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A TRUE COPY <br />71FICATION ON LAST PAGF&-12 <br />SN11TH, CLERK RGOcc -044/22 <br />FDOT <br />'Wo!%PP5-� ... <br />Florida Department of Transportation <br />RUN DESANTIS Office of Right of Way JARED W. PERDUE, P.E. <br />GOVERNOR 3400 West Couunercial Boulevard SECRETARY <br />Fort Liuderdale, FL 33309-3421 <br />Donation of Property to the Florida Department of Transportation <br />Indian River County ITEM/SEGMENT NO.: 4130482 <br />Attn: Richard B. Szpyrka, P.E. <br />Public Works Director MANAGING DISTRICT: 4 <br />1801 2T" Street <br />Vero Beach, FL 32960 F.A.P. NO.: D417 092 B <br />STATE ROAD NO.: CR 6061 Oslo Road <br />COUNTY: <br />PARCEL NO.: <br />Indian River <br />813 <br />INTEREST CONVEYED: 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 rW8W Ua'° of his/her right <br />to have the referenced property or property interest appraised, to accompany the appraiser � iJMg'tfie 41P 1 <br />inspection of the property, to receive full compensation for the above referenced property, 9ncSfo regrelrrsement <br />for reasonable fees and costs incurred, d any. Having been fully Informed of the above rIC t,a I hereprftinralve t{%se rights <br />unless otherwise noted below. <br />Owner's Signature <br />Peter D. O'Bryan, Chairman <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 F0,'e-Ad <br />ANE L S F <br />BY <br />- I z <br />WILLIAM K. DEBRAAL <br />DEPUTY COUNTY ATTORNEY <br />