APPLICATION FOR
VACATION FOR STREET, ALLEY
OR EASMENT
PLANNING DEPARTMENT
700 FOX TRAIL
OPELIKA, AL 36801
Date Submitted:
Meeting Deadline:
Agenda Item#
Meeting Date:
PART I. OWNER/APPLICANT INFORMATION:
______________________________________________________________________________
Owner Name Address Phone
______________________________________________________________________________
Agent Name (if applicable) Address Phone
PART II. STREET/ALLEY/EASEMENT INFORMATION:
Street/Easement Address: ________________________________________________________
Current Zoning: ________________________________________________________________
Current Land Use: ______________________________________________________________
a) Is the Petition signed and notarized by all Property Owners listed on the deed of adjoining
the proposed Street/Alley/Easement? ____________________________________________
___________________________________________________________________________
b) Does the Vacation of Street/Alley/ Easement deprive other property owners of their rights
of ingress/egress or adversely affect other properties? ________________________________
If yes, explain: _______________________________________________________________
____________________________________________________________________________
___________________________________________________________________________
PART III. PROVIDE AN EXPLANATION FOR THE REQUEST:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
PART IV. ATTACH A MAP SHOWING THE STREET/ALLEY/EASEMENT
PROPOSED TO BE VACATED:
PART V.:
I hereby request the Opelika Planning Commission to review my Vacation of
Street/Alley/Easement request for property located at (street address/location)
_______________________________. I understand that I may be required to
provide additional information with my application. The City may require
additional information or requirements, or waive certain requirements, at any time
during the process.
________________________________ ______________________________
Signature Date
Filing Fee (non- refundable) $ 50.00
Advertising Fee (non-refundable) $700.00
TOTAL $750.00
Payment Type ____________
Received By: ____________
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NOTARY SIGNATURES
Before me, ______________________________________,
a Notary Public in and for said County and State, hereby
certify that _______________________________________,
whose name is signed to the foregoing petition as
___________________________[President, Chairman, etc.]
of _____________________________________________,
[Corporation, City], and who is known to me, acknowledged
before me on this date that be executed the same voluntarily
for and as the act of said corporation, being duly authorized
to do so, all on the day they say bears date. Given under my
hand and official seal of office
this the
_______________________________________________
day of ______________________________, __________
_________________________________ Notary Public
_________________________________________
(print name)
_________________________________________
(address)
_________________________________________
(city, state, zip)
BY: ______________________________________
(signature)
ITS:______________________________________
(title)
DATE:____________________________________
I, the undersigned authority, a Notary Public in and for
said County and State, hereby certify that
_______________________________________________,
whose name is signed to the foregoing petition, and who is
known to me, acknowledged before me on this day, that
being informed of the contents of said petition, he/she
executed the same voluntarily on this date. Given under
my hand and official seal of office this _______ day of
_____________________, _________
___________________________________ Notary Public
_________________________________________
(Signature)
_________________________________________
(print name)
_________________________________________
_________________________________________
(mailing address)
DATE: ___________________________________
I, the undersigned authority, a Notary Public in and for
said County and State, hereby certify that
_______________________________________________,
whose name is signed to the foregoing petition, and who is
known to me, acknowledged before me on this day, that
being informed of the contents of said petition, he/she
executed the same voluntarily on this date. Given under
my hand and official seal of office this _______ day of
_____________________, _________
___________________________________ Notary Public
_________________________________________
(Signature)
_________________________________________
(print name)
_________________________________________
_________________________________________
(mailing address)
DATE: ___________________________________
I, the undersigned authority, a Notary Public in and for
said County and State, hereby certify that
_______________________________________________,
whose name is signed to the foregoing petition, and who is
known to me, acknowledged before me on this day, that
being informed of the contents of said petition, he/she
executed the same voluntarily on this date. Given under
my hand and official seal of office this _______ day of
_____________________, _________
___________________________________ Notary Public
_________________________________________
(Signature)
_________________________________________
(print name)
_________________________________________
_________________________________________
(mailing address)
DATE: ___________________________________
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