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01R9/23
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z- LOCATION/ADDRESS
DATE
DOCKETED FOR MEETING OfN'(�
'!ram" do hereby agree/disagree to dedicate to the public
any needed right-of-way as required by the Master Street Plan for a public street abutting property on
which I am requesting Planned Zoning District.
11 . -- -. , agree/disagree to provide at my expense an
easement dcW and/or other documents as necessary conveying such right-of-way to the public.
APAI,ICANTIDWNER_ __ DATE 12
(1F THE ABOVE SIGNATURE REPRESENTS AN APPLICANT OTHER THAN THE TITLE
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
1N BEHALF OF THE TITLE-HOLDER)