HomeMy WebLinkAboutEasement ApplicationEASEMENT APPLICATION
To be filled in and submitted with construction plans and specifications for preliminary review
(Not to be used where City is purchasing property)
THIS SECTION TO BE COMPLETED BY CITY STAFF
PROCESSED BY: DEPT. EXT.
REQUESTED BY: DEPT. EXT.
ACCOUNT NO, PROJECT NAME:
(For ordering title work, appraisals, etc.)
PROJECT NO,
TYPE OF EASEMENT:
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.. . (City .Staff -Name/Dept.
THIS SECTION TO BE COMPLETED BY APPLICANT
PROPERTY OWNER(S): (r.l 1 L r re ) �� (g i� N YJ �11 L_t TO
(Names must be exactly as they appear on the deed)
ADDRESS: ) U l N D✓Z 6 g,US L jntrJt_ PHONE NUMBER:
ALL LENDERS (Please furnish copies of all lien documents):
(Names and Addresses)
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IF OWNER IS A CORPORATION, PARTNERSHIP, OR JOINT VENTURE (also see #5 below):
1. State of Incorporation / Registration
2. Partners' Names (if applicable)
3. Person Authorized to Sign
LEGAL DEPARTMENT MUST BtfROVIDE15- VITH THE FOLLOWING:
(Please check items that are attached)
r[%1. A copy of a recent (within 90 days) deed or title insurance policy showing the names of the grantors / owners; and
r 2. For unplatted property, s signed, sealed and dated metes and bounds description and a diagram of the property
showing the location of the easement; or -
r✓3. For platted property, a copy of the plat showing the lot, block, subdivision, and recording information,
r✓4. For blanket easements, a signed, sealed and dated metes and bounds description and a diagram of the property.
F 5. Corporate or partnership owners must furnish a copy of a corporate resolution or other proof of authority to sign on behalf
of the corporation, partnership, or joint venture.
rV6. Name, address and phone number of person who is to receive the easement and be responsible for getting it executed:
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bgs\o:\deve_ser\applications\current�olanning\easementapplication.doc I.. Print Form... a i Rev. 07-29-08