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A TRUE COPY CERTIFICATION ON LAST PAGE J.R. SMITH, CLERK RIGHT OF WAY FDOT OGC-04/12 Florida Department of Transportation RON DESANTIS Office of Right of Way JARED W. PERDUE, P.E. GOVERNOR 3400 West Commercial Boulevard SECRETARY Fort Lauderdale, FL 33309-3421 Donation of Property to the Florida Department of Transportation Indian River County Attn: Richard B. Szpyrka, P.E. Public Works Director 1801 27th Street Vero Beach, FL 32960 ITEM/SEGMENT NO.: MANAGING DISTRICT: F.A.P. NO.: STATE ROAD NO.: COUNTY: PARCEL NO.: INTEREST CONVEYED 4130482 4 D417 092 B CR 606 / Oslo Road Indian River 100 Fee Simple This is to advise that the undersigned, as owner of the property or property interest referenced above and as shown on Right of Way maps for referenced project, desires to make a voluntary donation of said property or property interest to the State of Florida for the use and benefit of the Florida Department of Transportation. The undersigned hereby acknowledges that he/she has been fully advised by a Department representative of his/her right to have the referenced property or property interest appraised, to accompany the appraiser during the appraisal inspection of the property, to receive full compensation for the above referenced property, and to receive rgjmkursement for reasonable fees and costs incurred, if any. Having been fully informed of the above rights, I hereby v�iiiue:4t�p�'9.rights unless otherwise noted below. �. owner s algnaiure /f 75, Peter D. O'Bryan, Chairman Type or Print Property Owner's Name 1801 27th Street Street Address Vero Beach, FL 32960 City, State, Zip Code October 4, 2022 Date APPROVED AS TO F0 -�,J A P+i' D I 5" I L S F I , V s �Y WILLIAM .. DEBRAAL DEPUTY COUNTY ATi"ORNEY