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01/17/23
CASE NO. Z-
DATE
STREET RIGHT-OF-WAY
AGREEMENT
LOCATION/ADDRESS i 31 s $'e'X"'J z_ 6-:
DOCKETED FOR MEETING ON j � -' q }-3 "
I,..i , do hereby gree disagree to dedicate to the public
any need d right-of-way as required by the Master Street Plan for a public street abutting property on
which I am requesting Planned Zoning District.
afire disagree to provide at my expense an
easeme 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 THE TITLE
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
IN BEHALF OF THE TITLE-HOLDER.)