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`ca\�.cnu'nnrs is nrr.r;qr� <br />MKII=aw�� Q7�vJ-Bn °gP <br />1- DEPARTMENT OF PUBLIC WORKS <br />KOTR�5 M4M\' <br />Road Vacation Application <br />Fee. $4205.00 el�LL* Ia\- <br />\)eCMr -�- �\Q- �\-00001 <br />Applicant/ Designated Agent <br />T 2r <br />Name, �S�..y�v�So ✓� `�1� � 7 2 4� E% ye, �zt"' �(N <br />Address 3c) Tl\rEc- GL�IceS F\D t,t� <br />Phone Number y Z 5 3 C i— 'S -L 5 <br />PropedX Owners Adjacent to Vacated Area (if Necessary Attach more sheets as needed.) <br />Name $u51. ? 1,CILCy 6e_. 5C; IN, <br />Address 7- 1 i k-'.' e e L ltic S O' 0 Cie F) Ltir� <br />Phone Number y Z 5- �C, 1' S5 51- S <br />Name <br />Address <br />Phone Number <br />Location (Any of the following, Please be as accurate as possible <br />Miles County Public Works is willing to assist with this process if the applicant or designated agent <br />requests assistance. <br />Legal Description: <br />Pc�rctl 1;oI g 4 rww� y7t 33`4 <br />411 N. Ruby, Suite #1 TEL (509) 962-7523 <br />Ellensburg, WA 98926 FAX (509) 962-7663 <br />