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					CITY OF ELKO PLANNING DEPARTMENT
1751 College Avenue * Elko * Nevada * 89801 * (775) 777-7160 * (775) 777-7119 fax

APPLICATION FOR VACATION OF CITY STREET, EASEMENT OR OTHER PUBLIC RIGHT-OF-WAY
APPLICANT(s): ADDRESS: PHONE NO (Home) (Business) (Fax)

OWNER OF PROPERTY BEING REQUESTED FOR VACATION:

1. OWNER(S) OF ABUTTING PROPERTY BEING REQUESTED FOR VACATION:
(Name) (Address) (Telephone Number)

2. OWNER(S) OF ABUTTING PROPERTY BEING REQUESTED FOR VACATION:
(Name) (Address) (Telephone Number)

LEGAL DESCRIPTION AND LOCATION OF PROPERTY: (Attach if necessary):

FILING REQUIREMENTS:
Complete Application Form: In order to begin processing the application, an application form for requesting vacation of a City street, easement or other public right-of-way must be completed and signed. Map or Site Plan: A map or site plan of the area proposed for vacation, DRAWN TO SCALE, showing adjacent properties, property lines, utilities, buildings or structures and any other pertinent information. Fee: $600.00 to be paid in full prior to the consideration of the vacation request by the Planning Commission. Other Information: The applicant is encouraged to submit other information and documentation to support the request.

** If the applicant is different from the property owner, property owner consent, in writing, must be provided.

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I, the applicant(s) (or authorized agent or employer of applicant) being first duly sworn, deposes and says that all of the above statements contained in this document submitted herewith are true and as to those matters stated on information, I believe the same to be true. APPLICANT’S SIGNATURE:

OFFICE USE ONLY File No.: Date Filed: Fee Paid:

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