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01/19/23
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z-
DATE 1
DOCKETED FOR MEETING ON
AP
LOCATION/ADDRESS 5 (' ` e�
1, r�� � i JW- _ do hereby agree/disagree to dedicate to the public
any need right-of-way as required by the Master Street Plan for a public street abutting property on
which I am requesting Planned Zoning District.
1, , agree/disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right -of --way to the public.
APPLICANT/OWNER DATE
(IF THE ABOVE SIGNATURE REPRESENTS AN APPLICANT OTHER THAN TIME TITLE
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
IN BEHALF OF THE TITLE-HOLDER.)
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