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| | Non-Acceptance/Disclaimer of Street or Alley |
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| | 1. Applicant's Information |
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| | 3.Key Map Location of area of your request |
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| | 5. Description of the portion of the street or alley to be processed as a non-acceptance. |
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| | Rusk St. from Sidney St. to Eastwood St. behind Rusk St. |
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| | 6. Total estimated area of the street or alley. |
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| | Approximately 2,000 - 3,000 sq. ft. |
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| | 7. Legal description of the property abutting the portion of the street or alley by lot and block, including the name of the subdivision. |
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| | TRS 10 & 11A BLK 18 - Houston City Street Railway Sec 1 |
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| | 8. Address of the street or alley area and the address of the applicant's abutting property. |
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| | Applicant Property: 4311 Rusk St. Alleyway stretches from Sidney St. to close to Eastwood St. behind Rusk St. |
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| | 9.If there are any agreements from other departments within the City associated with this request, please attach a copy of the agreement to this form. |
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| | 10. Other abutting property owners (if applicable) |
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