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01/17/23
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO.Z- LOCATION/ADDRESS�n�r1��V 1tI�►�ri=
DATE
M
DOCKETED FOR MEETING ON
I'NOI& do hereby agree(Jisagre to dedicate to the public
any nccdt4 right-of-way as 1-eq-t-iii-A by the Master Street Plan for a pu is street abutting property on
which I am requesting zoning.
I, , agree isagree to provide at my expense an
easement died and/or other documentsJs necessary conveying suc13 right-of-way to the public.
APPLICANT/OWNER .�tq_nntkjDATC
`DZ4
(IF THE ABOVE SIGNATURE REPRESENTS A9 APPLICANT OTHER THAN THE TITLE-
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
IN BEHALF OF THE TITLE-HOLDER.)