2182 Clark St sidewalk waiver.tif I
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WASHINGTON COUNTY, STATE OF NEBRASKA f
Recorded I
INSTRUMENT NO. 2D-t5-- - --Q-Q —i -3--6- General
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Photostat
REGISTER OF DEEDS Proofed KAREN A. MADSEN
WASHINGTON COUNTY
.11 REGISTER OF DEEDS
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Prepared by and after Recording Return to:
Brenda Wheeler, City Clerk, City of Blair, 218 S. 16th Street, Blair, NE 68008 (402) 426 -6694
DATE OF INSTRUMENT: DecC rY1-ke r Z.Z. , 20
WA IVER OF SIDEWALK REQUIREMEN
The undersigned, hereinafter referred to as "Owner ", whether one or more, of the following property,
is required by Section 8 -511 of the Municipal Code of the City of Blair to install sidewalk adjacent to
all streets bordering on the lot or parcel.
Ownerwarrants and represents that he /she is owner of the following described real estate:
LEGAL: BC SOUTHFORKADDITION PT OF LOT 2114 PC 2
ADDRESS: 2182 Clark St
PIN: 890058030
Owner hereby specifically acknowledges the following:
1. Owner acknowledges that they have made an application to the City of Blair for the waiver of
the requirement for the construction of sidewalks in conjunction with the construction of a
residence thereon. Said owners further hereby specifically agree that said waiver is not a
permanent waiver, and that at any time the City of Blair requests or requires that a sidewalk be
constructed on such real estate, the owners hereby agree that they will, within a reasonable time,
construct such sidewalk or participate in a sidewalk improvement district if same is created by the
City of Blair.
2. Owner hereby specifically agrees that this agreement shall constitute a covenant which shall
run with the land, and that upon the filing of this agreement against the real estate described
hereinabove, all successors, assigns, or transferees shall be bound by the terms and conditions of
this agreement as though an original party hereto.
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This agreement shall be binding upon the heirs, personal representatives, successors, and assigns
of the undersigned.
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Dated: , 20
(5wners)
STATE OF NEBRASKA )
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WASHINGTON COUNTY )
� ee - The foregoing instrument was acknowledged before me on - fCCM Z 2 , 20 IV )
b PO CA L I e. H--C.
GENERAL NOTARY - State of Nebraska
III BRENDA R WHEELER
My Comm. M, June 20, 2016 NOTARY PUBLIC
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Approving Official:
Phil Green, Assistant City Administrator
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