V
cup.doc
01/17/19
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS: V, 2,6// -_
72
DATE: k Oz j 28' Z 3
DOCKETED FOR MEETING ON:
do hereby a e disagree to dedicate to the
public any needed right-o -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, a ,agree / disagree to provide at my expense an
easement deed and/or othe documents as necessary conveying such right-of-way to the public.
APPLICANT/OWNER��
DATI _c
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)