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01/17/23
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS:
DATE:
x rq(A% �+
DOCKETED FOR MEETING ON: + VY—)
I, do hereb agree disagree to dedicate to the
public any needed right-of-way as required by the Master S an for a public street abutting
property owned b me adjacent to the property requested for a conditional use permit.
I,i eagree1 disagree to provide at my expense an
easement deed and/or other documents as necessary cg such right-of-way to the public.
APPLICANTIOWNER DATE a'
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)
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