Location of the Street Right-Of-Way Subject to the Application: ______

City of Fairfield

Vacation Application

Location of the Street Right-of-Way Subject to the Application: ______Legal Descriptions of the Adjacent Properties:______

Name of Applicant or Representative: ______Mailing Address: ______Phone: ( ) _____-______Fax: ( ) _____-______Cell: ( ) ______-______Signature: ______Date: ______

Name of Adjacent Property Owner: ______Mailing Address: ______Phone: ( ) _____-______Fax: ( ) _____-______Cell: ( ) ______-______Signature: ______Date: ______

Please attach the following information: 1. Plans, to scale, showing the nature and extent of the proposed Vacation. (6 copies, plus one 11” x 17” copy of any larger plans and/or maps) 2. A list of the names and addresses of all property owners and residents within three hundred (300) feet of the exterior boundaries of the land being considered. These can be obtained at the Camas County Courthouse Assessor’s Office. (Please submit two sets of typed mailing labels.) Also include the names and addresses of all easement holders

4/6/2018 0e3e635a50516e2175cc6bc3603aaa45.doc Page 1 of 2 within the subject property. (This information can be obtained from the title report.) 3. A Vicinity Map. 4. Any other information as requested by the City of Fairfield Planning and Zoning Administrator and/or the City Council.

Process: See the City of Fairfield Subdivision Ordinance and/or the Zoning Ordinance.

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Fees: Application $

Publication Cost ($_.__ x 4) $

Mailing (# of addresses ___ x $4.76) $ ($.46 postage + $2.30 certified fee + $1.75 return receipt fee + $.25 for paper)

Total Due $

Cost of additional noticing, recording fees, and other direct costs will also be assessed.

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