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RE~~t of Way & Easement Vacation --Application <br />~~'~~ -- Planning <br />& Development <br />Planning <br />Please complete the following required information. If any of this required information or material <br />is missing or incomplete, the application will not be processed. If au have an uestions about <br />Y Yq <br />filling out this application, please contact the staff at the Permit and Information Center 2~4 East <br />Broadway, 657-5086. Also, please note the ,information required an the attached a lication <br />PP <br />information sheet, <br />Please indicate type of vacation request: <br />Street Right-af Way ~) Alley Right-of-Way Q~ <br />Public Utility Easement ~,} Uaim roved Plat <br />p ~} <br />Assessor's Map and Tax Lot Numbers} of the property in the request, or directl abuttin the area <br />y g <br />to be vacated in the case of a Right-of-Way Vacation. <br />Map # 1 `~,~; o - 3 f - ~ Lot # ~~dMap #~ 7~~~ 31-1 ~ Lot # '~ X04 od ~ o <br />. Right-of way or easement location (please be specific}: ~~, ~, ~ f ,~ <br />av ~'ro~r <br />~~ ~3QO ~~d ydo ~~r-~rn G+~ ak~~ ahd r" '~ ' ~d~ ~ rpri* p <br />0 G-r~o~ d <br />q <br />Area of Request: ,__ 0 9 ~_„ ,.,,.,,~,,,,,,~,.,.,.,_~_ square feet GR acres. . <br />I tWe} the undersigned acknowledge that the information supplied in this a lication is com fete <br />PP P <br />and accurate to the .best of my (our} knowledge. <br />t~WNER Phone: ~ 54i } 6~'u--.~GOl REPRESENTATPL~E Phone: <br />L~:.~a~~ ~b:i.L, P~ e~id~r~c Claudia P1a~a, vTice Preside~~t <br />Name: ~~~~ Iw~du~ t~ ies ~.i7.c . ~ Name: 5 tiz Street Public Markel. <br />Address.: P ~ ~ ~ v~r~ ~135~ ~ Address: Z9~ Last 5th Ave. NBU 11-15 <br />Cityl Cityl <br />State: ~u~~~i~~~ ~~~ State: a~ ~f <br />Zip; ~ 7401 <br />G ER SIGNATURE <br />r <br />Continued on back-~ <br />Zip: 97401 <br />R PRESENTA SIGNATURE <br />APR 261996 <br />BUIL6ING & PERMIT SERVICeS <br />CITY OF E~JGENE <br />