1
PART I PETITION
Complete "petition" with names of all adjoining property owners. Adjoining property owners are
those who are immediately affected by vacation of a street.
All adjoining property owners must sign petition. Signatures are to be notarized.
PART II AGREEMENT
Complete all blank spaces with dates, names of adjoining property owners, Tax Parcel numbers of
all adjoining property owners, name of street to be vacated.
Submit completed and signed forms (signatures must be notarized) with exhibits and a cover letter
explaining the reason for petitioning the vacation of the street to the Bensalem Township Council.
EXHIBITS
A. Description of street to be vacated, as it currently exists, must be prepared by a registered
engineer or land surveyor.
B. Description and plan of street showing the new vacated portion divided among the adjoining
property owners also to be prepared by a registered engineer or land surveyor.
C. Copy of tax map can be obtained from the Department of Building and Planning at the
Bensalem Township Municipal Building.
D. Certification from all utility companies indicating the presence or absence of utilities in the
area to be vacated.
A. An escrow in the amount of $1,000 must be established with the Township for legal and
in-house engineer reviews.
B. Ten (10) copies of all plans and documents must be submitted.
NOTE:
The attached forms may have to be revised in order to include names and signatures of all adjoining
property owners.
VACATION OF STREETS INSTRUCTIONS
DATE:
BENSALEM TOWNSHIP
Building and Planning Department
Office 215-633-3644 Fax 215-633-3753
2400 Byberry Road Bensalem, PA 19020
2
PETITION
To the Bensalem Township Council, Bucks County, Pennsylvania.
The Petition of: _____________________________________________________________
1. Petitioners are property owners in Bensalem Township, Bucks County, Pennsylvania.
2. This Petition is presented pursuant to and under the authority of the Act of May 1, 1933
P.O. 103 Article Xl SIIOI as supplemented and amended (53 P.S. 66101) to secure the
vacation of as described in Exhibit "A" attached hereto and made part hereof.
3. A plan showing Petitioners property and the portions of the street which Petitioners seek
to have vacated is attached hereto made part hereof and marked Exhibit "B".
4. Petitioners are all of the property owners whose property abuts the street to be vacated.
petitioners believe and therefore aver that the street serves no useful purpose and that
vacation thereof would be in the public interest.
5. Petitioners are willing and able to and do hereby agree to reimburse the Township of
Bensalem for all reasonable costs involved in connection with the vacation of the
aforementioned street.
PETITIONERS PETITIONERS
3
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF BUCKS
being duly sworn according to law depose and say that they are the Petitioners in the within
matter; that the facts set forth therein are true and correct to the best of their knowledge,
information and belief, and that they are a majority of the property owners abutting
as shown on Exhibit "B".
PETITIONERS
Sworn to and Subscribed
before me on this
day of
,
2
Notary Public
4
AGREEMENT BETWEEN
(PARTIES OF THE FIRST PART) AND BENSALEM TOWNSHIP (PARTIES OF THE SECOND PART)
THIS AGREEMENT, made this day of , between
and Bensalem Township.
WHEREAS, the parties of the first part, to wit,
are the owners in fee of the premises abutting upon and adjacent to
being Bucks County Tax Map Parcel # and
are the owners in fee of the premises abutting upon and adjacent to
in Bensalem Township being Bucks County Tax Map Parcel #
WHEREAS, the said
was accepted for dedication by Bensalem Township Council by resolution and,
WHEREAS, the said
which lies between the premises of the parties of the first part has never been improved or opened
for public use, and
WHEREAS, the parties of the first part have requested the Bensalem Township Council to vacate
that portion of
which lies between properties of the parties of the first part, and,
WHEREAS, the parties of the first part do agree that if the Bensalem Township Council acts upon
the request of the parties of the first part to vacate the portion of
which lies between the property
of the parties of the first part, the parties of the first part, will indemnify, save, protect and hold harmless
Bensalem Township from any claims by anyone, at anytime, asserted against Bensalem Township
on account of, or due to, or because of the vacation of that said portion of
5
NOW, THEREFORE, it is mutually covenanted and agreed by the parties hereto intending to be
legally bound hereby that:
(a) Bensalem Township Council will approve the petition of the parties of the first part to vacate that
portion of
which lies between the properties of the parties of the first part which is more fully described by a
description herewith attached, made part hereof, marked Exhibit "A" and a copy of the Tax Map of
the area described marked as Exhibit "B".
(b) In consideration of the action by Bensalem Township Council in vacating that portion of
as shown in Exhibit "A" and "B" and as attached hereto, made part hereof, the parties of the first
part agree to save, protect, defend and hold harmless the Bensalem Township Council and
Bensalem from claims asserted by anyone at anytime against Bensalem Township of the Bensalem
Township Council thereof by reason of the vacation of that portion of
as shown in Exhibit "A" and "B" and as attached hereto, whether any such claim be brought under
the Eminent Domain Code of Pennsylvania or the Common Law or be brought under any provision
of the Constitution of the United States, the laws promulgated pursuant thereto or on account of
any negligence against Bensalem Township or the Bensalem Township Council thereof.
The parties of the first part, in addition, agree that they will be responsible for and will
pay for all costs attendant to the filing or recording of this agreement and any action by the
Bensalem Township Council relative to vacation of the aforesaid portion of
6
This agreement shall be a covenant which will run with the land involved, to wit, the aforesaid tax
parcels of parties of the first part and will be recorded as such so that this agreement is, and will
become, an encumbrance upon the land and an obligation of the parties of the first part and their
successors and assigns.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals on the date
first above written.
BENSALEM TOWNSHIP COUNCIL
Attest: by:
Secretary
President
7
COMMONWEALTH OF PENNSYLVANIA
:SS
COUNTY OF BUCKS
ON THIS, the day of , before me, a Notary Public for
The Commonwealth of Pennsylvania, residing in the County of Bucks, personally appeared
and
,
his wife, known to me
(satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and
Acknowledged that they executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission Expires:
Notary Public
ON THIS, the day of , before me, a Notary Public for
The Commonwealth of Pennsylvania, residing in the County of Bucks, personally appeared
and
,
his wife, known to me
(satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and
Acknowledged that they executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission Expires:
Notary Public