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TRUE COPY <br />-RTIFICATION ON LAST PAGE 575-030-12 <br />FDOT J.R, SMITH, CLERK RIGHT OF WAY <br />OGC -04122 <br />Florida Department of Transportation <br />RON DESAN'1'IS Office of Right of Way JARED W. PERDUE, P.E. <br />GOVERNOR 3400 Wnt Cumnx•rcial Bouievaid SECRETARY <br />Fon I auderdile, F1, 33.3o9-34-11 <br />Donation of Property to the Florida Department of Transportation <br />Indian River County <br />Attn: Richard B. Szpyrka, P.E. <br />Public Works Director <br />1801 2711 Street <br />Vero Beach, FL 32960 <br />ITEM/SEGMENT NO.: <br />MANAGING DISTRICT: <br />F.A.P. NO.: <br />STATE ROAD NO.: <br />COUNTY: <br />PARCEL NO.: <br />INTEREST CONVEYED: <br />4130482 <br />4 <br />D417 092 B _ <br />CR 606 / Oslo Road <br />Indian River <br />116 <br />Fee Simple_!_ <br />This is to advise that the undersigned, as owner of the property or property interest referenced above and as shown on <br />Right of Way maps for referenced project, desires to make a voluntary donation of said property or property interest to the <br />State of Florida for the use and benefit of the Florida Department of Transportation. <br />The undersigned hereby acknowledges that he/she has been fully advised by a Department representative 6fhis/her right <br />to have the referenced property or property interest appraised, to accompany the appraiser during the amrft -Off",-, <br />inspection of the property, to receive full compensation for the above referenced property, and to receivg4i fnbdr�ment <br />for reasonable fees and costs incurred, if any. Having been fully informed of the above rights, 1 -hereby v e tho k- hts <br />unless otherwise noted below��-, z <br />*: <br />Owner's Signature <br />,Pet�r U. O'Eryan, Chairman <br />Type or Print Property Owner's Name <br />1801 271' Street <br />Street Address <br />Vero Beach, FL 32960 <br />City, State, Zip Code <br />October 4, 2022 <br />Date <br />APPROVED AS TO FORM <br />IV� F1 9 <br />�'31l.1_iAttit s . i �c6;-�r�k.L <br />DEPUTY COU STY LTi ORNEY <br />