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• I ^ “j n ' jir Znf>V.HtMH tJ (iiunnuDun <br />UT CUUi? <br />CC‘.*jUit FfGi‘-'ilVi* Or O’C^IOw^W ciTV or oiuiiin <br />y PRIVATE XfJAWAV RK'^UCST <br />tjr/i4j*;,( ;.JJJ f C0*>/»« f-tu <br />Cotilfsl 1(0, 0*-f " S^tf.. <br />I <br />A. <br />X . <br />% <br />The .%’iljj**nt cf chlu rtqvicsb in: <br />, an existf.nK private rand ’^ny. <br />0 prepoied private rcsOway whlr.li to bo created aa a <br />crinOttlon nf panding aubiiivlaion approval. <br />B. TM oVnat(v) of chi3 Ptivatt* Roadway and/or a ’I iSurfln^ ptoport7 <br />win bo fart) chft cA.naov(a) of th« foLlnwirj; dwecclbr.d preptrty: <br />C.tha obovo nvnat(s) heraby raqvjwac chat iMr Private Ruodwjy he <br />Hnewn by etit following n.ifr.a; <br />Choice Ho, 1 <br />.Choice Mo. 2 LAKiF. <br />Choice Ho. 3 gggil^/e/ig 2P/2.//>Hg <br />t>, <br />■ <br />(Lfee three choicna in order of preference, TKt City Covn-rll vin <br />approve a netiQ provided no eonlltcc cxl^la with axUclnA OAne« or <br />waevlng policy, 1.1 ill nomoe hovo a cont\lcC| y^xi will he ashed to <br />naWa naw choices. Th« approved J3as»*i will hi usee! fot all inalling <br />eddrasj and official idcnclficocloa purposea,) <br />7ha gbavt oamexfP) Hatoby ciqiioab the City of.Orono to install tha <br />iollooflrg atanderd atreat and rrafflc lignj and ad id ownot(a) hoteby <br />dgrpc tu fMnbufee the City foe all costs of aaid Inscallaiion, <br />(Sich signing (uy ba required oa part oC a separata Deviloprr's <br />agrecnenr and/or 0ubdlvlclof\ request.) <br />atandsrd city axroet name ltj(3i(a) • niinbcc rtquliod ^ / <br />__standard *'STOl»‘* aign(o) - nuodiar raqulrad / . <br />atandard trafflo alRn(s) dtacrifiid below; . . . <br />- number reqclrod <br />Tha abova ownor(s) do hafehy mcVcnnylcdgc tha (lun»ta) e*lsttn(;fl of <br />said pflvaca road, and that the City of Otono hot no oblif^atlnn to <br />lialntaln or aervlce aoid private road, ond that the City of Ornno <br />docs not intend to otqulra ov open said private told a a public <br />ro^du.iy. <br />Signatuyifa} of/tqwner(ajfi <br />Dace <br />D<it« <br />;