Rev 12/2017
City of Manchester
14318 Manchester Road
Manchester, MO 63011
P: (636) 227-1385 ex. 118
F: (636) 821-8099
pandz@manchestermo.gov
PROJECT ADDRESS:___________________________________________________________________________
Owner:_______________________________________________________________________________________
Address:__________________________________________ Phone:______________________________
City, State, Zip:_____________________________________ Email:______________________________
Applicant:____________________________________________________________________________________
Address:__________________________________________ Phone:______________________________
City, State, Zip:_____________________________________ Email:______________________________
Please Attach:
Location Map & Site Plan with easement to be vacated clearly labeled
Recorded easement documentation with complete legal description
Documentation showing consent to vacate from all parties with rights to easement
Fee of $100.00 to the City of Manchester
Application for: Street Vacation Easement Vacation
Reason for Request:
Assessor’s Parcel No.:______________________________ Zoning:_____________________________________
Address:______________________________________________________________________________________
I hereby certify that the information contained in this application and accompanying documents are correct, and that I
will conform to all applicable laws of the City of Manchester.
Applicant Signature:______________________________________________________Date:___________________
Applicant’s Name Printed:_________________________________________________________________________
Zoning Fees Fee paid on:______________________ Amount:_____________________
ZONING APPROVAL CASE #:_____________________
Approved by:______________________________________________________Date:________________________
Director, Planning, Zoning and Economic Development
FOR OFFICE USE ONLY BELOW
Street or Easement
Vacation
Application