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01/17/19
CASE NO. Z-
DATE 4 3 211OZ-7-7
DOCKETED FOR MEETING ON
STREET RIGHT-OF-WAY
AGREEMENT
LOCATION/ADDRESS 173a
N </M r s �w
I, �l 5;/k C , 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 on
which I am requesting Planned Zoning District.
agree/disagree to provide at my expense an
easement deed d/or other documents as necessary conveying such right-of-way to the public.
APPLICANT/OWNER ' DATE
(IF THE ABOVE SIGIL4RE 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.)