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I .. I3ITTZTglS CDiTNT7� <br />DEPARTMENT OF PUBLIC WORKS <br />ROAD VACATION APPLICATION �� <br />Application for: U Road Vacation $3,888.00 Payment Method: eCheck � ❑Cash <br />y ❑ Credit Card <br />Applicant Name N- Permit # Kt) - ab - <br />Mailing Address ft LPJ 1 LD k l Q0 & uD S;'w <br />S-5 S, <br />Phone Number <br />Email Address^1��1� <br />EFT <br />i irk,. ♦ �,t <br />S e i ' `j - Uri'- DATE STAMP <br />Please be as accurate as possible. For assistance with the Location or Legal Description of the requested County <br />Road Right -of -Way Vacation, Applicants or Designated Agents may request Kittitas County Public Works to assist <br />in this process. <br />Location of requested Road VacatioC7C,j ee� t �'r v'd ij___' i� 5-] <br />cvy,d -T-4g pc,--AJ<in$ Io#U $3q I S f— 903 <br />Legal Description: <br />Vacated from Mile Post <br />Vacated from end of Driveway at 3S3 <br />to Mile Post <br />?-S44C� to Driveway at 9 O <br />Reason for Request:To o fie' ak:, e— cx�v O L <br />SJ <br />Additional Comments: <br />l <br />I have attached a site map with details of the requested County Road Right -of -Way to be vacated. <br />❑ I have attached the required signatures of ten (10) freeholders residing in the vicinity of the <br />requested County Road Right -of -Way Vacation, pursuant to Kittitas County Code 12.10.030. <br />Applicant Signature Date 2 20 Z ._ _ — <br />