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01/17/23
CONDITIONAL USE PERMIT
STREET RIGHT-OF-WAY DEDICATION AGREEMENT
LOCATION/ADDRESS: -� �- L1 LVJ� L� 2 Z0
DATE: A, i
DOCKETED FOR MEETING ON: '>t-.. O - �• T - 2 �!
I, A, be ►r Q �`� S �� �-ti1 do hereSagree 1 disagree to dedicate to the
public any needed right-of-way as required by the Master an for a public street abutting
property owned by me adjacent to the �ra�jperty requested for a conditional use permit.
I,,A bEw, P. (rtr s iC---V� grr�ee-1`,disagree to provide at my expense an
easement deed and/or other documents as necessary opnveyuig such right-of-way to the public.
APPLiCANT10 DATE
(If the above signature represents an applicant, attachment of a letter is required authorizing this
person to act in behalf of the title-holder.)