HomeMy WebLinkAboutStreet ROW Agreement 091725rezon.doc
01 /17/23
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z- /O�� LOCATION/ADDRESS
DATE Z %�
DOCKETED FOR MEETING ON
I, t� / , do her y agree/ ' agree to dedicate to the public
any needed right-of-way as required by the Master Street Planlan odic street abutting property on
which I am requesting zoning.
<'a ree/ ' ree to provide at my expense an
easenTent deed and/or other documents as necessaryconveying such right-of-way to the public.
1�t
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.)
rezon.doc
AFFIDAVIT
01/17/23
I, certify by my signature below that I hereby
authorize/,�9j�S 6li�G%yto act as my agent regarding the
0 of the below described property.
Property described as:
Signatu of Title-ffolder
Subscribed and sworn to me a Notary Public on this
My Commission Expires:
C2 - 1�5_ U
BENJAMIN LEWIS WELLS
Notary Public -Arkansas
Saline County
My Commission Expires 06-18-2029
Commission # 12707853
V_J
Date
Notary Public
day of