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EASEMENT DEDICATION SHEET (To be filled in and submitted with construction plans and specifications for preliminary review) ON TO REQUESTED BY: '0 10. N EXT. - 3 45 g____ (City Department and Name f erson to Co tact) ACCOUNT NO. ©0 1 -4 "33 - - Cal 0 PROJECT NO, /V - (For ordering title work, appraisals, etc.) TYPE OF EASEMENT: ✓ Public Utilities (PUE) Temporary Blanket PUE (prior to building permit) SPECIAL INSTRUCTIONS; REVIEW AND APPROVAL REQUIRED /GIVEN BY THE FOLLOWING DEPARTMENTS: Approval Required By: Electric Approval Given By: Electric Water/WW (please initial) WaterfWV +/ Asst. City Engineer. Asst. City; ev (City Staff — t LETED BY APPLICANT I - J v ud� ,actly as they appear on the de r:5 ADDRESS: _L 00 (,, o d d J Pl a ,Z& O PHONE NUMBER: (Pb - 00 -4 ou5toy) - ry 7r1 006 THIS SECTION TO BE CO \ PROPERTY OWNER(S): V \I t I r) G G(rfw ALL LENDERS (Please furnish copies of all lien documents): (Names and Addresses) IF OWNER IS A CORPORATION, PARTNERSHIP, OR JOINT VENTURE (also see #4 below): 1. State of Incorporation /Registration - TLCa/-3, 2. Partners' Names (if applicable) /t/14 3. Person Authori to Sign 0J a 0f r ct / ( U T A &I dpTt (Name and Title) LEGAL DEPARTMENT MUST BE PROVIDED WITH THE FOLLOWING: 1. A copy of a recent (within 90 days) deed or title insurance policy showing the names of the grantors /owners; and 2. For unplatted property, a signed, sealed and dated metes and bounds description and a diagram of the property showing the location of the easement; or 3 For platted property, a copy of the plat showing the lot, block, subdivision, and recording information. 4. For blanket easements, a signed, sealed and dated metes and bounds description and a diagram of the property. 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. 6. Name, address and phone number of person who is to receive the easement and be responsible for getting it executed: I ny land acquisition resulting from Capital Improvement Proiects requires a hlo: Ideve_serlforms12002 internet applicalionsleasement dedication sheet.doc 8/01/00 Weingarten Realty Fax :713- 866 -6066 09/13 14:35 F *:m: 8ridgette George Oct 21 2002 13:58 979- 754 -3895 Page 2 of Z P. 02 THIS SECTION TO 13E COMPLETED 19Y APPUCANT PRi 1PFRT7 l r{rVIVFFfIti�' �I�. r� �0 . r EM c r t ADDRESS: &(t zCL bt' NUMBER: - )(3 U " LENDERS (Plmase tumish coves of au T ien documenic): (M1tames ana dressas? IF OWNER IS A CORPORATION, P ARTNERSHIP, CSR JOINT VENTURE (alas see#4 below): C 1, Staie of Intarporabon/Rag etratian Q 2, ParOers' Names (if applieftle) 3. Pemn Authorized to Sign LEGAL DEPARTMENT MUST" ISE PROVIDED NTH THE FOLLOWING: A copy of a recant (whin 90 4W) deed orttWo Insurance palb y shawingthe rgmes of the gmntcMfthers; and For unOW4 prnperiy, a slg * 4 sealed and load mebm and bounds desedptlen and a dlegram of ttw property showing the location of the easement; or J4 por ptaited property, a notly of the plat shaving the iot. black, subdivision, and recording Information. For blanktt e6 "•rinmts, it signed, seated and detad metes and bounds desaripttan and a diagram of the property, Corporate or partnership ov ners mast furnish a Copy of a corporsk resakrtlon or other prof of authority to alga on tehff or ttNi r orp*r;i4tA, partnership, ar joint venture, 19 Name, mess and phone mutter of person who is to receive the aaoewnesnt aed be repponslble for godlng � %tN*0Uied; _ - )I3- Any land a:tllrrsltrGJJ MfitI p iForn M a nor)! lml»,'rMenr PM'aafv -t?" ll: A — wit Lwvf r id cpsrmrerrt, � h8�'+6�Pldawrinr+huaru dGJ�'JCesrlearrh dedicr�Jon s3mr 'O.t. EASEMENT DEDICATION SI4EET (7o be filed In end suhmiited wkh w%drut iion plans and specificatieme for prdi nlndry review) 240,000 SQUARE FEET 5.51 ACRES LOT 5 PARKWAY PLAZA, PHASE 7 VOLUME 479, PAGE 691 D.R. B.C. T. S 4 35535" W 511.5 0 40' 60' 80' SCALE IN FEET PaNT OF COMMENCEMENT 112 - IRF I ' I I� I° N43'55'35 138.01' N — — — t N 46'04'25"W" `— -- - -- „ - - 10.00' S43'55 35 W --F- —� 1 10.0 138.01' 10' UTILITY EASEMENT -J 1,380 SQUARE FEET I II 0.032 ACRES �I4 III 380,546 SQUARE FEET °p ) 8.74 ACRES LOT 3 PARKWA Y PLAZA, PHASE 7 VOLUME 479, PAGE 691 I I N D. R.B. C. T. ( II o ,� KROGER FOOD STORE II I� FFE = 288.49' 5' U7furY EASEMENT ro LANE STAR GAS COMPANY (NXUME 369, PACE 137) II I 30' PR / VA 7E ACCESS EAmmmr II (VOLUME 479, PAGE 691) X =FND F N 4355:35" E 150.00' 11 1 II 112 iRF 3 I h I J5,000 SQUARE FEET I I I 0 RES 1 � I OT i PARRKWA Y RLAZA, PHASE 7 I d N L I 9, PAGE 691 D.R.B. C. T. am� IrPLAZA AMl.M E f0' U7fuTY EASrww TO 7HE arY Or COCLECE STAAONI, 7X. (PM UME 304, PAGE 70) �o 0 Z � I O � � I W W ti Q � Q Q N'. "- L J W Q Q U7XfrY EASEMEW E*W A 1 O►F 2