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01/17/23
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS: K 9510 d 'splr
DATE:�ep-)oAw o5o �_v 2_14
DOCKE ED FOR MEETING ON: 20 2_L ' _
disagree to dedicate to the
public any n eded 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,� �� 11V4 A 7, %� �.�2gree / disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
APPLICANT/OWiVER,L
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)