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f `PSCPDEi., 7.'R <br />p 9 X-KX=ZTAIS COUNTY <br />DEPARTMENT OF PUBLIC WORKS <br />10MTAS N Mark Cook, Director <br />ROAD VACATION APPLICATION <br />Pursuant to KCC 12.22 <br />NON REFUNDABLE FEE - $2,000.00 CGI&CO t 17 -7 <br />REQUIRED ATTACHMENTS: n_ 4 OW <br />• Map(s) and document(s) of proposed road vacation (see Instructions for further qeta4l <br />• Map(s) showing land owned by each petitioner. x: "° w <br />FOR STAFF USE ONLY: NOV 1 <br />APPLICATION RECEIVED BY: DATE: t r,DATE $1-AMP'HERE <br />The following landowners (freeholders that reside in the county road vicinity) petition Kittitas County to <br />vacate and abandon the following county road or portion of county road: <br />g.�'X�N06G( <br />Road Name: EAST F3G17NDo44LE ec4y, beginning at: 1EQ Anr%j�t t;> DppWiFI4 S <br />War. C>0 W4 Eu- PLAT <br />/tA i DDtE Fa2K-('E,M..rq�U,a ending at: <br />Tax parcel number(s) adjacent to proposed road vacation: <br />1. List of petitioners (attach additional sheets as needed): <br />Name: Jt; F4" <br />f3u-rc 5 <br />Mailing Address: 3446 -DQ& 'O-VV,A'-( /141VV'L.E t=o2K LcrTz.&, SLK i <br />City/State/Zip: cL=L1W' \V,c,-T 0q'2z <br />Day Time Phone: Scxy 24-v izl� <br />Email Address: <br />I certify that l am familiar with the information contained in this application, and that to the best of my <br />knowledge and belief such information is true, complete, and accurate. l further certify that I possess the <br />authority to undertake the proposed activities. <br />Petitioner: <br />411 North Ruby Street, Suite 1 <br />Ellensburg, WA 98926 <br />Last Revised on July 8, 2016 <br />Page 1 of 3 <br />Date: <br />►1- l�o')Lo <br />TEL: (509)962-7523 <br />FAX: (509) 962-7663 <br />