HomeMy WebLinkAbout02-00500102- 0007328005/2310 15:07 Prom: Bridgette George 979-764-3895 Page 5 of 5
EASEMENT DEDICATION SHEET
(To be filled in and submitted with construction plans and specifications for preliminary review)
THIS SECTION TO BE COMPLETED BY APPLICANT
PROPERTY OWNER(S): C W"e S t~N Pow,6 oso-
INames'must tie exactly as they appear on the aeeaj
ADDRESS: S o05 ~IC 1161~ ASS PHONE NUMBER: ?13 6a 6 - f3-1
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ALL LENDERS (Please furnish copies of all lien documents): SUI ""V' NAlbll l ~uJt ,
nn (Names and Addresses)
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IF OWNER IS A CORPORATION, PARTNERSHIP,,' OR JOINT VENTURE (also see 04 below):
ri. Clete a9 lnee~eera4ien,rr~egie4~etliah L'y,~d l Pa ars~,b
2. Partners' Names (if applicable) (e,Atk4~ P~a A. P te. l and brQ(O f
3. Person Authorized to Sign, ltvAe4 C~ 0 g'eS'-AA"
(Name anTrtTeT
LCCAL DCPARTMCNT MUST DC FROM= WITI I TI IC FOLLOWING,
I . A copy of a recent (within 90 days) deed or tftle 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:
Any a ecqui on res ng m Capital Improvement Projects requires a meeting with ft Legal Department.
bgtp: 4roupldevefopmleaseme--2. doc
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