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APPLICATION FOR CLOSURE OF STREET OR ALLEY (Reference Butte‐Silver Bow Municipal Code Sec. 12.06.010) Instructions: Requestors must fill out the following form accompanied with a $500 nonrefundable filing fee and a plat map showing the area to be vacated. Plat maps are available from the Butte‐Silver Bow Land Records office. Please return this form along with fee and plat map to Butte‐Silver Bow Code Enforcement Department, Room 108, 155 W. Granite Street, Butte, MT 59701. If you have questions, please call us at 406‐497‐6410. Date: Name of Applicant(s): First name Last name Address of Applicant(s): Street City, State Zip Mailing Address : (if different than above) Briefly describe what action is requested portion of street or alley to be closed, entire street or alley to be vacated). Please indicate on map. Briefly describe reason closure is requested hardship, road not improved, road relocated). Butte‐Silver Bow Code Enforcement: Date received: Fee paid: Yes Receipt No.: No