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01 /17/23
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRE SS:
3815 W. Roosevelt Road, Little Rock, AR 72204
DATE: A_ J 2 0 12
DOCKETED FOR MEETING ON:
1, WiIliam Holloway , do hereby rce / 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, William Holloway/ disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
APPLICANTIOWNER DA1'i: 26) Z V
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)