We, the undersigned property owners of
______________________________________________________________________________
(name of subdivision, lot, and block number)
do hereby request that the City of Tomball release and vacate the said Right-of-Way as further described
in the attached Boundary Survey.
Adjacent Property Owners Signatures
(please include your name, mailing address, HCAD number of your property, and signature)
1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
4. ___________________________________________________________________________
5. ___________________________________________________________________________
6. ___________________________________________________________________________
7. ___________________________________________________________________________
8. ___________________________________________________________________________
9. ___________________________________________________________________________
10. __________________________________________________________________________
Certification
I, __________________________________________, being one of the above named persons, do hereby
certify that the above named persons include all abutting property owners of the property being vacated
and released.
Please list the reasons for the request and how this request will benefit the public:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
(Signature) (Printed Name)
______________________________________________ _________________________________
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