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i. pk <br />0 <br />¢ate 4B <br />6��11":�1:1 ail '� I tlii 1"(_li,l l �'tulL <br />R�tarsi V�ac�ition � �liC�.�ticrl <br />(i <br />Agglicant I Deslgnated Agent <br />Name <br />Addrei <br />Phone Number .J d 4 — YY 9 — U / 1- 5' <br />ProRerty Owners Adjacent to Vacated Area (If Necessare, attach more sheets for <br />additional information.) <br />Name — �) ?t L �� /4 �, ( ✓+ <br />Address /i+c X 1^4Sf <br />Phone Number C c <br />Name <br />Address l o C(" ` Olp" I b'-'tt W4. q y4i <br />Phone Number ) U ( cj <br />Location (Any of the following, )please be as accumts as possible) <br />Kittitas County Public Works is willing to assist with this process if the applicant or designated agent <br />requests assistance. <br />Legal Description: <br />ro j ll,,.7 <br />l s t <br />stet <br />411 N. Ruby, Suite #1 TEL (509) 962-7523 <br />Ellensburg, WA 98926 FAX (509) 962-7663 <br />