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575-036-12 <br />RIGHT OF WAY <br />FDOT <br />occ - 64122 <br />Florida Department of Transportation <br />ROY DESAN'fIS Office of Right of Way JARED W. PERDUE, P.E, <br />GOVERNOR 3AN) West Commercial B u!ewa_d SECRETARY <br />Port U, udsrdate. FT. 333Tt-;421 <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 27t11 Street <br />Vero Beach. FL 3296>0 <br />ITEfv1/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 6061 Oslo Road <br />Indian River <br />813 <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 protect, desires to make a voluntary donation of said property or property interest to the <br />State of Florida for the use and benefit o` 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 appraisa! <br />inspection of the property, to receive full compensation for the above referenced property, and to receive reimbursement <br />for reasonable fees and costs incurred, if any. Having been fully informed of the above rights. I hereby waive those rights <br />unless otherwise noted below <br />APPR VEA AS TO f j'1�.z <br />j <br />Ahe E L S FIC <br />SY <br />WILLIAM X. OEE SAA L <br />DEPUTY COUNTY Af70RNEY <br />Owner's Signature <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 />Date _ <br />185 <br />