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TRUE COPY 575-030-12 <br />T OF WAY <br />FDOT <br />CERTIFICATION ON LAST1'A��o"�c-oan2 <br />;.R: BMITH, CLERK <br />Florida Department of Transportation <br />RON DESANTIS Office of Right of Way JARED W. PERDUE, P.E. <br />GOVERNOR 3400 West Coimnercial Boulevard SECRETARY <br />Fort Lauderdale, FL 33309-3421 <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 27th 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 />809 <br />Perpetual Easement <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 of his/her right <br />to have the referenced property or property interest appraised, to accompany the appraiser during the appraisal <br />inspection of the property, to receive full compensation for the above referenced property, and to receive reirabgrsement <br />for reasonable fees and costs incurred, if any. Having been fully informed of the above rights, I hereby,wai e'tho,4 rights <br />unless otherwise noted below . ass <br />!0 <br />�. 1 <br />Owner's Signature' f <br />Peter D. O'Bryan, Chairman :�' <br />DUIJTY. �.,• <br />Type or Print Property Owner's Name <br />1801 27th Street <br />Street Address <br />Vero Beach, FL 32960 <br />City, State, Zip Code <br />October 4, 2022 <br />Date <br />APPROVED AS TO F011"Vil <br />A2L S F <br />Nig <br />gU � _ r <br />WILLAM : DEBRAAL <br />DEPUTY COUNTY AT"i ORNEY <br />